DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic Opportunities

The DNA damage response (DDR), a set of signaling pathways for DNA damage detection and repair, maintains genomic stability when cells are exposed to endogenous or exogenous DNA-damaging agents. Alterations in these pathways are strongly associated with cancer development, including ovarian cancer (...

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Main Authors: María Ovejero-Sánchez, Rogelio González-Sarmiento, Ana Belén Herrero
Format: Article
Language:English
Published: MDPI AG 2023-01-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/15/2/448
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author María Ovejero-Sánchez
Rogelio González-Sarmiento
Ana Belén Herrero
author_facet María Ovejero-Sánchez
Rogelio González-Sarmiento
Ana Belén Herrero
author_sort María Ovejero-Sánchez
collection DOAJ
description The DNA damage response (DDR), a set of signaling pathways for DNA damage detection and repair, maintains genomic stability when cells are exposed to endogenous or exogenous DNA-damaging agents. Alterations in these pathways are strongly associated with cancer development, including ovarian cancer (OC), the most lethal gynecologic malignancy. In OC, failures in the DDR have been related not only to the onset but also to progression and chemoresistance. It is known that approximately half of the most frequent subtype, high-grade serous carcinoma (HGSC), exhibit defects in DNA double-strand break (DSB) repair by homologous recombination (HR), and current evidence indicates that probably all HGSCs harbor a defect in at least one DDR pathway. These defects are not restricted to HGSCs; mutations in <i>ARID1A</i>, which are present in 30% of endometrioid OCs and 50% of clear cell (CC) carcinomas, have also been found to confer deficiencies in DNA repair. Moreover, DDR alterations have been described in a variable percentage of the different OC subtypes. Here, we overview the main DNA repair pathways involved in the maintenance of genome stability and their deregulation in OC. We also recapitulate the preclinical and clinical data supporting the potential of targeting the DDR to fight the disease.
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spelling doaj.art-417ffd803b6e49c4a419b7c45b2756d92023-11-30T21:34:01ZengMDPI AGCancers2072-66942023-01-0115244810.3390/cancers15020448DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic OpportunitiesMaría Ovejero-Sánchez0Rogelio González-Sarmiento1Ana Belén Herrero2Institute of Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, SpainInstitute of Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, SpainInstitute of Biomedical Research of Salamanca (IBSAL), 37007 Salamanca, SpainThe DNA damage response (DDR), a set of signaling pathways for DNA damage detection and repair, maintains genomic stability when cells are exposed to endogenous or exogenous DNA-damaging agents. Alterations in these pathways are strongly associated with cancer development, including ovarian cancer (OC), the most lethal gynecologic malignancy. In OC, failures in the DDR have been related not only to the onset but also to progression and chemoresistance. It is known that approximately half of the most frequent subtype, high-grade serous carcinoma (HGSC), exhibit defects in DNA double-strand break (DSB) repair by homologous recombination (HR), and current evidence indicates that probably all HGSCs harbor a defect in at least one DDR pathway. These defects are not restricted to HGSCs; mutations in <i>ARID1A</i>, which are present in 30% of endometrioid OCs and 50% of clear cell (CC) carcinomas, have also been found to confer deficiencies in DNA repair. Moreover, DDR alterations have been described in a variable percentage of the different OC subtypes. Here, we overview the main DNA repair pathways involved in the maintenance of genome stability and their deregulation in OC. We also recapitulate the preclinical and clinical data supporting the potential of targeting the DDR to fight the disease.https://www.mdpi.com/2072-6694/15/2/448ovarian cancerDNA damage responseDNA repairdirect reversal repairmismatch repairnucleotide excision repair
spellingShingle María Ovejero-Sánchez
Rogelio González-Sarmiento
Ana Belén Herrero
DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic Opportunities
Cancers
ovarian cancer
DNA damage response
DNA repair
direct reversal repair
mismatch repair
nucleotide excision repair
title DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic Opportunities
title_full DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic Opportunities
title_fullStr DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic Opportunities
title_full_unstemmed DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic Opportunities
title_short DNA Damage Response Alterations in Ovarian Cancer: From Molecular Mechanisms to Therapeutic Opportunities
title_sort dna damage response alterations in ovarian cancer from molecular mechanisms to therapeutic opportunities
topic ovarian cancer
DNA damage response
DNA repair
direct reversal repair
mismatch repair
nucleotide excision repair
url https://www.mdpi.com/2072-6694/15/2/448
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AT rogeliogonzalezsarmiento dnadamageresponsealterationsinovariancancerfrommolecularmechanismstotherapeuticopportunities
AT anabelenherrero dnadamageresponsealterationsinovariancancerfrommolecularmechanismstotherapeuticopportunities