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Updated: Mar 19, 2026

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
Pathways controlling dNTP pools to maintain genome stability
Sean G Rudd1, Nicholas C K Valerie1, Thomas Helleday1
1Science for Life Laboratory, Division of Translational Medicine and Chemical Biology, Department of Medical Biochemistry and Biophysics, Karolinska Institutet, Stockholm, Sweden.
Abstract:
Artificially modified nucleotides, in the form of nucleoside analogues, are widely used in the treatment of cancers and various other diseases, and have become important tools in the laboratory to characterise DNA repair pathways. In contrast, the role of endogenously occurring nucleotide modifications in genome stability is little understood. This is despite the demonstration over three decades ago that the cellular DNA precursor pool is orders of magnitude more susceptible to modification than the DNA molecule itself. More recently, underscoring the importance of this topic, oxidation of the cellular nucleotide pool achieved through targeting the sanitation enzyme MTH1, appears to be a promising anti-cancer strategy. This article reviews our current understanding of modified DNA precursors in genome stability, with a particular focus upon oxidised nucleotides, and outlines some important outstanding questions.
Insights
Endogenously modified nucleotides, particularly oxidized forms, significantly impact genome stability. Targeting cellular nucleotide pool oxidation is a promising anti-cancer strategy.
Area of Science:
- Biochemistry
- Molecular Biology
- Genetics
Background:
- Artificially modified nucleotides (nucleoside analogues) are crucial in cancer therapy and laboratory research.
- The role of naturally occurring nucleotide modifications in genome stability remains poorly understood.
- The cellular DNA precursor pool is highly susceptible to modification.
Purpose of the Study:
- To review the current understanding of modified DNA precursors in maintaining genome stability.
- To highlight the significance of oxidized nucleotides.
- To identify outstanding questions in the field.
Main Methods:
- Literature review focusing on endogenous nucleotide modifications and genome stability.
- Analysis of research on oxidized nucleotides and their impact.
- Discussion of targeting cellular nucleotide pool oxidation.
Main Results:
- Endogenously modified nucleotides, especially oxidized forms, play a critical role in genome stability.
- Oxidation of the cellular nucleotide pool is a viable anti-cancer strategy.
- Significant knowledge gaps exist regarding endogenous nucleotide modification impacts.
Conclusions:
- Endogenous nucleotide modifications are vital for genome stability.
- Targeting nucleotide pool oxidation presents a promising therapeutic avenue for cancer treatment.
- Further research is needed to fully elucidate the mechanisms and implications of endogenous nucleotide modifications.
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