A new wave of innovations within the DNA damage response

Abstract Genome instability has been identified as one of the enabling hallmarks in cancer. DNA damage response (DDR) network is responsible for maintenance of genome integrity in cells. As cancer cells frequently carry DDR gene deficiencies or suffer from replicative stress, targeting DDR processes...

Full description

Bibliographic Details
Main Authors: Qi Li, Wenyuan Qian, Yang Zhang, Lihong Hu, Shuhui Chen, Yuanfeng Xia
Format: Article
Language:English
Published: Nature Publishing Group 2023-09-01
Series:Signal Transduction and Targeted Therapy
Online Access:https://doi.org/10.1038/s41392-023-01548-8
_version_ 1797556086537977856
author Qi Li
Wenyuan Qian
Yang Zhang
Lihong Hu
Shuhui Chen
Yuanfeng Xia
author_facet Qi Li
Wenyuan Qian
Yang Zhang
Lihong Hu
Shuhui Chen
Yuanfeng Xia
author_sort Qi Li
collection DOAJ
description Abstract Genome instability has been identified as one of the enabling hallmarks in cancer. DNA damage response (DDR) network is responsible for maintenance of genome integrity in cells. As cancer cells frequently carry DDR gene deficiencies or suffer from replicative stress, targeting DDR processes could induce excessive DNA damages (or unrepaired DNA) that eventually lead to cell death. Poly (ADP-ribose) polymerase (PARP) inhibitors have brought impressive benefit to patients with breast cancer gene (BRCA) mutation or homologous recombination deficiency (HRD), which proves the concept of synthetic lethality in cancer treatment. Moreover, the other two scenarios of DDR inhibitor application, replication stress and combination with chemo- or radio- therapy, are under active clinical exploration. In this review, we revisited the progress of DDR targeting therapy beyond the launched first-generation PARP inhibitors. Next generation PARP1 selective inhibitors, which could maintain the efficacy while mitigating side effects, may diversify the application scenarios of PARP inhibitor in clinic. Albeit with unavoidable on-mechanism toxicities, several small molecules targeting DNA damage checkpoints (gatekeepers) have shown great promise in preliminary clinical results, which may warrant further evaluations. In addition, inhibitors for other DNA repair pathways (caretakers) are also under active preclinical or clinical development. With these progresses and efforts, we envision that a new wave of innovations within DDR has come of age.
first_indexed 2024-03-10T16:57:54Z
format Article
id doaj.art-489c7a4f871c4dc4aebfd6257a254f49
institution Directory Open Access Journal
issn 2059-3635
language English
last_indexed 2024-03-10T16:57:54Z
publishDate 2023-09-01
publisher Nature Publishing Group
record_format Article
series Signal Transduction and Targeted Therapy
spelling doaj.art-489c7a4f871c4dc4aebfd6257a254f492023-11-20T11:05:02ZengNature Publishing GroupSignal Transduction and Targeted Therapy2059-36352023-09-018112610.1038/s41392-023-01548-8A new wave of innovations within the DNA damage responseQi Li0Wenyuan Qian1Yang Zhang2Lihong Hu3Shuhui Chen4Yuanfeng Xia5Domestic Discovery Service Unit, WuXi AppTecDomestic Discovery Service Unit, WuXi AppTecDomestic Discovery Service Unit, WuXi AppTecDomestic Discovery Service Unit, WuXi AppTecDomestic Discovery Service Unit, WuXi AppTecDomestic Discovery Service Unit, WuXi AppTecAbstract Genome instability has been identified as one of the enabling hallmarks in cancer. DNA damage response (DDR) network is responsible for maintenance of genome integrity in cells. As cancer cells frequently carry DDR gene deficiencies or suffer from replicative stress, targeting DDR processes could induce excessive DNA damages (or unrepaired DNA) that eventually lead to cell death. Poly (ADP-ribose) polymerase (PARP) inhibitors have brought impressive benefit to patients with breast cancer gene (BRCA) mutation or homologous recombination deficiency (HRD), which proves the concept of synthetic lethality in cancer treatment. Moreover, the other two scenarios of DDR inhibitor application, replication stress and combination with chemo- or radio- therapy, are under active clinical exploration. In this review, we revisited the progress of DDR targeting therapy beyond the launched first-generation PARP inhibitors. Next generation PARP1 selective inhibitors, which could maintain the efficacy while mitigating side effects, may diversify the application scenarios of PARP inhibitor in clinic. Albeit with unavoidable on-mechanism toxicities, several small molecules targeting DNA damage checkpoints (gatekeepers) have shown great promise in preliminary clinical results, which may warrant further evaluations. In addition, inhibitors for other DNA repair pathways (caretakers) are also under active preclinical or clinical development. With these progresses and efforts, we envision that a new wave of innovations within DDR has come of age.https://doi.org/10.1038/s41392-023-01548-8
spellingShingle Qi Li
Wenyuan Qian
Yang Zhang
Lihong Hu
Shuhui Chen
Yuanfeng Xia
A new wave of innovations within the DNA damage response
Signal Transduction and Targeted Therapy
title A new wave of innovations within the DNA damage response
title_full A new wave of innovations within the DNA damage response
title_fullStr A new wave of innovations within the DNA damage response
title_full_unstemmed A new wave of innovations within the DNA damage response
title_short A new wave of innovations within the DNA damage response
title_sort new wave of innovations within the dna damage response
url https://doi.org/10.1038/s41392-023-01548-8
work_keys_str_mv AT qili anewwaveofinnovationswithinthednadamageresponse
AT wenyuanqian anewwaveofinnovationswithinthednadamageresponse
AT yangzhang anewwaveofinnovationswithinthednadamageresponse
AT lihonghu anewwaveofinnovationswithinthednadamageresponse
AT shuhuichen anewwaveofinnovationswithinthednadamageresponse
AT yuanfengxia anewwaveofinnovationswithinthednadamageresponse
AT qili newwaveofinnovationswithinthednadamageresponse
AT wenyuanqian newwaveofinnovationswithinthednadamageresponse
AT yangzhang newwaveofinnovationswithinthednadamageresponse
AT lihonghu newwaveofinnovationswithinthednadamageresponse
AT shuhuichen newwaveofinnovationswithinthednadamageresponse
AT yuanfengxia newwaveofinnovationswithinthednadamageresponse