DNA damage and hormone-related cancer: a repair pathway view

Karen A Pooley1, Alison M Dunning2

  • 1Centre for Cancer Genetic Epidemiology, Departments of Public Health and Primary Care, 2 Worts Causeway, Cambridge CB1 8RN, UK.

Human Molecular Genetics
|August 23, 2019
PubMed

Insights

This review explores how mutations in cancer risk genes relate to DNA damage repair pathways. Some genes crucial for DNA repair may be essential for life, explaining why mutations are not found in them.

Area of Science:

  • Genetics and Molecular Biology
  • Cancer Research
  • DNA Repair Mechanisms

Background:

  • Germline mutations in specific genes increase susceptibility to breast, ovarian, and prostate cancers.
  • DNA damage repair pathways are critical for maintaining genomic stability.
  • Previous studies have identified cancer risk mutations in genes located at the beginning of these pathways.

Purpose of the Study:

  • To investigate the correlation between genes with known germline cancer risk mutations and their positions within DNA damage repair pathways.
  • To explore the reasons behind the absence of reported mutations in certain DNA repair genes.
  • To hypothesize whether the essentiality of gene products influences mutation tolerance.

Main Methods:

  • Literature review of genetic mutations associated with cancer risk.
  • Analysis of gene positions within established DNA damage repair pathways.
  • Comparative analysis of mutation frequency across different genes in these pathways.

Main Results:

  • Consistent identification of cancer risk mutations in genes positioned at the initial stages of DNA damage repair pathways.
  • Absence of reported cancer risk mutations in genes located further downstream in these pathways.
  • A pattern suggesting differential tolerance to mutations based on gene function and pathway position.

Conclusions:

  • The distribution of cancer risk mutations within DNA damage repair pathways is not random.
  • Genes encoding highly essential proteins, critical for cellular survival, may not tolerate germline mutations.
  • Further research is warranted to confirm the essentiality hypothesis and its implications for cancer risk and treatment.

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