Lieberman Rachel, You Ming
Cancer Center, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Department of Pharmacology and Toxicology, Medical College of Wisconsin, Milwaukee, WI 53226, USA.
Aging (Albany NY). 2017 Jul 15;9(7):1647-1659. doi: 10.18632/aging.101263.
The DNA damage response enables cells to survive, maintain genome integrity, and to safeguard the transmission of high-fidelity genetic information. Upon sensing DNA damage, cells respond by activating this multi-faceted DNA damage response leading to restoration of the cell, senescence, programmed cell death, or genomic instability if the cell survives without proper repair. However, unlike normal cells, cancer cells maintain a marked level of genomic instability. Because of this enhanced propensity to accumulate DNA damage, tumor cells rely on homologous recombination repair as a means of protection from the lethal effect of both spontaneous and therapy-induced double-strand breaks (DSBs) in DNA. Thus, modulation of DNA repair pathways have important consequences for genomic instability within tumor cell biology and viability maintenance under high genotoxic stress. Efforts are underway to manipulate specific components of the DNA damage response in order to selectively induce tumor cell death by augmenting genomic instability past a viable threshold. New evidence suggests that RAD52, a component of the homologous recombination pathway, is important for the maintenance of tumor genome integrity. This review highlights recent reports indicating that reducing homologous recombination through inhibition of RAD52 may represent an important focus for cancer therapy and the specific efforts that are already demonstrating potential.
DNA损伤反应使细胞能够存活、维持基因组完整性并保障高保真遗传信息的传递。一旦检测到DNA损伤,细胞会通过激活这种多方面的DNA损伤反应来做出响应,若细胞在未进行适当修复的情况下存活下来,这种反应会导致细胞恢复、衰老、程序性细胞死亡或基因组不稳定。然而,与正常细胞不同,癌细胞维持着显著水平的基因组不稳定。由于这种积累DNA损伤的倾向增强,肿瘤细胞依赖同源重组修复作为一种保护机制,以抵御DNA中自发和治疗诱导的双链断裂(DSB)的致死效应。因此,DNA修复途径的调节对肿瘤细胞生物学中的基因组不稳定以及在高基因毒性应激下维持细胞活力具有重要影响。目前正在努力操纵DNA损伤反应的特定成分,以便通过将基因组不稳定增加到超过可行阈值来选择性地诱导肿瘤细胞死亡。新证据表明,同源重组途径的一个成分RAD52对维持肿瘤基因组完整性很重要。本综述重点介绍了最近的报告,这些报告表明通过抑制RAD52来减少同源重组可能是癌症治疗的一个重要重点,以及已经显示出潜力的具体努力。