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Beyond DNA Repair: DNA-PKcs in Tumor Metastasis, Metabolism and Immunity
Haitang Yang1, Feng Yao1, Thomas M Marti2,3
1Department of Thoracic Surgery, Shanghai Chest Hospital, Shanghai Jiao Tong University, Shanghai 200030, China.
Abstract:
The DNA-dependent protein kinase catalytic subunit (DNA-PKcs) is a key component of the DNA-PK complex that has a well-characterized function in the non-homologous end-joining repair of DNA double-strand breaks. Since its identification, a large body of evidence has demonstrated that DNA-PKcs is frequently overexpressed in cancer, plays a critical role in tumor development and progression, and is associated with poor prognosis of cancer patients. Intriguingly, recent studies have suggested novel functions beyond the canonical role of DNA-PKcs, which has transformed the paradigm of DNA-PKcs in tumorigenesis and has reinvigorated the interest to target DNA-PKcs for cancer treatment. In this review, we update recent advances in DNA-PKcs, in particular the emerging roles in tumor metastasis, metabolic dysregulation, and immune escape. We further discuss the possible molecular basis that underpins the pleiotropism of DNA-PKcs in cancer. Finally, we outline the biomarkers that may predict the therapeutic response to DNA-PKcs inhibitor therapy. Understanding the functional repertoire of DNA-PKcs will provide mechanistic insights of DNA-PKcs in malignancy and, more importantly, may revolutionize the design and utility of DNA-PKcs-based precision cancer therapy.
Insights
DNA-dependent protein kinase catalytic subunit (DNA-PKcs) is crucial for DNA repair and often overexpressed in cancer. Emerging roles in metastasis, metabolism, and immune escape highlight its potential as a precision cancer therapy target.
Area of Science:
- Molecular Biology
- Cancer Research
- Biochemistry
Background:
- DNA-dependent protein kinase catalytic subunit (DNA-PKcs) is integral to DNA double-strand break repair via non-homologous end-joining.
- Overexpression of DNA-PKcs is common in various cancers, correlating with tumor progression and poor patient prognosis.
Purpose of the Study:
- To review recent advancements in understanding DNA-PKcs functions beyond its canonical DNA repair role.
- To explore the novel roles of DNA-PKcs in tumor metastasis, metabolic dysregulation, and immune evasion.
- To discuss the molecular mechanisms behind DNA-PKcs's diverse functions in cancer and identify predictive biomarkers for targeted therapies.
Main Methods:
- Literature review of recent studies on DNA-PKcs.
- Analysis of emerging roles in cancer progression.
- Discussion of molecular mechanisms and biomarker identification.
Main Results:
- DNA-PKcs exhibits novel functions in tumor metastasis, metabolic dysregulation, and immune escape.
- The pleiotropic effects of DNA-PKcs in cancer are underpinned by complex molecular mechanisms.
- Biomarkers for predicting therapeutic response to DNA-PKcs inhibitors are being identified.
Conclusions:
- DNA-PKcs plays multifaceted roles in cancer, extending beyond DNA repair.
- Targeting DNA-PKcs offers a promising avenue for precision cancer therapy.
- Further understanding of DNA-PKcs's functional repertoire will refine targeted treatment strategies.
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