DNA topoisomerase-targeting chemotherapeutics: what's new?

Selma M Cuya1, Mary-Ann Bjornsti1, Robert C A M van Waardenburg2

  • 1Department of Pharmacology and Toxicology, University of Alabama at Birmingham, 155 Volker Hall, 1720 2nd Ave. S., Birmingham, AL, 35294-0019, USA.

Insights

Human cells use DNA topoisomerases to manage DNA topology and integrity. These enzymes, targeted by cancer drugs, are crucial for cellular function and therapeutic development.

Area of Science:

  • Molecular Biology
  • Genetics
  • Biochemistry

Background:

  • Human cells possess six DNA topoisomerases (TOP1, TOP1mt, TOP2α, TOP2β, TOP3α, TOP3β) essential for genome and RNA integrity.
  • Topoisomerases regulate DNA supercoiling and resolve topological issues by creating transient DNA breaks.
  • Covalent topoisomerase-DNA complexes are key targets for numerous anticancer chemotherapeutics.

Purpose of the Study:

  • To review the structure-function and catalytic mechanisms of eukaryotic DNA topoisomerase families.
  • To discuss topoisomerase-targeting agents in clinical use or trials.
  • To highlight advancements and challenges in the clinical development of these agents.

Main Methods:

  • Literature review of eukaryotic DNA topoisomerases.
  • Analysis of structure-function and catalytic mechanisms.
  • Review of clinical data for topoisomerase-targeting agents.

Main Results:

  • Detailed overview of type IB, IIA, and IA topoisomerase families.
  • Compilation of approved and investigational topoisomerase-targeting drugs.
  • Identification of current challenges and future directions in clinical development.

Conclusions:

  • DNA topoisomerases are vital for maintaining genomic stability and are validated targets for cancer therapy.
  • Understanding topoisomerase mechanisms informs the development of novel chemotherapeutics.
  • Continued research is necessary to overcome challenges in the clinical application of topoisomerase inhibitors.

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