DNA Repair Deficiency Regulates Immunity Response in Cancers: Molecular Mechanism and Approaches for Combining

Yi Xu1, Somaira Nowsheen2, Min Deng1

  • 1State Key Laboratory of Molecular Oncology and Department of Radiation Oncology, National Cancer Center/National Clinical Research Center for Cancer/Cancer Hospital, Chinese Academy of Medical Sciences and Peking Union Medical College, Beijing 100021, China.

Cancers
|March 11, 2023
PubMed

Insights

Defects in DNA repair pathways enhance anti-tumor immunity by influencing immune signaling. Combining DNA damage response (DDR) inhibition with cancer immunotherapy may improve treatment outcomes.

Area of Science:

  • Oncology
  • Immunology
  • Genetics

Background:

  • Genomic instability from DNA repair defects increases tumor immunogenicity.
  • Inhibiting DNA damage response (DDR) can enhance anti-tumor immunity.
  • The precise mechanisms linking DDR and immune signaling are not fully understood.

Purpose of the Study:

  • To review how DDR deficiency impacts anti-tumor immunity.
  • To highlight the cGAS-STING axis as a key mediator.
  • To summarize clinical trials combining DDR inhibition and immunotherapy.

Main Methods:

  • Literature review of DNA repair, genomic instability, and cancer immunotherapy.
  • Analysis of studies on the cGAS-STING pathway in cancer.
  • Review of ongoing and completed clinical trials.

Main Results:

  • DDR deficiency can promote an anti-tumor immune response.
  • The cGAS-STING pathway is a critical link between DDR and immune activation.
  • Clinical trials show promise in combining DDR inhibitors with immunotherapies.

Conclusions:

  • Understanding the DDR-immune interplay is crucial for cancer treatment.
  • Targeting DDR pathways offers a novel strategy to enhance cancer immunotherapy.
  • Further research and clinical trials are needed to optimize combination therapies.

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