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Targeting nonhomologous end-joining through epidermal growth factor receptor inhibition: rationale and strategies for
Bipasha Mukherjee1, Hak Choy, Chaitanya Nirodi
1Division of Molecular Radiation Biology, Department of Radiation Oncology, University of Texas Southwestern Medical Center, Dallas 75390, TX, USA.
Abstract:
DNA double-strand breaks (DSBs) are the most lethal type of DNA damage induced by ionizing radiation or chemotherapeutic drugs used to eradicate cancer cells. The ability of cancer cells to effectively repair DSBs significantly influences the outcome of therapeutic regimens. Therefore, a new and important area of clinical cancer research is the development of DNA repair inhibitors that can be used as radio- or chemosensitizers. Nonhomologous end joining (NHEJ) is the predominant pathway for the repair of radiation-induced DSBs. A series of recent reports indicates that the epidermal growth factor receptor (EGFR) or its downstream components may modulate NHEJ through direct interaction with the DNA repair enzyme, DNA-dependent protein kinase. Because EGFR is overexpressed or activated in many cancers, these findings provide a compelling rationale for combining radiotherapy with therapies that block EGFR or its downstream signaling components. In this review, we delineate how these novel connections between a cell-surface receptor (EGFR) and a predominantly nuclear event (NHEJ) provide vulnerable nodes that can be selectively targeted to improve cancer therapy.
Insights
Targeting DNA repair pathways, specifically nonhomologous end joining (NHEJ), by inhibiting epidermal growth factor receptor (EGFR) can enhance cancer therapy effectiveness. This approach aims to sensitize cancer cells to radiation and chemotherapy.
Area of Science:
- Molecular Biology
- Cancer Research
- Radiotherapy
Background:
- DNA double-strand breaks (DSBs) are critical DNA damage, often induced by cancer treatments like radiation and chemotherapy.
- Effective repair of DSBs by cancer cells impacts treatment outcomes.
- Nonhomologous end joining (NHEJ) is the primary repair mechanism for radiation-induced DSBs.
Purpose of the Study:
- To review the role of epidermal growth factor receptor (EGFR) in modulating DNA repair pathways.
- To explore the potential of targeting EGFR as a strategy to enhance cancer therapy.
- To identify novel therapeutic targets by linking cell-surface receptors to nuclear DNA repair.
Main Methods:
- Review of recent scientific literature connecting EGFR signaling to DNA repair mechanisms.
- Analysis of the interaction between EGFR downstream components and DNA-dependent protein kinase.
- Delineation of the functional relationship between EGFR and NHEJ pathway.
Main Results:
- Recent findings suggest EGFR or its downstream components can modulate NHEJ.
- This modulation may occur through direct interaction with DNA-dependent protein kinase.
- EGFR is frequently overexpressed or activated in various cancer types.
Conclusions:
- The connection between EGFR and NHEJ presents a promising therapeutic vulnerability in cancer.
- Combining radiotherapy with EGFR-blocking therapies could improve treatment efficacy.
- Targeting this link offers a novel strategy to selectively sensitize cancer cells for better therapeutic outcomes.
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