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Published on: February 21, 2019
Role of DNA-dependent protein kinase catalytic subunit in cancer development and treatment
Feng-Ming Hsu1, Shichuan Zhang, Benjamin P C Chen
1Department of Oncology, National Taiwan University Hospital, National Taiwan University College of Medicine, Taipei, Taiwan.
Abstract:
DNA-dependent protein kinase catalytic subunit (DNA-PKcs), a key component of the non-homologous end-joining (NHEJ) pathway, is involved in DNA double-strand break repair, immunocompetence, genomic integrity, and epidermal growth factor receptor signaling. Clinical studies indicate that expression and activity of DNA-PKcs is correlated with cancer progression and response to treatment. Various anti-DNA-PKcs strategies have been developed and tested in preclinical studies to exploit the benefit of DNA-PKcs inhibition in sensitization of radiotherapy and in combined modality therapy with other antitumor agents. In this article, we review the association between DNA-PKcs and cancer development and discuss current approaches and mechanisms for inhibition of DNA-PKcs. The future challenges are to understand how DNA-PKcs activity is correlated with cancer susceptibility and to identify those patients who would most benefit from DNA-PKcs inhibition.
Insights
DNA-dependent protein kinase catalytic subunit (DNA-PKcs) plays a role in DNA repair and cancer progression. Inhibiting DNA-PKcs shows promise in cancer therapy, but patient selection remains a challenge.
Area of Science:
- Molecular Biology
- Oncology
- Biochemistry
Background:
- DNA-dependent protein kinase catalytic subunit (DNA-PKcs) is crucial for DNA double-strand break repair via the non-homologous end-joining (NHEJ) pathway.
- DNA-PKcs is implicated in maintaining genomic integrity, immune function, and signaling pathways like EGFR.
- Elevated DNA-PKcs expression and activity are linked to cancer progression and treatment outcomes.
Purpose of the Study:
- To review the association between DNA-PKcs and cancer development.
- To discuss current strategies and mechanisms for inhibiting DNA-PKcs.
- To highlight future challenges in understanding DNA-PKcs's role in cancer susceptibility and patient stratification.
Main Methods:
- Literature review of preclinical and clinical studies.
- Analysis of the role of DNA-PKcs in DNA repair and cancer.
- Examination of anti-DNA-PKcs therapeutic strategies.
Main Results:
- DNA-PKcs inhibition is a potential strategy to enhance radiotherapy and combined therapies.
- Preclinical studies support the use of DNA-PKcs inhibitors in cancer treatment.
- The precise correlation between DNA-PKcs activity and cancer susceptibility requires further investigation.
Conclusions:
- DNA-PKcs is a significant target in oncology due to its role in DNA repair and cancer progression.
- Inhibiting DNA-PKcs offers a promising avenue for sensitizing tumors to conventional treatments.
- Future research should focus on identifying patient populations that will benefit most from DNA-PKcs inhibition.
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