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Updated: Aug 29, 2025

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
The role of DNA damage repair (DDR) system in response to immune checkpoint inhibitor (ICI) therapy
Congqi Shi1,2, Kaiyu Qin1,3, Anqi Lin1
1Department of Oncology, Zhujiang Hospital, Southern Medical University, 253 Industrial Avenue, Guangzhou, Guangdong, 510282, People's Republic of China.
Abstract:
As our understanding of the mechanisms of cancer treatment has increased, a growing number of studies demonstrate pathways through which DNA damage repair (DDR) affects the immune system. At the same time, the varied response of patients to immune checkpoint blockade (ICB) therapy has prompted the discovery of various predictive biomarkers and the study of combination therapy. Here, our investigation explores the interactions involved in combination therapy, accompanied by a review that summarizes currently identified and promising predictors of response to immune checkpoint inhibitors (ICIs) that are useful for classifying oncology patients. In addition, this work, which discusses immunogenicity and several components of the tumor immune microenvironment, serves to illustrate the mechanism by which higher response rates and improved efficacy of DDR inhibitors (DDRi) in combination with ICIs are achieved.
Insights
DNA damage repair (DDR) inhibitors combined with immune checkpoint inhibitors (ICIs) show improved cancer treatment efficacy. This study reviews biomarkers predicting response to ICIs and explores combination therapy mechanisms.
Area of Science:
- Oncology
- Immunology
- Molecular Biology
Background:
- Increasing understanding of DNA damage repair (DDR) mechanisms reveals their impact on the immune system.
- Varied patient responses to immune checkpoint blockade (ICB) therapy necessitate the discovery of predictive biomarkers and combination therapies.
Purpose of the Study:
- To explore interactions in combination therapy for cancer treatment.
- To review current and potential predictors of response to immune checkpoint inhibitors (ICIs).
- To illustrate how combining DDR inhibitors (DDRi) with ICIs enhances treatment efficacy.
Main Methods:
- Literature review of DDR mechanisms and immune system interactions.
- Analysis of predictive biomarkers for ICI response.
- Exploration of immunogenicity and tumor immune microenvironment components.
Main Results:
- Identified interactions in DDR inhibitor and ICI combination therapy.
- Summarized current and promising biomarkers for predicting ICI response.
- Illustrated mechanisms for improved efficacy of combined DDRi and ICIs.
Conclusions:
- Combination therapy with DDR inhibitors and ICIs offers enhanced cancer treatment efficacy.
- Understanding immunogenicity and the tumor microenvironment is crucial for optimizing combination strategies.
- Biomarker discovery is key for patient stratification and personalized oncology treatment.
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