[DNA Damage Repair System and Antineoplastic Agents in Lung Cancer]

Linlin Zhang1, Fanlu Meng1, Diansheng Zhong1

  • 1Department of Medical Oncology, Tianjin Medical University General Hospital, Tianjin 300052, China.

Insights

The DNA damage repair (DDR) system is crucial for genomic stability and offers therapeutic targets in lung cancer. Therapies targeting DDR pathways show promise for effective lung cancer treatment.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • The DNA damage repair (DDR) system is vital for maintaining genomic stability.
  • Deficiencies in DDR or DNA lesions can drive cancer development and progression.
  • DDR pathways present significant therapeutic targets for cancer treatment.

Purpose of the Study:

  • To review the role of DNA damage and repair pathways in the antitumor activity of lung cancer agents.
  • To summarize current applications and clinical investigations of these agents in lung cancer.
  • To provide insights for developing precise and effective lung cancer treatment strategies based on DDR mechanisms.

Main Methods:

  • Literature review of antineoplastic agents targeting DNA damage and repair in lung cancer.
  • Analysis of chemotherapies, antibody-drug conjugates, targeted inhibitors, and immune-checkpoint inhibitors.
  • Synthesis of information on DDR's role in antitumor responses and clinical outcomes.

Main Results:

  • Many lung cancer antineoplastic agents are linked to DNA damage and repair pathways.
  • Chemotherapies and antibody-drug conjugates induce DNA damage.
  • Targeted drugs and immune-checkpoint inhibitors modulate DDR pathways for therapeutic effect.

Conclusions:

  • Understanding DDR mechanisms is key to enhancing antitumor activity of current lung cancer therapies.
  • Targeting DDR pathways offers promising avenues for precision medicine in lung cancer.
  • Further exploration of DDR in lung cancer treatment can lead to more effective strategies.

Related Concept Videos

Nucleotide Excision Repair01:38

Nucleotide Excision Repair

DNA Distortion and Damage
Cells are regularly exposed to mutagens—factors in the environment that can damage DNA and generate mutations. UV radiation is one of the most common mutagens and is estimated to introduce a significant number of changes in DNA. These include bends or kinks in the structure, which can block DNA replication or transcription. If these errors are not fixed, the damage can cause mutations, which in turn can result in cancer or disease depending on which sequences are...
3.8K
Overview of DNA Repair02:25

Overview of DNA Repair

In order to be passed through generations, genomic DNA must be undamaged and error-free. However, every day, DNA in a cell undergoes several thousand to a million damaging events by natural causes and external factors. Ionizing radiation such as UV rays, free radicals produced during cellular respiration, and hydrolytic damage from metabolic reactions can alter the structure of DNA. Damages caused include single-base alteration, base dimerization, chain breaks, and cross-linkage.
Chemically...
31.5K
DNA Damage can Stall the Cell Cycle02:37

DNA Damage can Stall the Cell Cycle

In response to DNA damage, cells can pause the cell cycle to assess and repair the breaks. However, the cell must check the DNA at certain critical stages during the cell cycle. If the cell cycle pauses before DNA replication, the cells will contain twice the amount of DNA. On the other hand, if cells arrest after DNA replication but before mitosis, they will contain four times the normal amount of DNA. With a host of specialized proteins at their disposal,cells must use the right protein at...
9.3K
Other Unique Bacteria01:18

Other Unique Bacteria

Magnetic bacteria exhibit a directed movement called magnetotaxis, driven by structures called magnetosomes. These magnetosomes consist of chains of magnetic particles made of either magnetite (Fe₃O₄) or greigite (Fe₃S₄) and are organized in a linear conformation by a protein scaffold within invaginations of the cell membrane. The bacteria align along the north–south magnetic field lines, much like a compass needle. They are typically microaerophilic or anaerobic...
79
Base Excision Repair01:54

Base Excision Repair

One of the common DNA damages is the chemical alteration of single bases by alkylation, oxidation, or deamination. The altered bases cause mispairing and strand breakage during replication. This type of damage causes minimal change to the DNA double helix structure and can be repaired by the base excision repair (BER) pathways. BER corrects damaged DNA sequences by removing the damaged base and restoring the original base sequence using the complementary strand as a template.
The first step of...
22.9K
Mutations01:35

Mutations

Mutations are changes in the sequence of DNA. These changes can occur spontaneously or they can be induced by exposure to environmental factors. Mutations can be characterized in a number of different ways: whether and how they alter the amino acid sequence of the protein, whether they occur over a small or large area of DNA, and whether they occur in somatic cells or germline cells.
Chromosomal Alterations Are Large-Scale Mutations
While point mutations are changes in a single nucleotide in...
39.7K