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Updated: May 26, 2026

Simple and Fast Rolling Circle Amplification-Based Detection of Topoisomerase 1 Activity in Crude Biological Samples
Published on: December 2, 2022
Targeting DNA topoisomerase I with non-camptothecin poisons
G L Beretta1, V Zuco, P Perego
1Molecular Pharmacology Unit, Department of Experimental Oncology and Molecular Medicine, Fondazione IRCCS Istituto Nazionale dei Tumori, Milan, Italy. giovanni.beretta@istitutotumori.mi.it
Abstract:
DNA topoisomerase I is required for DNA relaxation during a variety of cellular functions. The identification of camptothecins as specific enzyme poisons and their clinical efficacy have stimulated extensive efforts to exploit topoisomerase I as a therapeutic target for cancer. However, several limitations of camptothecins, such as low solubility and stability, high toxicity, and the occurrence of resistance, have encouraged the development of non-camptothecin topoisomerase I inhibitors. Different natural and synthetic compounds (e.g., indolocarbazoles, dibenzonaphthyridine and indenoisoquinoline) have been extensively studied as alternatives to camptothecins and have been proved to be promising therapeutic agents. In this review, we comparatively evaluate the preclinical results obtained with the different non-camptothecin poisons proposed thus far as topoisomerase I inhibitors, with special reference to cellular pharmacology, and discuss the perspective for their use in the clinical setting.
Insights
New non-camptothecin DNA topoisomerase I inhibitors show promise as cancer therapeutics. This review evaluates preclinical data on these alternative agents, focusing on cellular pharmacology and clinical potential.
Area of Science:
- Biochemistry
- Molecular Biology
- Pharmacology
Background:
- DNA topoisomerase I is crucial for DNA relaxation in cellular processes.
- Camptothecins are known DNA topoisomerase I inhibitors with clinical efficacy in cancer therapy.
- Limitations of camptothecins, including poor solubility, stability, toxicity, and resistance, necessitate alternative treatments.
Purpose of the Study:
- To comparatively evaluate preclinical results of non-camptothecin DNA topoisomerase I inhibitors.
- To assess the cellular pharmacology of these novel agents.
- To discuss the clinical perspectives of these alternative topoisomerase I inhibitors.
Main Methods:
- Review and comparative analysis of preclinical data on various non-camptothecin topoisomerase I inhibitors.
- Focus on studies examining cellular pharmacology and in vitro/in vivo efficacy.
- Evaluation of resistance mechanisms and potential for clinical application.
Main Results:
- Several classes of non-camptothecin compounds, including indolocarbazoles, dibenzonaphthyridines, and indenoisoquinolines, demonstrate significant potential as topoisomerase I inhibitors.
- These agents exhibit promising preclinical efficacy and distinct pharmacological profiles.
- Comparative analysis highlights specific advantages and challenges for different compound classes.
Conclusions:
- Non-camptothecin topoisomerase I inhibitors represent a promising alternative for cancer therapy, overcoming limitations of existing drugs.
- Further preclinical and clinical investigation is warranted to optimize their therapeutic use.
- These agents offer a valuable avenue for developing novel anticancer strategies targeting DNA topoisomerase I.
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