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Updated: Oct 10, 2025

Author Spotlight: Developing Novel Anticancer Therapeutics Targeting the DNA Damage Response
Published on: June 14, 2024
Impact of DNA Damage Response-Targeted Therapies on the Immune Response to Tumours
Nura Lutfi1, Miguel Alejandro Galindo-Campos1, José Yélamos1,2
1Cancer Research Program, Hospital del Mar Medical Research Institute (IMIM), 08003 Barcelona, Spain.
Abstract:
The DNA damage response (DDR) maintains the stability of a genome faced with genotoxic insults (exogenous or endogenous), and aberrations of the DDR are a hallmark of cancer cells. These cancer-specific DDR defects present new therapeutic opportunities, and different compounds that inhibit key components of DDR have been approved for clinical use or are in various stages of clinical trials. Although the therapeutic rationale of these DDR-targeted agents initially focused on their action against tumour cells themselves, these agents might also impact the crosstalk between tumour cells and the immune system, which can facilitate or impede tumour progression. In this review, we summarise recent data on how DDR-targeted agents can affect the interactions between tumour cells and the components of the immune system, both by acting directly on the immune cells themselves and by altering the expression of different molecules and pathways in tumour cells that are critical for their relationship with the immune system. Obtaining an in-depth understanding of the mechanisms behind how DDR-targeted therapies affect the immune system, and their crosstalk with tumour cells, may provide invaluable clues for the rational development of new therapeutic strategies in cancer.
Insights
DNA damage response (DDR) defects are common in cancer. DDR-targeted therapies, initially for tumors, also impact immune cell interactions, offering new cancer treatment strategies.
Area of Science:
- Oncology
- Immunology
- Genetics
Background:
- The DNA damage response (DDR) is crucial for maintaining genome stability against genotoxic stress.
- Aberrations in DDR pathways are a hallmark of cancer, presenting therapeutic targets.
- DDR inhibitors are increasingly used in cancer treatment, with many in clinical trials.
Purpose of the Study:
- To review the impact of DDR-targeted agents on the tumor-immune system crosstalk.
- To explore how DDR inhibitors modulate interactions between tumor cells and immune components.
- To understand the implications for developing novel cancer immunotherapies.
Main Methods:
- Literature review of recent studies on DDR-targeted agents and cancer immunology.
- Analysis of mechanisms by which DDR inhibitors affect immune cells directly.
- Examination of how DDR inhibitors alter tumor cell molecules critical for immune interactions.
Main Results:
- DDR-targeted agents can directly influence immune cell function.
- These agents modify tumor cell expression of molecules involved in immune recognition and response.
- The interplay between DDR defects, targeted therapies, and the immune system is complex and multifaceted.
Conclusions:
- Understanding DDR-targeted therapy's immunomodulatory effects is vital for cancer treatment.
- This knowledge can guide the rational design of combination therapies involving DDR inhibitors and immunomodulators.
- Further research into the DDR-immune crosstalk may unlock new avenues for cancer therapy.
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