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Updated: Apr 18, 2026

Assessment of Global DNA Double-Strand End Resection using BrdU-DNA Labeling coupled with Cell Cycle Discrimination Imaging
Published on: April 28, 2021
DNA double-strand break repair inhibitors as cancer therapeutics
Mrinal Srivastava1, Sathees C Raghavan1
1Department of Biochemistry, Indian Institute of Science, Bangalore, 560 012, India.
Abstract:
Among DNA damages, double-strand breaks (DSBs) are one of the most harmful lesions to a cell. Failure in DSB repair could lead to genomic instability and cancer. Homologous recombination (HR) and nonhomologous end joining (NHEJ) are major DSB repair pathways in higher eukaryotes. It is known that expression of DSB repair genes is altered in various cancers. Activation of DSB repair genes is one of the reasons for chemo- and radioresistance. Therefore, targeting DSB repair is an attractive strategy to eliminate cancer. Besides, therapeutic agents introduce breaks in the genome as an intermediate. Therefore, blocking the residual repair using inhibitors can potentiate the efficacy of cancer treatment. In this review, we discuss the importance of targeting DSB repair pathways for the treatment of cancer. Recent advances in the development of DSB repair inhibitors and their clinical relevance are also addressed.
Insights
Targeting DNA double-strand break (DSB) repair pathways is crucial for cancer treatment. Inhibiting these repair mechanisms can enhance the efficacy of chemotherapy and radiotherapy, offering a promising strategy for cancer elimination.
Area of Science:
- Molecular Biology
- Genetics
- Cancer Research
Background:
- DNA double-strand breaks (DSBs) are highly cytotoxic DNA lesions.
- Defective DSB repair leads to genomic instability and cancer development.
- DSB repair pathways, including homologous recombination (HR) and nonhomologous end joining (NHEJ), are critical for cell survival.
Purpose of the Study:
- To review the significance of targeting DSB repair pathways in cancer therapy.
- To discuss the role of DSB repair gene alterations in cancer and treatment resistance.
- To highlight recent advancements in DSB repair inhibitors and their clinical applications.
Main Methods:
- Literature review of scientific articles and clinical trial data.
- Analysis of the mechanisms of DSB repair pathways.
- Examination of the impact of DSB repair inhibitors on cancer cells and tumors.
Main Results:
- Altered expression of DSB repair genes is observed in various cancers.
- Activation of DSB repair pathways contributes to chemo- and radioresistance.
- Inhibiting DSB repair can potentiate the efficacy of cancer treatments by blocking residual repair.
Conclusions:
- Targeting DSB repair pathways presents a viable strategy for cancer treatment.
- Development of DSB repair inhibitors shows promise for clinical application.
- Blocking DNA repair mechanisms can overcome therapeutic resistance in cancer.
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