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Updated: Feb 3, 2026

A Data Integration Workflow to Identify Drug Combinations Targeting Synthetic Lethal Interactions
Published on: May 27, 2021
Synthetically Lethal Interactions of ATM, ATR, and DNA-PKcs
Omar L Kantidze1, Artem K Velichko2, Artem V Luzhin3
1Institute of Gene Biology Russian Academy of Sciences, Moscow, Russia; LFR2O, Institute Gustave Roussy, Villejuif, France.
Abstract:
Synthetic lethality occurs when simultaneous perturbations of two genes or molecular processes result in a loss of cell viability. The number of known synthetically lethal interactions is growing steadily. We review here synthetically lethal interactions of ataxia-telangiectasia mutated (ATM), ATM- and Rad3-related (ATR), and DNA-dependent protein kinase catalytic subunit (DNA-PKcs). These kinases are appropriate for synthetic lethal therapies because their genes are frequently mutated in cancer, and specific inhibitors are currently in clinical trials. Understanding synthetically lethal interactions of a particular gene or gene family can facilitate predicting new synthetically lethal interactions, therapy toxicity, and mechanisms of resistance, as well as defining the spectrum of tumors amenable to these therapeutic approaches.
Insights
Synthetic lethality, a strategy targeting cancer cell death, is expanding. This review focuses on synthetic lethal interactions involving ATM, ATR, and DNA-PKcs kinases, crucial for cancer therapy development.
Area of Science:
- Molecular Biology
- Cancer Genetics
- Drug Discovery
Background:
- Synthetic lethality is a genetic interaction where simultaneous defects in two genes lead to cell death.
- The number of identified synthetic lethal interactions is rapidly increasing.
- Ataxia-telangiectasia mutated (ATM), ATM- and Rad3-related (ATR), and DNA-dependent protein kinase catalytic subunit (DNA-PKcs) are key kinases in DNA damage response.
Purpose of the Study:
- To review known synthetic lethal interactions involving ATM, ATR, and DNA-PKcs.
- To highlight the therapeutic potential of targeting these kinases in cancer.
- To discuss the implications of understanding these interactions for predicting treatment outcomes and resistance.
Main Methods:
- Literature review of synthetic lethality.
- Analysis of gene mutations in cancer.
- Examination of clinical trial data for kinase inhibitors.
Main Results:
- The genes encoding ATM, ATR, and DNA-PKcs are frequently mutated in various cancers.
- Specific inhibitors targeting these kinases are progressing through clinical trials.
- Synthetic lethality involving these kinases offers potential therapeutic strategies.
Conclusions:
- Synthetic lethality interactions involving ATM, ATR, and DNA-PKcs are promising for cancer therapy.
- Understanding these interactions can guide the selection of susceptible tumors and predict treatment responses.
- This knowledge aids in developing novel therapeutic approaches and managing resistance mechanisms.
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