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Targeting Polymerase Theta (POLθ) for Cancer Therapy
Jeffrey Patterson-Fortin1,2, Alan D D'Andrea3,4
1Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, MA, 02215, USA.
Abstract:
Polymerase theta (POLθ) is the critical multi-domain enzyme in microhomology-mediated end-joining DNA double-stranded break repair. POLθ is expressed at low levels in normal tissue but is often overexpressed in cancers, especially in DNA repair deficient cancers, such as homologous-recombination cancers, rendering them exquisitely sensitive to POLθ inhibition secondary to synthetic lethality. Development of POLθ inhibitors is an active area of investigation with inhibitors of the N-terminal helicase domain or the C-terminal polymerase domain currently in clinical trial. Here, we review POLθ-mediated microhomology-mediated end-joining, the development of POLθ inhibitors, and the potential clinical uses of POLθ inhibitors.
Insights
Polymerase theta (POLθ) is key in DNA repair and overexpressed in cancers. Inhibiting POLθ offers a promising synthetic lethality strategy for cancer treatment.
Area of Science:
- Molecular Biology
- Genetics
- Oncology
Background:
- Polymerase theta (POLθ) is a crucial enzyme in microhomology-mediated end-joining (MMEJ) DNA repair.
- POLθ is overexpressed in various cancers, particularly those deficient in DNA repair pathways.
- This overexpression creates a vulnerability, making cancer cells sensitive to POLθ inhibition via synthetic lethality.
Approach:
- Review of the mechanism of POLθ-mediated MMEJ.
- Analysis of current strategies for developing POLθ inhibitors targeting its helicase or polymerase domains.
- Exploration of the clinical applications of POLθ inhibitors in cancer therapy.
Key Points:
- POLθ's central role in MMEJ DNA repair.
- The link between POLθ overexpression and cancer susceptibility.
- The development of POLθ inhibitors as a targeted cancer therapy approach.
- Potential clinical utility of POLθ inhibitors in treating specific cancer types.
Conclusions:
- POLθ is a validated therapeutic target in oncology.
- Inhibitors targeting POLθ are advancing through clinical trials.
- Targeting POLθ represents a promising strategy for synthetic lethality in cancer treatment.
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