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.

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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