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DNA damage response and its clinical implications in pediatric cancers
Yiyan Zhang1, Jiyuan Teng1, Xiaolong Chen1
1Pediatric Translational Medicine Institute, Key Laboratory of Pediatric Hematology & Oncology Ministry of Health, Department of Hematology & Oncology, Shanghai Children's Medical Center, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Abstract:
DNA damage response (DDR) is a complex network of biological pathways, maintaining eukaryotic genetic stability and frequently altered in cancer cells. Aberrant DDR regulation could be a double-edge sword in cancer: DDR defects could lead to genetic instability driving the acquisition of cancer mutations, while alternative DDR pathways could provide the survival benefits for genetic-unstable cancer cells. Targeting DDR defects in cancer, most noticeably through PARP inhibitors, exhibit impressive clinical efficacy in multiple cancer types. Here, we update recent progress concerning DDR and its inhibitors in pediatric cancers, from molecular mechanism to clinical practice.
Insights
DNA damage response (DDR) pathways are crucial for genetic stability and cancer development. Targeting DDR defects, particularly with PARP inhibitors, shows promise in pediatric cancer treatment.
Area of Science:
- Molecular Biology
- Oncology
- Genetics
Background:
- The DNA damage response (DDR) network maintains genetic stability in eukaryotes.
- Altered DDR pathways are common in cancer, presenting both vulnerabilities and survival advantages.
- Targeting DDR, notably with PARP inhibitors, has shown clinical success in various cancers.
Purpose of the Study:
- To review recent advancements in DNA damage response (DDR) and its inhibitors.
- Focus on the application of DDR inhibitors in pediatric cancers.
- Discuss the molecular mechanisms and clinical implications.
Main Methods:
- Literature review of recent studies on DDR and cancer.
- Analysis of molecular mechanisms underlying DDR alterations in cancer.
- Examination of clinical trial data for DDR inhibitors in pediatric oncology.
Main Results:
- DDR defects can drive cancer mutations or confer survival benefits.
- PARP inhibitors are a key therapeutic strategy targeting DDR defects.
- Emerging data highlights the potential of DDR inhibitors in pediatric cancers.
Conclusions:
- DDR plays a complex role in cancer, offering therapeutic targets.
- Targeting DDR with inhibitors like PARP inhibitors is a promising strategy for pediatric cancers.
- Further research is needed to optimize DDR-targeted therapies in pediatric oncology.
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