Background:Homologous recombination deficiency (HRD) resulting from inactivating mutations in the BRCA1 and BRCA2 genes promotes increased chromosomal instability and renders tumor cells susceptible to platinum derivatives and PARP inhibitors. Hereditary and/or somatic mutations in BRCA2, ATM, CHEK2 and other loci involved in homologous recombination DNA repair (HRR) have been reported in up to 25% of metastatic prostate cancer (PC) cases. The contribution of alterations in HRR-related genes beyond BRCA1/2 to homologous recombination deficiency remains largely unknown. The aim of the current study was to compare the HRD scores in prostate tumors with alterations in different HRR genes.Methods:HRD scores were determined as the sum of genomic loss of heterozygosity (LOH), large-scale state transition (LST) and telomeric allelic imbalance (TAI) scores by targeted NGS using HiSNP Ultra Panel v1.0 (Nanodigmbio, China) in two PC groups. The first group consisted of 58 PC cases with germline or somatic mutations in any of 34 HRR genes, while the second group included 214 cases without HRR mutations. The cut-off for the presence of homologous recombination deficiency was set as an HRD score ≥ 42.Results:HRD was observed more frequently in PCs with HRR mutations (9/58, 16%) than in cases without detectable HRR alterations (10/214, 5%, p = 0.008). In the HRR-mutated subgroup, high HRD scores were found in cases with BRCA2 (n = 4), ATM (n = 2), CDK12, NBN and FANCM mutations. The median HRD scores in PCs with mutations in BRCA2 (n = 9), ATM (n = 12), CHEK2 (n =8), NBN (n = 3), FANCM (n = 3), BRCA1 (n = 3), BLM (n = 3) were 41, 22.5, 7.5, 3, 10, 6, and 3, respectively. The comparison of HRD scores between BRCA2-mutant cases and ATM- (p = 0.046), CHEK2- (p = 0.005), or BLM-mutant PCs (p = 0.042) reached statistical significance. The presence of somatic TP53 mutations was associated with a higher degree of chromosomal instability and elevated HRD scores (p = 0.0001).Conclusions:A high HRD score is observed in a noticeable proportion of prostate tumors lacking mutations in the HRR genes. Prostate cancer cases with alterations in ATM, CHEK2, BLM, and possibly also NBN, FANCM genes are unlikely to have severe HRD. This work has been supported by the Russian Science Foundation (grant number 23-15-00262).Citation Format:Ekaterina Sh. Kuligina, Aglaya G. Iyevleva, Anna P. Sokolenko, Svetlana N. Aleksakhina, Maria V. Syomina, Ekaterina A. Otradnova, Evgeny N. Imyanitov. ATM, CHEK2 and BLM mutant prostate cancers do not have high homologous recombination deficiency scores [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2025; Part 1 (Regular Abstracts); 2025 Apr 25-30; Chicago, IL. Philadelphia (PA): AACR; Cancer Res 2025;85(8_Suppl_1):Abstract nr 1491.