Role of MTH1 in oxidative stress and therapeutic targeting of cancer
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Updated: Jun 10, 2025

Author Spotlight: Innovating Thiol Quantification and Biomarker Detection for Oxidative Stress Research
Published on: June 28, 2024
Aaliya Taiyab1, Anam Ashraf1, Md Nayab Sulaimani1
1Centre for Interdisciplinary Research in Basic Sciences, Jamia Millia Islamia, New Delhi, 110025, India.
Abstract:
Cancer cells maintain high levels of reactive oxygen species (ROS) to drive their growth, but ROS can trigger cell death through oxidative stress and DNA damage. To survive enhanced ROS levels, cancer cells activate their antioxidant defenses. One such defense is MTH1, an enzyme that prevents the incorporation of oxidized nucleotides into DNA, thus preventing DNA damage and allowing cancer to proliferate. MTH1 levels are often elevated in many cancers, and thus, inhibiting MTH1 is an attractive strategy for suppressing tumor growth and metastasis. Targeted MTH1 inhibition can induce DNA damage in cancer cells, exploiting their vulnerability to oxidative stress and selectively targeting them for destruction. Targeting MTH1 is promising for cancer treatment because normal cells have lower ROS levels and are less dependent on these pathways, making the approach both effective and specific to cancer. This review aims to investigate the potential of MTH1 as a therapeutic target, especially in cancer treatment, offering detailed insights into its structure, function, and role in disease progression. We also discussed various MTH1 inhibitors that have been developed to selectively induce oxidative damage in cancer cells, though their effectiveness varies. In addition, this review provide deeper mechanistic insights into the role of MTH1 in cancer prevention and oxidative stress management in various diseases.
Insights
Cancer cells rely on MTH1 enzyme to prevent DNA damage from reactive oxygen species (ROS). Inhibiting MTH1 selectively targets cancer cells for destruction by inducing oxidative stress, offering a promising cancer treatment strategy.
Area of Science:
- Biochemistry
- Molecular Biology
- Oncology
Background:
- Cancer cells exhibit elevated reactive oxygen species (ROS) levels crucial for proliferation.
- Cancer cells activate antioxidant defenses, including MTH1 (NUDT1), to mitigate ROS-induced oxidative stress and DNA damage.
- Elevated MTH1 expression is observed in numerous cancers, highlighting its role in tumor survival and progression.
Purpose of the Study:
- To review the therapeutic potential of MTH1 as a cancer treatment target.
- To provide insights into MTH1's structure, function, and role in cancer progression and oxidative stress management.
- To discuss the development and effectiveness of MTH1 inhibitors for cancer therapy.
Main Methods:
- Literature review of MTH1's role in cancer biology.
- Analysis of MTH1's structure and enzymatic function.
- Survey of existing MTH1 inhibitors and their mechanisms of action.
Main Results:
- MTH1 prevents the incorporation of oxidized nucleotides into DNA, protecting cancer cells from oxidative damage.
- Targeted MTH1 inhibition induces DNA damage and cell death in cancer cells by exploiting their high ROS levels.
- MTH1 inhibitors show variable effectiveness, necessitating further research for optimal therapeutic strategies.
Conclusions:
- MTH1 is a promising therapeutic target for cancer treatment due to its critical role in cancer cell survival.
- Inhibiting MTH1 offers a selective approach to cancer therapy, with normal cells being less reliant on this pathway.
- Further research into MTH1 inhibitors is needed to enhance their efficacy and clinical application in cancer prevention and treatment.
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