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Updated: Sep 26, 2026

Cell Cycle-specific Measurement of γH2AX and Apoptosis After Genotoxic Stress by Flow Cytometry
Published on: September 1, 2019
Potentiation of DNA-damage-induced cytotoxicity by G2 checkpoint abrogators
1Laboratory for Molecular Radiobiology, Dept. Radiation Oncology, University Hospital Zurich, CH-8091 Zurich, Switzerland.
Abstract:
Cell cycle checkpoints are activated in response to DNA-damage to ensure that accurate copies of the cellular genome are passed on to the next generation and to avoid replication and segregation of damaged DNA. These cellular control systems can be overcome by combining conventional DNA-damaging agents with compounds that target the cell cycle regulatory pathways, to enhance cytotoxicity. Tumor cells often comprise a corrupted G(1) cell cycle checkpoint while the G(2) cell cycle checkpoint is still intact. This review describes the concept of G(2) checkpoint abrogation with recognized (methylxanthines, UCN-01) and novel G(2) checkpoint abrogators to potentiate the cytotoxicity of DNA-damaging drugs and ionizing radiation. It illustrates the potential of G(2) checkpoint abrogators to preferentially sensitize p53-mutated, treatment resistant tumor cells for genotoxic treatment. Identification of the targets of caffeine and UCN-01 to be key-players of the G(2) checkpoint (ATM/ATR and Chk1, respectively) promoted the search for novel inhibitors of this checkpoint. Even though a direct causal link between G(2) checkpoint abrogation and chemo-/radiosensitization is difficult to prove the multitude of these novel compounds validate that inhibition of critical elements of the G(2) checkpoint (ATM/ATR-Chk1/Chk2-CDC25C-cascade) potentiates the cytotoxicity of DNA-damaging agents.
Insights
Targeting the G(2) cell cycle checkpoint with specific abrogators can enhance the effectiveness of DNA-damaging cancer therapies. This approach shows promise for treating resistant tumors by increasing drug and radiation cytotoxicity.
Area of Science:
- Molecular Biology
- Cell Biology
- Cancer Research
Background:
- Cell cycle checkpoints are crucial for genomic stability, preventing replication of damaged DNA.
- Cancer cells often have compromised G(1) checkpoints but intact G(2) checkpoints.
- Overcoming cell cycle checkpoints can enhance the efficacy of genotoxic cancer treatments.
Purpose of the Study:
- To review the concept of G(2) checkpoint abrogation.
- To discuss recognized and novel G(2) checkpoint abrogators.
- To evaluate their potential in potentiating cytotoxicity of DNA-damaging agents and radiosensitization.
Main Methods:
- Review of existing literature on cell cycle checkpoints and G(2) abrogation.
- Discussion of specific compounds like methylxanthines and UCN-01.
- Analysis of the ATM/ATR-Chk1/Chk2-CDC25C signaling cascade.
Main Results:
- G(2) checkpoint abrogation potentiates cytotoxicity of DNA-damaging drugs and ionizing radiation.
- G(2) checkpoint abrogators may preferentially sensitize p53-mutated, treatment-resistant tumors.
- Inhibition of key G(2) checkpoint elements enhances the effectiveness of genotoxic therapies.
Conclusions:
- G(2) checkpoint abrogation is a viable strategy to enhance cancer treatment efficacy.
- Novel G(2) checkpoint inhibitors are being developed to improve genotoxic therapy outcomes.
- Targeting the G(2) checkpoint cascade offers a promising approach for overcoming treatment resistance.
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