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Updated: Jan 18, 2026

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Topoisomerase II Inhibition in Cancer: A Focus on Metal Complexes
Amos Olalekan Akinyemi1,2, Josias da Silveira Rocha2, Gabriela Porto de Oliveira2
1Department of Toxicology and Cancer Biology, University of Kentucky, Lexington, Kentucky, USA.
Abstract:
DNA topoisomerases, particularly type II, are crucial for DNA processes, such as replication, transcription, and chromosome segregation, making them prime targets for cancer therapy. This review delves into the multifaceted mechanisms of action of type II topoisomerases, highlighting their essential roles beyond cancer progression. It explores recent advancements in screening and designing metallic complexes as inhibitors of topoisomerase II activity. Emphasizing the structural and functional diversity between alpha and beta isoforms, it elucidates their significance in DNA metabolism and genome integrity. Additionally, this review discusses the interplay of topoisomerase II with cellular components, underscoring its regulatory roles in gene expression. Insights into screening and design strategies for metallic complex inhibitors are provided, showcasing their therapeutic potential against cancer. Overall, this review highlights the importance of understanding topoisomerase II inhibition mechanisms and the versatility of metallic complexes in biomedical research, paving the way for novel therapeutic strategies and broader applications beyond cancer therapy.
Insights
Type II topoisomerases are vital enzymes in DNA processes and cancer therapy. This review explores metallic complexes as inhibitors, highlighting their potential beyond cancer treatment.
Area of Science:
- Biochemistry
- Molecular Biology
- Medicinal Chemistry
Background:
- Type II topoisomerases are essential enzymes regulating DNA topology during critical cellular processes like replication and transcription.
- These enzymes are validated targets in cancer therapy due to their role in DNA replication and chromosome segregation.
- Understanding the diverse functions and inhibition mechanisms of topoisomerase II isoforms (alpha and beta) is crucial for therapeutic development.
Purpose of the Study:
- To review the multifaceted mechanisms of action of type II topoisomerases.
- To explore advancements in screening and designing metallic complexes as inhibitors of topoisomerase II.
- To elucidate the significance of topoisomerase II isoforms in DNA metabolism, genome integrity, and gene expression.
Main Methods:
- Literature review of existing research on type II topoisomerases and metallic complex inhibitors.
- Analysis of structural and functional diversity between topoisomerase II alpha and beta isoforms.
- Examination of screening and design strategies for metallic complex-based topoisomerase II inhibitors.
Main Results:
- Type II topoisomerases play critical roles beyond cancer, influencing DNA metabolism and genome integrity.
- Metallic complexes show promise as inhibitors of topoisomerase II activity, with potential therapeutic applications.
- The interplay of topoisomerase II with cellular components highlights its regulatory roles in gene expression.
Conclusions:
- Inhibiting type II topoisomerases offers therapeutic potential, particularly using novel metallic complexes.
- Understanding topoisomerase II inhibition mechanisms is key to developing new cancer therapies.
- Metallic complexes represent a versatile platform for biomedical research with applications extending beyond oncology.
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