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Published on: July 25, 2020
Targeting DNA-PK in cancer
1Laboratory of Molecular Pharmacology, Department of Oncology, Istituto di Ricerche Farmacologiche Mario Negri IRCCS, Via Mario Negri 2, 20156 Milan, Italy.
Abstract:
DNA-dependent protein kinase (DNA-PK) is involved in many cellular pathways. It has a key role in the cellular response to DNA damage, in the repair of DNA double-strand break (DNA-DSBs) and as a consequence an important role in maintaining genomic integrity. In addition, DNA-PK has been shown to modulate transcription, to be involved in the development of the immune system and to protect telomeres. These pleotropic involvements and the fact that its expression is de-regulated in cancer have made DNA-PK an intriguing therapeutic target in cancer therapy, especially when combined with agents causing DNA-DSBs such as topoisomerase II inhibitors and ionizing radiation. Different small molecule inhibitors of DNA-PK have been recently synthesized and some are now being tested in clinical trials. This review discusses what is known about DNA-PK, its role in tumor biology, DNA repair and cancer therapy and critically discusses its inhibition as a potential therapeutic approach.
Insights
DNA-dependent protein kinase (DNA-PK) is crucial for DNA repair and genomic stability. Inhibiting DNA-PK offers a promising therapeutic strategy for cancer, particularly when combined with DNA-damaging agents.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- DNA-dependent protein kinase (DNA-PK) plays a vital role in cellular DNA damage response and repair.
- It is essential for maintaining genomic integrity and involved in transcription, immune system development, and telomere protection.
- Dysregulated DNA-PK expression is observed in various cancers, highlighting its significance in tumor biology.
Purpose of the Study:
- To review the multifaceted roles of DNA-PK in cellular processes.
- To explore the involvement of DNA-PK in tumor biology and DNA repair mechanisms.
- To critically evaluate the therapeutic potential of DNA-PK inhibition in cancer treatment.
Main Methods:
- Literature review of existing research on DNA-PK.
- Analysis of DNA-PK's function in DNA double-strand break (DNA-DSB) repair.
- Discussion of small molecule inhibitors and clinical trial data.
Main Results:
- DNA-PK is a key regulator of DNA-DSB repair pathways.
- Its inhibition can sensitize cancer cells to DNA-damaging therapies.
- Several small molecule DNA-PK inhibitors are under clinical investigation.
Conclusions:
- DNA-PK is a significant therapeutic target in oncology.
- Targeting DNA-PK, especially in combination therapies, shows promise for cancer treatment.
- Further research into DNA-PK inhibition is warranted to optimize its clinical application.
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