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Published on: July 25, 2020
Targeting ATM and ATR for cancer therapeutics: Inhibitors in clinic
Bhanu Priya1, Srimadhavi Ravi2, Sivapriya Kirubakaran2
1Biological Engineering, Indian Institute of Technology Gandhinagar, Palaj Campus, Gujarat 382355, India.
Abstract:
The DNA Damage and Response (DDR) pathway ensures accurate information transfer from one generation to the next. Alterations in DDR functions have been connected to cancer predisposition, progression, and response to therapy. DNA double-strand break (DSB) is one of the most detrimental DNA defects, causing major chromosomal abnormalities such as translocations and deletions. ATR and ATM kinases recognize this damage and activate proteins involved in cell cycle checkpoint, DNA repair, and apoptosis. Cancer cells have a high DSB burden, and therefore rely on DSB repair for survival. Therefore, targeting DSB repair can sensitize cancer cells to DNA-damaging agents. This review focuses on ATM and ATR, their roles in DNA damage and repair pathways, challenges in targeting them, and inhibitors that are in current clinical trials.
Insights
The DNA Damage and Response pathway is crucial for preventing cancer. Targeting ATM and ATR kinases, which repair DNA double-strand breaks (DSB), shows promise for cancer therapy.
Area of Science:
- Molecular Biology
- Genetics
- Oncology
Background:
- The DNA Damage and Response (DDR) pathway maintains genomic stability across generations.
- Dysregulation of DDR is linked to cancer development, progression, and treatment outcomes.
- DNA double-strand breaks (DSBs) are severe DNA lesions causing chromosomal abnormalities.
Purpose of the Study:
- To review the roles of ATM and ATR kinases in DNA damage and repair.
- To discuss challenges in targeting these kinases for cancer therapy.
- To highlight inhibitors of ATM and ATR in clinical trials.
Main Methods:
- Literature review of DNA damage and repair pathways.
- Analysis of ATM and ATR kinase functions in cancer.
- Survey of current clinical trials for ATM and ATR inhibitors.
Main Results:
- ATM and ATR kinases are key sensors of DNA DSBs, initiating cellular responses.
- Cancer cells exhibit a high reliance on DSB repair for survival.
- Targeting ATM and ATR can sensitize cancer cells to DNA-damaging agents.
Conclusions:
- ATM and ATR are critical for managing DNA DSBs and maintaining cancer cell viability.
- Inhibitors targeting ATM and ATR present a promising therapeutic strategy in oncology.
- Further research and clinical trials are essential to optimize ATM and ATR-targeted therapies.
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