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Published on: June 9, 2017
Targeting ATR in DNA damage response and cancer therapeutics
Emmanouil Fokas1, Remko Prevo, Ester M Hammond
1Gray Institute for Radiation Oncology and Biology, Department of Oncology, Oxford University, Oxford, United Kingdom; Department of Radiation Therapy and Oncology, Johann Wolfgang Goethe University, Frankfurt, Germany.
Abstract:
The ataxia telangiectasia and Rad3-related (ATR) plays an important role in maintaining genome integrity during DNA replication through the phosphorylation and activation of Chk1 and regulation of the DNA damage response. Preclinical studies have shown that disruption of ATR pathway can exacerbate the levels of replication stress in oncogene-driven murine tumors to promote cell killing. Additionally, inhibition of ATR can sensitise tumor cells to radiation or chemotherapy. Accumulating evidence suggests that targeting ATR can selectively sensitize cancer cells but not normal cells to DNA damage. Furthermore, in hypoxic conditions, ATR blockade results in overloading replication stress and DNA damage response causing cell death. Despite the attractiveness of ATR inhibition in the treatment of cancer, specific ATR inhibitors have remained elusive. In the last two years however, selective ATR inhibitors suitable for in vitro and - most recently - in vivo studies have been identified. In this article, we will review the literature on ATR function, its role in DDR and the potential of ATR inhibition to enhance the efficacy of radiation and chemotherapy.
Insights
Targeting the ATR pathway, crucial for genome stability, can selectively kill cancer cells by increasing replication stress. New inhibitors show promise for enhancing cancer treatments like radiation and chemotherapy.
Area of Science:
- Molecular Biology
- Cancer Research
- Genetics
Background:
- The Ataxia Telangiectasia and Rad3-related (ATR) protein is vital for maintaining genome integrity.
- ATR regulates DNA replication and the DNA damage response (DDR) pathway.
- Preclinical studies indicate ATR inhibition can enhance cancer cell killing.
Purpose of the Study:
- To review the function of ATR in DNA replication and DDR.
- To explore the potential of ATR inhibition in cancer therapy.
- To discuss recent advancements in selective ATR inhibitors.
Main Methods:
- Literature review of ATR function and DDR.
- Analysis of preclinical data on ATR inhibition in cancer models.
- Examination of studies on ATR inhibitors in vitro and in vivo.
Main Results:
- ATR inhibition exacerbates replication stress in oncogene-driven tumors, promoting cell death.
- ATR blockade sensitizes tumor cells to radiation and chemotherapy.
- ATR inhibition selectively sensitizes cancer cells, not normal cells, to DNA damage.
- Hypoxic conditions enhance ATR blockade-induced cell death via replication stress.
Conclusions:
- ATR inhibition is a promising strategy for cancer treatment, particularly in combination therapies.
- Recent identification of selective ATR inhibitors facilitates further research and clinical development.
- Targeting ATR offers a potential approach to selectively sensitize cancer cells to DNA-damaging agents.
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