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Updated: Oct 11, 2025

Evaluating In Vitro DNA Damage Using Comet Assay
Published on: October 11, 2017
Oncometabolites as Regulators of DNA Damage Response and Repair
Susan E Gueble1, Ranjit S Bindra1
1Department of Therapeutic Radiology, Yale University School of Medicine, New Haven, CT.
Abstract:
Dysregulation of DNA damage response and repair (DDR) contributes to oncogenesis, yet also generates the potential for targeted cancer therapies by exploiting synthetic lethal interactions. Oncometabolites, small intermediates of metabolism overproduced in certain cancers, have emerged as a new mechanism of DDR modulation through their effects on multiple DNA repair pathways. Increasing evidence suggests that oncometabolite-induced DDR defects may offer the opportunity for tumor-selective chemo- and radio-sensitization. Here we review the biology of oncometabolites and diverse mechanisms by which they impact DDR, with a focus on emerging therapeutic strategies and ongoing clinical trials targeting oncometabolite-induced DDR defects in cancer.
Insights
Oncometabolites disrupt DNA repair (DDR) in cancer, creating synthetic lethal vulnerabilities. This review explores targeting these oncometabolite-induced DDR defects for novel cancer therapies and clinical trials.
Area of Science:
- Oncology
- Metabolism
- Molecular Biology
Background:
- DNA damage response and repair (DDR) pathways are crucial in cancer development.
- Dysregulation of DDR is a hallmark of cancer and a target for therapy.
- Oncometabolites, overproduced metabolic intermediates, are increasingly recognized as modulators of DDR.
Purpose of the Study:
- To review the biology of oncometabolites.
- To elucidate the mechanisms by which oncometabolites impact DDR.
- To discuss therapeutic strategies targeting oncometabolite-induced DDR defects.
Main Methods:
- Literature review of oncometabolite biology and DDR.
- Analysis of mechanisms linking oncometabolites to DDR pathways.
- Survey of emerging therapeutic strategies and clinical trials.
Main Results:
- Oncometabolites can disrupt multiple DNA repair pathways.
- Oncometabolite-induced DDR defects present opportunities for synthetic lethality.
- Targeting these defects may lead to tumor-selective chemo- and radio-sensitization.
Conclusions:
- Oncometabolites represent a novel class of DDR modulators in cancer.
- Targeting oncometabolite-induced DDR defects is a promising therapeutic avenue.
- Ongoing clinical trials are evaluating these strategies in cancer patients.
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