Related Experiment Video
Updated: Feb 24, 2026

Genome-Wide CRISPR Screen for Unveiling Radiosensitive and Radioresistant Genes
Published on: May 23, 2025
Translesion DNA Synthesis in Cancer: Molecular Mechanisms and Therapeutic Opportunities
Maroof K Zafar1, Robert L Eoff1
1Department of Biochemistry and Molecular Biology, University of Arkansas for Medical Sciences , Little Rock, Arkansas 72205-7199, United States.
Abstract:
The genomic landscape of cancer is one marred by instability, but the mechanisms that underlie these alterations are multifaceted and remain a topic of intense research. Cellular responses to DNA damage and/or replication stress can affect genome stability in tumors and influence the response of patients to therapy. In addition to direct repair, DNA damage tolerance (DDT) is an element of genomic maintenance programs that contributes to the etiology of several types of cancer. DDT mechanisms primarily act to resolve replication stress, and this can influence the effectiveness of genotoxic drugs. Translesion DNA synthesis (TLS) is an important component of DDT that facilitates direct bypass of DNA adducts and other barriers to replication. The central role of TLS in the bypass of drug-induced DNA lesions, the promotion of tumor heterogeneity, and the involvement of these enzymes in the maintenance of the cancer stem cell niche presents an opportunity to leverage inhibition of TLS as a way of improving existing therapies. In the review that follows, we summarize mechanisms of DDT, misregulation of TLS in cancer, and discuss the potential for targeting these pathways as a means of improving cancer therapies.
Insights
Cancer cells use DNA damage tolerance (DDT) pathways, including translesion DNA synthesis (TLS), to survive replication stress. Inhibiting TLS could enhance cancer therapies by targeting these survival mechanisms.
Area of Science:
- Genomic instability in cancer
- DNA damage tolerance (DDT) mechanisms
- Translesion DNA synthesis (TLS) pathways
Background:
- Cancer is characterized by genomic instability, driven by complex mechanisms.
- Cellular responses to DNA damage and replication stress impact tumor stability and therapeutic response.
- DNA damage tolerance (DDT) is crucial for maintaining genomic integrity and contributes to cancer development.
Purpose of the Study:
- To summarize DDT mechanisms and the misregulation of TLS in cancer.
- To explore the potential of targeting TLS pathways for improved cancer therapies.
Main Methods:
- Review of existing literature on DDT and TLS.
- Analysis of the role of TLS in DNA adduct bypass and replication stress resolution.
- Discussion of TLS involvement in tumor heterogeneity and cancer stem cell maintenance.
Main Results:
- TLS facilitates the bypass of DNA lesions, including those induced by genotoxic drugs.
- Misregulation of TLS contributes to cancer etiology and progression.
- TLS pathways are implicated in maintaining the cancer stem cell niche.
Conclusions:
- Targeting TLS represents a promising strategy to enhance the efficacy of current cancer treatments.
- Understanding TLS mechanisms is key to developing novel therapeutic approaches for cancer.
More Related Videos
Related Concept Videos
Translesion DNA Polymerases
TLS polymerases are found in all three domains of life - archaea, bacteria, and eukaryotes. Of the different classes of TLS polymerases, members of the Y family are fitted with specialized structures that...
Targeted Cancer Therapies
There are several types of targeted therapies against...
Cancer
Treatment Resistant Cancers
Cancer Therapies
However, cancer treatments can pose several challenges, as therapies used to kill cancer cells are generally also toxic to normal cells. Moreover, cancer cells mutate rapidly and can develop resistance to chemical agents or radiation therapy. Besides, all types of cancer cells may not respond to the same therapy. Some cancer cells respond to one...
Adaptive Mechanisms in Cancer Cells
Some of the advantages that cancer cells have on normal cells include - enhanced ability to divide without terminally differentiating, induce new blood vessel formation,...

