DNA damage repair in breast cancer and its therapeutic implications

Reem Ali1, Emad A Rakha1, Srinivasan Madhusudan1

  • 1Academic Unit of Oncology, Division of Cancer and Stem Cells, School of Medicine, University of Nottingham, Nottingham, United Kingdom; Department of Oncology, Nottingham University Hospitals, Nottingham, United Kingdom.

Pathology
|December 31, 2016
PubMed

Insights

DNA damage response (DDR) defects are crucial in breast cancer development and treatment. This review covers DDR defects and inhibitors like PARP, ATM/ATR, and DNA-PK for breast cancer therapy.

Area of Science:

  • Genetics and Genomics
  • Oncology
  • Molecular Biology

Background:

  • The DNA damage response (DDR) is vital for repairing DNA lesions and maintaining genomic stability, preventing cancer formation.
  • Mutations in DDR genes like BRCA1/2, PTEN, and P53 are linked to various breast cancer subtypes.
  • These mutations can sensitize cancer cells to specific DDR inhibitors, such as PARP inhibitors for BRCA1/2-mutated cancers.

Purpose of the Study:

  • To review specific DNA damage response defects in breast cancer.
  • To present the developmental status of various DDR inhibitors for breast cancer treatment.

Main Methods:

  • Literature review of DNA damage response mechanisms in breast cancer.
  • Analysis of current clinical development of DDR inhibitors.
  • Discussion of mono- and combination therapy strategies.

Main Results:

  • Specific DDR defects contribute to breast cancer pathogenesis.
  • Several DDR inhibitors, including PARP, ATM/ATR, and DNA-PK inhibitors, are in development.
  • These inhibitors show potential in both monotherapy and combination treatments for breast cancer.

Conclusions:

  • Understanding DDR defects is key to targeted breast cancer therapy.
  • DDR inhibitors represent a promising therapeutic avenue for breast cancer.
  • Further research into DDR inhibitor combinations may enhance treatment efficacy.

Related Concept Videos

Targeted Cancer Therapies02:57

Targeted Cancer Therapies

The targeted cancer therapies, also known as “molecular targeted therapies,” take advantage of the molecular and genetic differences between the cancer cells and the normal cells. It needs a thorough understanding of the cancer cells to develop drugs that can target specific molecular aspects that drive the growth, progression, and spread of cancer cells without affecting the growth and survival of other normal cells in the body.
There are several types of targeted therapies against...
9.0K
DNA Damage can Stall the Cell Cycle02:36

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
10.3K
DNA Damage Can Stall the Cell Cycle02:36

DNA Damage Can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
3.3K
Overview of DNA Repair02:25

Overview of DNA Repair

In order to be passed through generations, genomic DNA must be undamaged and error-free. However, every day, DNA in a cell undergoes several thousand to a million damaging events by natural causes and external factors. Ionizing radiation such as UV rays, free radicals produced during cellular respiration, and hydrolytic damage from metabolic reactions can alter the structure of DNA. Damages caused include single-base alteration, base dimerization, chain breaks, and cross-linkage.
Chemically...
34.5K
Nucleotide Excision Repair01:38

Nucleotide Excision Repair

DNA Distortion and Damage
Cells are regularly exposed to mutagens—factors in the environment that can damage DNA and generate mutations. UV radiation is one of the most common mutagens and is estimated to introduce a significant number of changes in DNA. These include bends or kinks in the structure, which can block DNA replication or transcription. If these errors are not fixed, the damage can cause mutations, which in turn can result in cancer or disease depending on which sequences are...
5.5K
Mitogens and the Cell Cycle02:38

Mitogens and the Cell Cycle

Mitogens and their receptors play a crucial role in controlling the progression of the cell cycle. However, the loss of mitogenic control over cell division leads to tumor formation. Therefore, mitogens and mitogen receptors play an important role in cancer research. For instance, the epidermal growth factor (EGF) - a type of mitogen and its transmembrane receptor (EGFR), decides the fate of the cell's proliferation. When EGF binds to EGFR, a member of the ErbB family of tyrosine kinase...
8.3K