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Publication : DNA damage in cancer therapeutics: a boon or a curse?

First Author  Khanna A Year  2015
Journal  Cancer Res Volume  75
Issue  11 Pages  2133-8
PubMed ID  25931285 Mgi Jnum  J:221951
Mgi Id  MGI:5643788 Doi  10.1158/0008-5472.CAN-14-3247
Citation  Khanna A (2015) DNA Damage in Cancer Therapeutics: A Boon or a Curse?. Cancer Res 75(11):2133-2138
abstractText  Millions of DNA-damaging lesions occur every day in each cell of our bodies due to various stresses. The failure to detect and accurately repair these lesions can give rise to cells with high levels of endogenous DNA damage, deleterious mutations, or genomic aberrations. Such genomic instability can lead to the activation of specific signaling pathways, including the DNA damage response (DDR) pathway. Constitutive activation of DDR proteins has been observed in human tumor specimens from different cancer stages, including precancerous and metastatic cancers, although not in normal tissues. The tumor-suppressive role of DDR activity during the premalignant stage has been studied, and strong evidence is emerging for an oncogenic role for DDR proteins such as DNA-PK and CHK1 during the later stages of tumor development. However, the majority of current cancer therapies induce DNA damage, potentially exacerbating protumorigenic genomic instability and enabling the development of resistance. Therefore, elucidating the molecular basis of DNA damage-mediated genomic instability and its role in tumorigenesis is critical. Finally, I discuss the potential existence of distinct DNA damage thresholds at various stages of tumorigenesis and what the ramifications of such thresholds would be, including the ambiguous role of the DDR pathway in human cancers, therapy-induced malignancies, and enhanced therapies. Cancer Res; 75(11); 2133-8. (c)2015 AACR.
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