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DNA damage response--a double-edged sword in cancer prevention and cancer therapy
Hui Tian1, Zhen Gao1, HuiZhong Li1
1Laboratory of Biological Cancer Therapy, Xuzhou Medical College, 84 West Huai-hai Road, Xuzhou, Jiangsu 221002, China.
Abstract:
Genomic stability depends on an efficient DNA damage repair system to keep the chromosomes intact. Unrepaired DNA damage not only causes cell cycle arrest, apoptosis, but also accumulates genome mutations. DNA damage response (DDR) exhibits a critical function on the protection against human cancer, as indicated by the high predisposition to cancer of individuals with germ-line mutations in DDR genes. However, a defective DNA repair is liked intimately with the unchecked proliferation and the intrinsic resistance to clinical DNA-damaging agents. Therefore, abrogation of specific proteins in DNA damage repair pathways is a promising strategy for developing targeted cancer treatments. It may sound paradoxical to inhibit DDR pathway for sensitization of clinical therapy because cancer promotion and malignant transformation are aided by deficient DNA repair pathways. Actually, DDR acts as a positive guardian of genomic stability to prevent from tumorigenesis. On the other hand, DDR also performs as a negative saboteur to resist chemo- and radiotherapy. In this regard, DDR functions as "a double-edged sword" in cancer prevention and cancer therapy. The defective DDR that makes cancer cells of high mutability should alternatively provide therapeutic opportunities that confer the lethality to cancer cells without harming normal cells.
Insights
DNA damage repair (DDR) pathways are crucial for genomic stability and cancer prevention. Inhibiting DDR offers a promising strategy to sensitize cancer cells to therapy, exploiting their inherent DNA repair defects.
Area of Science:
- Genetics
- Molecular Biology
- Cancer Research
Background:
- Genomic stability relies on effective DNA damage repair (DDR) to maintain chromosomal integrity.
- Accumulated unrepaired DNA damage can lead to cell cycle arrest, apoptosis, and genome mutations, contributing to cancer development.
- Germline mutations in DDR genes are linked to a high predisposition to human cancers.
Purpose of the Study:
- To explore the dual role of DNA damage response (DDR) in cancer prevention and therapy.
- To investigate the potential of targeting DDR pathways for cancer treatment.
- To understand how defective DDR in cancer cells can be exploited for therapeutic gain.
Main Methods:
- Review of existing literature on DNA damage repair pathways and their role in cancer.
- Analysis of the paradoxical functions of DDR in tumorigenesis and treatment resistance.
- Conceptual exploration of therapeutic strategies targeting DDR proteins.
Main Results:
- DNA damage response (DDR) acts as a 'double-edged sword' in cancer, protecting against genome instability but also conferring resistance to therapies.
- Defective DDR pathways in cancer cells contribute to high mutability and malignant transformation.
- Targeting specific proteins within DDR pathways presents a viable strategy for cancer therapy.
Conclusions:
- Inhibiting DDR pathways can sensitize cancer cells to clinical treatments, particularly those with inherent DNA repair deficiencies.
- Exploiting the defective DDR in cancer cells offers a targeted approach to induce cancer cell lethality while sparing normal cells.
- Further research into DDR modulation holds promise for developing novel, effective cancer therapies.
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