Taking a Bad Turn: Compromised DNA Damage Response in Leukemia

Genomic integrity is of outmost importance for the survival at the cellular and the organismal level and key to human health. To ensure the integrity of their DNA, cells have evolved maintenance programs collectively known as the DNA damage response. Particularly challenging for genome integrity are...

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Main Authors: Nadine Nilles, Birthe Fahrenkrog
Format: Article
Language:English
Published: MDPI AG 2017-05-01
Series:Cells
Subjects:
Online Access:http://www.mdpi.com/2073-4409/6/2/11
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author Nadine Nilles
Birthe Fahrenkrog
author_facet Nadine Nilles
Birthe Fahrenkrog
author_sort Nadine Nilles
collection DOAJ
description Genomic integrity is of outmost importance for the survival at the cellular and the organismal level and key to human health. To ensure the integrity of their DNA, cells have evolved maintenance programs collectively known as the DNA damage response. Particularly challenging for genome integrity are DNA double-strand breaks (DSB) and defects in their repair are often associated with human disease, including leukemia. Defective DSB repair may not only be disease-causing, but further contribute to poor treatment outcome and poor prognosis in leukemia. Here, we review current insight into altered DSB repair mechanisms identified in leukemia. While DSB repair is somewhat compromised in all leukemic subtypes, certain key players of DSB repair are particularly targeted: DNA-dependent protein kinase (DNA-PK) and Ku70/80 in the non-homologous end-joining pathway, as well as Rad51 and breast cancer 1/2 (BRCA1/2), key players in homologous recombination. Defects in leukemia-related DSB repair may not only arise from dysfunctional repair components, but also indirectly from mutations in key regulators of gene expression and/or chromatin structure, such as p53, the Kirsten ras oncogene (K-RAS), and isocitrate dehydrogenase 1 and 2 (IDH1/2). A detailed understanding of the basis for defective DNA damage response (DDR) mechanisms for each leukemia subtype may allow to further develop new treatment methods to improve treatment outcome and prognosis for patients.
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spelling doaj.art-17cf72410b064edd84696cb734041b5b2023-09-02T21:02:57ZengMDPI AGCells2073-44092017-05-01621110.3390/cells6020011cells6020011Taking a Bad Turn: Compromised DNA Damage Response in LeukemiaNadine Nilles0Birthe Fahrenkrog1Institute for Molecular Biology and Medicine, Université Libre de Bruxelles, 6041 Charleroi, BelgiumInstitute for Molecular Biology and Medicine, Université Libre de Bruxelles, 6041 Charleroi, BelgiumGenomic integrity is of outmost importance for the survival at the cellular and the organismal level and key to human health. To ensure the integrity of their DNA, cells have evolved maintenance programs collectively known as the DNA damage response. Particularly challenging for genome integrity are DNA double-strand breaks (DSB) and defects in their repair are often associated with human disease, including leukemia. Defective DSB repair may not only be disease-causing, but further contribute to poor treatment outcome and poor prognosis in leukemia. Here, we review current insight into altered DSB repair mechanisms identified in leukemia. While DSB repair is somewhat compromised in all leukemic subtypes, certain key players of DSB repair are particularly targeted: DNA-dependent protein kinase (DNA-PK) and Ku70/80 in the non-homologous end-joining pathway, as well as Rad51 and breast cancer 1/2 (BRCA1/2), key players in homologous recombination. Defects in leukemia-related DSB repair may not only arise from dysfunctional repair components, but also indirectly from mutations in key regulators of gene expression and/or chromatin structure, such as p53, the Kirsten ras oncogene (K-RAS), and isocitrate dehydrogenase 1 and 2 (IDH1/2). A detailed understanding of the basis for defective DNA damage response (DDR) mechanisms for each leukemia subtype may allow to further develop new treatment methods to improve treatment outcome and prognosis for patients.http://www.mdpi.com/2073-4409/6/2/11DNA damage responseleukemiadouble-strand break repairnon-homologous end joininghomologous recombination
spellingShingle Nadine Nilles
Birthe Fahrenkrog
Taking a Bad Turn: Compromised DNA Damage Response in Leukemia
Cells
DNA damage response
leukemia
double-strand break repair
non-homologous end joining
homologous recombination
title Taking a Bad Turn: Compromised DNA Damage Response in Leukemia
title_full Taking a Bad Turn: Compromised DNA Damage Response in Leukemia
title_fullStr Taking a Bad Turn: Compromised DNA Damage Response in Leukemia
title_full_unstemmed Taking a Bad Turn: Compromised DNA Damage Response in Leukemia
title_short Taking a Bad Turn: Compromised DNA Damage Response in Leukemia
title_sort taking a bad turn compromised dna damage response in leukemia
topic DNA damage response
leukemia
double-strand break repair
non-homologous end joining
homologous recombination
url http://www.mdpi.com/2073-4409/6/2/11
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