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Updated: Apr 22, 2026

Author Spotlight: Deciphering the Role of ATM in Ataxia-Telangiectasia and the Associated Cerebellar Degeneration
Published on: December 27, 2024
The development of ataxia telangiectasia mutated kinase inhibitors
Martin Andrs, Jan Korabecny, Eugenie Nepovimova
1University Hospital Hradec Kralove, Sokolska 581, 500 05 Hradec Kralove, Czech Republic.. kamil.kuca@fnhk.cz.
Abstract:
Radiation and genotoxic drugs are two of the cornerstones of current cancer treatment strategy. However, this type of therapy often suffers from radio- or chemo-resistance caused by DNA repair mechanisms. With the aim of increasing the efficacy of these treatments, there has been great interest in studying DNA damage responses (DDR). Among the plethora of signal and effector proteins involved in DDR, three related kinases ATM (ataxia telangiectasia mutated), ATR (ATM and Rad3-related) and DNA-PK (DNA-dependent protein kinase) play the main roles in initiation and regulation of signaling pathways in response to DNA double and single strand breaks (DSB and SSB). ATM inhibitors, as well as those of ATR and DNA-PK, provide an opportunity to sensitize cancer cells to therapy. Moreover, they can lead to selective killing of cancer cells, exploiting a concept known as synthetic lethality. However, only a very few selective inhibitors have been identified to this date. This mini-review is focused both on the development of selective inhibitors of ATM and other inhibitors which have ATM as one of their targets.
Insights
Targeting DNA repair mechanisms, like those involving ATM, ATR, and DNA-PK kinases, can overcome cancer treatment resistance. Developing selective inhibitors for these kinases offers a promising strategy to enhance cancer therapy efficacy and achieve synthetic lethality.
Area of Science:
- Molecular Biology
- Oncology
- Drug Discovery
Background:
- Cancer treatments like radiation and genotoxic drugs are often ineffective due to DNA repair mechanisms causing resistance.
- DNA damage response (DDR) pathways, crucial for cell survival, are implicated in therapeutic resistance.
- Key kinases in DDR, including ATM, ATR, and DNA-PK, regulate signaling in response to DNA breaks.
Purpose of the Study:
- To review the development of selective inhibitors targeting ATM, ATR, and DNA-PK kinases.
- To explore the potential of these inhibitors in sensitizing cancer cells to conventional therapies.
- To highlight the application of kinase inhibitors in achieving synthetic lethality for cancer treatment.
Main Methods:
- Literature review focusing on the development of selective kinase inhibitors.
- Analysis of ATM, ATR, and DNA-PK inhibitors and their therapeutic implications.
- Exploration of the synthetic lethality concept in cancer therapy.
Main Results:
- Inhibitors of ATM, ATR, and DNA-PK show potential to overcome radio- and chemo-resistance.
- Selective kinase inhibitors can sensitize cancer cells to DNA-damaging agents.
- Development of selective inhibitors is crucial, as few are currently available.
Conclusions:
- Targeting ATM, ATR, and DNA-PK kinases represents a viable strategy to enhance cancer treatment efficacy.
- Selective inhibitors offer a pathway to overcome treatment resistance and induce cancer cell death via synthetic lethality.
- Further research into selective inhibitor development is warranted to fully exploit their therapeutic potential.
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