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Updated: May 30, 2026

Simple and Fast Rolling Circle Amplification-Based Detection of Topoisomerase 1 Activity in Crude Biological Samples
Published on: December 2, 2022
Structural basis of type II topoisomerase inhibition by the anticancer drug etoposide
Chyuan-Chuan Wu1, Tsai-Kun Li, Lynn Farh
1Institute of Biochemistry and Molecular Biology, College of Medicine, National Taiwan University, Taipei City 100, Taiwan.
Abstract:
Type II topoisomerases (TOP2s) resolve the topological problems of DNA by transiently cleaving both strands of a DNA duplex to form a cleavage complex through which another DNA segment can be transported. Several widely prescribed anticancer drugs increase the population of TOP2 cleavage complex, which leads to TOP2-mediated chromosome DNA breakage and death of cancer cells. We present the crystal structure of a large fragment of human TOP2β complexed to DNA and to the anticancer drug etoposide to reveal structural details of drug-induced stabilization of a cleavage complex. The interplay between the protein, the DNA, and the drug explains the structure-activity relations of etoposide derivatives and the molecular basis of drug-resistant mutations. The analysis of protein-drug interactions provides information applicable for developing an isoform-specific TOP2-targeting strategy.
Insights
Structural insights into human topoisomerase IIβ (TOP2β) reveal how anticancer drugs like etoposide stabilize DNA cleavage complexes. This understanding aids in developing targeted cancer therapies and overcoming drug resistance.
Area of Science:
- Molecular Biology
- Structural Biology
- Pharmacology
Background:
- Type II topoisomerases (TOP2s) are crucial enzymes that manage DNA topology by transiently cleaving both DNA strands.
- Many anticancer drugs function by stabilizing TOP2 cleavage complexes, leading to DNA breaks and cancer cell death.
Purpose of the Study:
- To elucidate the structural basis of etoposide-induced stabilization of human TOP2β cleavage complexes.
- To understand the structure-activity relationships of etoposide derivatives and drug resistance mechanisms.
Main Methods:
- Determined the crystal structure of a large fragment of human TOP2β.
- Co-crystallized the TOP2β fragment with DNA and the anticancer drug etoposide.
Main Results:
- Revealed detailed structural interactions between TOP2β, DNA, and etoposide.
- Explained how etoposide stabilizes the TOP2 cleavage complex at a molecular level.
- Provided insights into etoposide derivative activity and drug-resistant mutations.
Conclusions:
- The study provides a structural foundation for understanding etoposide's mechanism of action.
- Findings can inform the design of novel, isoform-specific TOP2-targeting anticancer drugs.
- Understanding drug-target interactions is key to overcoming therapeutic resistance.
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