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Sex disparities in DNA damage response pathways: Novel determinants in cancer formation and therapy
Miriana Cardano1, Giacomo Buscemi1, Laura Zannini1
1Istituto di Genetica Molecolare Luigi Luca Cavalli-Sforza, Consiglio Nazionale delle Ricerche (IGM-CNR), Pavia, Italy.
Abstract:
Cancer incidence and survival are different between men and women. Indeed, females have a lesser risk and a better prognosis than males in many tumors unrelated to reproductive functions. Although the reasons for these disparities are still unknown, they constitute an important starting point for the development of personalized cancer therapies. One of the mechanisms that fuels carcinogenesis is the accumulation of defects in DNA damage response (DDR) pathways, a complex signaling cascade that senses DNA lesions and, depending on the severity, coordinates transient cell-cycle arrest, DNA replication, repair, apoptosis, and senescence, preventing genomic instability and cancer. Recently, evidence of sexual dimorphisms is emerging in these pathways, therefore providing new opportunities for precision medicine. Here, we will discuss current knowledge about sexual disparities in the DDR, their role in tumorigenesis and cancer progression, and the importance of considering sex contribution in both research and cancer therapies.
Insights
Sexual disparities exist in cancer risk and outcomes. Understanding sex differences in DNA damage response (DDR) pathways is crucial for developing personalized cancer therapies and improving precision medicine approaches.
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Cancer incidence and survival rates exhibit significant differences between males and females across various tumor types.
- These sex-based disparities, particularly in non-reproductive cancers, remain largely unexplained but offer potential for personalized treatment strategies.
- Defects in DNA damage response (DDR) pathways are a key driver of carcinogenesis, impacting genomic stability.
Purpose of the Study:
- To review current knowledge on sexual dimorphisms in DNA damage response (DDR) pathways.
- To explore the role of these sex-based differences in cancer initiation and progression.
- To highlight the importance of incorporating sex as a biological variable in cancer research and therapeutic development.
Main Methods:
- Literature review of studies investigating sex differences in DNA damage response (DDR) pathways.
- Analysis of existing data on cancer incidence, survival, and DDR mechanisms in relation to sex.
- Synthesis of findings to identify implications for precision oncology.
Main Results:
- Emerging evidence indicates significant sexual dimorphisms within DNA damage response (DDR) pathways.
- These disparities in DDR pathways may contribute to observed differences in cancer risk and prognosis between sexes.
- Understanding these sex-specific mechanisms opens new avenues for targeted cancer therapies.
Conclusions:
- Sexual dimorphisms in DNA damage response (DDR) pathways are increasingly recognized as critical factors in cancer.
- Further research into these sex differences is essential for advancing personalized cancer medicine.
- Integrating sex as a biological variable in cancer research and treatment is vital for improving patient outcomes.
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