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Updated: May 20, 2026

A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Exploiting synthetic lethal interactions between DNA damage signaling, checkpoint control, and p53 for targeted
Sandra Morandell1, Michael B Yaffe
1Department of Biology, David H. Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, Massachusetts, USA.
Abstract:
DNA damage signaling and checkpoint control pathways are among the most commonly mutated networks in human tumors. Emerging data suggest that synthetic lethal interactions between mutated oncogenes or tumor suppressor genes with molecules involved in the DNA damage response and DNA repair pathways can be therapeutically exploited to preferentially kill cancer cells. In this review, we discuss the concept of synthetic lethality with a focus on p53, a commonly lost tumor suppressor gene, in the context of DNA damage signaling. We describe several recent examples in which this concept was successfully applied to target tumor cells in culture or in mouse models, as well as in human cancer patients.
Insights
Synthetic lethality exploits DNA damage response vulnerabilities in cancer. Targeting mutated genes, like p53, offers a promising strategy for selective cancer cell killing, showing success in preclinical and clinical studies.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- DNA damage signaling and checkpoint control are frequently altered in human cancers.
- Synthetic lethality presents a therapeutic strategy by exploiting interactions between mutated genes and DNA repair pathways.
- The tumor suppressor gene p53 is commonly lost in cancer, making it a key target.
Purpose of the Study:
- To review the concept of synthetic lethality in the context of DNA damage signaling.
- To focus on the role of p53 loss in synthetic lethality strategies.
- To highlight recent successful applications of synthetic lethality in cancer therapy.
Main Methods:
- Literature review of synthetic lethality principles.
- Analysis of DNA damage response and repair pathways.
- Examination of studies applying synthetic lethality to p53-deficient cancers.
Main Results:
- Synthetic lethal interactions can be therapeutically exploited to selectively kill cancer cells.
- Targeting DNA damage response pathways in p53-mutated cancers shows promise.
- Successful applications demonstrated in cell cultures, mouse models, and human patients.
Conclusions:
- Synthetic lethality is a viable therapeutic approach for cancers with specific genetic alterations.
- Exploiting p53 loss through synthetic lethality offers a targeted cancer treatment strategy.
- Emerging data support the clinical translation of synthetic lethality for cancer patients.
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