Unfolding ecDNA as a pan-cancer therapeutic target

Yang Zhang1, Ruirui Chen1,2, Haiyun Gan1

  • 1Shenzhen Key Laboratory of Synthetic Genomics, Guangdong Provincial Key Laboratory of Synthetic Genomics, State Key Laboratory of Quantitative Synthetic Biology, Shenzhen Institute of Synthetic Biology, Shenzhen Institutes of Advanced Technology, Chinese Academy of Sciences, Shenzhen, China.

Medical Review (2021)
|October 29, 2025
PubMed

Insights

Extrachromosomal DNA (ecDNA) fuels cancer evolution and is linked to poor outcomes, making it a key therapeutic target. Understanding ecDNA

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Extrachromosomal DNA (ecDNA) is prevalent in tumors and associated with adverse clinical outcomes.
  • ecDNA significantly contributes to cancer cell evolution and progression.
  • Targeting ecDNA presents a promising therapeutic strategy for various cancers.

Purpose of the Study:

  • To summarize recent advances in understanding ecDNA's role in tumorigenesis and maintenance.
  • To explore novel strategies for developing ecDNA-targeted cancer therapies.

Main Methods:

  • This perspective synthesizes findings from recent scientific literature.
  • It reviews mechanisms of ecDNA formation, function, and propagation in cancer cells.

Main Results:

  • ecDNA actively drives cancer cell evolution and promotes tumorigenesis.
  • Specific mechanisms underlying ecDNA maintenance within cancer cells are being elucidated.
  • These insights are crucial for developing targeted therapeutic interventions.

Conclusions:

  • Targeting ecDNA holds significant potential for effective cancer treatment.
  • Further research into ecDNA biology will accelerate the development of novel therapies.

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