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DNA Damage-Inducing Anticancer Therapies: From Global to Precision Damage
Thom G A Reuvers1,2, Roland Kanaar1,3, Julie Nonnekens1,2,3
1Department of Molecular Genetics, Erasmus MC, Dr. Molenwaterplein 40, 3015 GD Rotterdam, The Netherlands.
DNA damage therapies are crucial for cancer treatment, working by damaging DNA and inhibiting cell growth. The DNA damage response (DDR) network is key to repair and cancer cell death, guiding therapy improvements and new drug development.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- DNA damage-inducing therapies, including radiotherapy and chemotherapy, are vital cancer treatments.
- The DNA damage response (DDR) network plays a critical role in managing DNA lesions, influencing repair, apoptosis, and cellular proliferation.
Purpose of the Study:
- To review the current understanding of DNA damage induction and the DDR in cancer therapy.
- To explore advancements in DNA damage-inducing therapies and targeted DDR inhibitors.
- To discuss the role of DDR in therapy response, toxicity, resistance, and combination strategies.
Main Methods:
- Literature review of DNA damage-inducing therapies and the DNA damage response.
- Analysis of current clinical developments and future directions for DDR-targeted agents.
- Examination of combination regimens involving DNA damage therapies and immunotherapy.
Main Results:
- Detailed understanding of DNA damage and DDR has improved conventional therapies.
- Targeting DDR proteins represents a promising new therapeutic strategy entering clinical practice.
- Combination therapies, including immunotherapy, can potentiate anticancer effects.
Conclusions:
- The DDR is central to the efficacy, toxicity, and resistance of DNA damage-inducing cancer therapies.
- Targeted DDR inhibition offers a novel therapeutic avenue.
- Strategic combinations of DNA damage therapies with other treatments, like immunotherapy, hold significant potential for enhanced cancer eradication.
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