Epigenetic based synthetic lethal strategies in human cancers

Abstract Over the past decades, it is recognized that loss of DNA damage repair (DDR) pathways is an early and frequent event in tumorigenesis, occurring in 40-50% of many cancer types. The basis of synthetic lethality in cancer therapy is DDR deficient cancers dependent on backup DNA repair pathway...

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Main Authors: Aiai Gao, Mingzhou Guo
Format: Article
Language:English
Published: BMC 2020-09-01
Series:Biomarker Research
Subjects:
Online Access:http://link.springer.com/article/10.1186/s40364-020-00224-1
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author Aiai Gao
Mingzhou Guo
author_facet Aiai Gao
Mingzhou Guo
author_sort Aiai Gao
collection DOAJ
description Abstract Over the past decades, it is recognized that loss of DNA damage repair (DDR) pathways is an early and frequent event in tumorigenesis, occurring in 40-50% of many cancer types. The basis of synthetic lethality in cancer therapy is DDR deficient cancers dependent on backup DNA repair pathways. In cancer, the concept of synthetic lethality has been extended to pairs of genes, in which inactivation of one by deletion or mutation and pharmacological inhibition of the other leads to death of cancer cells whereas normal cells are spared the effect of the drug. The paradigm study is to induce cell death by inhibiting PARP in BRCA1/2 defective cells. Since the successful application of PARP inhibitor, a growing number of developed DDR inhibitors are ongoing in preclinical and clinical testing, including ATM, ATR, CHK1/2 and WEE1 inhibitors. Combination of PARP inhibitors and other DDR inhibitors, or combination of multiple components of the same pathway may have great potential synthetic lethality efficiency. As epigenetics joins Knudson’s two hit theory, silencing of DDR genes by aberrant epigenetic changes provide new opportunities for synthetic lethal therapy in cancer. Understanding the causative epigenetic changes of loss-of-function has led to the development of novel therapeutic agents in cancer. DDR and related genes were found frequently methylated in human cancers, including BRCA1/2, MGMT, WRN, MLH1, CHFR, P16 and APC. Both genetic and epigenetic alterations may serve as synthetic lethal therapeutic markers.
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spelling doaj.art-e3901afec3a9461abfa65fa897e17ad42022-12-21T18:55:57ZengBMCBiomarker Research2050-77712020-09-018111410.1186/s40364-020-00224-1Epigenetic based synthetic lethal strategies in human cancersAiai Gao0Mingzhou Guo1Department of Gastroenterology and Hepatology, Chinese PLA General HospitalDepartment of Gastroenterology and Hepatology, Chinese PLA General HospitalAbstract Over the past decades, it is recognized that loss of DNA damage repair (DDR) pathways is an early and frequent event in tumorigenesis, occurring in 40-50% of many cancer types. The basis of synthetic lethality in cancer therapy is DDR deficient cancers dependent on backup DNA repair pathways. In cancer, the concept of synthetic lethality has been extended to pairs of genes, in which inactivation of one by deletion or mutation and pharmacological inhibition of the other leads to death of cancer cells whereas normal cells are spared the effect of the drug. The paradigm study is to induce cell death by inhibiting PARP in BRCA1/2 defective cells. Since the successful application of PARP inhibitor, a growing number of developed DDR inhibitors are ongoing in preclinical and clinical testing, including ATM, ATR, CHK1/2 and WEE1 inhibitors. Combination of PARP inhibitors and other DDR inhibitors, or combination of multiple components of the same pathway may have great potential synthetic lethality efficiency. As epigenetics joins Knudson’s two hit theory, silencing of DDR genes by aberrant epigenetic changes provide new opportunities for synthetic lethal therapy in cancer. Understanding the causative epigenetic changes of loss-of-function has led to the development of novel therapeutic agents in cancer. DDR and related genes were found frequently methylated in human cancers, including BRCA1/2, MGMT, WRN, MLH1, CHFR, P16 and APC. Both genetic and epigenetic alterations may serve as synthetic lethal therapeutic markers.http://link.springer.com/article/10.1186/s40364-020-00224-1DNA damage repairSynthetic lethalityEpigeneticsBRCA1/2PARP inhibitor
spellingShingle Aiai Gao
Mingzhou Guo
Epigenetic based synthetic lethal strategies in human cancers
Biomarker Research
DNA damage repair
Synthetic lethality
Epigenetics
BRCA1/2
PARP inhibitor
title Epigenetic based synthetic lethal strategies in human cancers
title_full Epigenetic based synthetic lethal strategies in human cancers
title_fullStr Epigenetic based synthetic lethal strategies in human cancers
title_full_unstemmed Epigenetic based synthetic lethal strategies in human cancers
title_short Epigenetic based synthetic lethal strategies in human cancers
title_sort epigenetic based synthetic lethal strategies in human cancers
topic DNA damage repair
Synthetic lethality
Epigenetics
BRCA1/2
PARP inhibitor
url http://link.springer.com/article/10.1186/s40364-020-00224-1
work_keys_str_mv AT aiaigao epigeneticbasedsyntheticlethalstrategiesinhumancancers
AT mingzhouguo epigeneticbasedsyntheticlethalstrategiesinhumancancers