Exploiting DNA Damage Response (DDR) Inhibitors in Cancer Therapy

A special issue of Cells (ISSN 2073-4409). This special issue belongs to the section "Cell Proliferation and Division".

Deadline for manuscript submissions: closed (15 August 2022) | Viewed by 19351

Special Issue Editors


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Guest Editor
Fondazione Cesalpino, Arezzo Hospital, USL-Toscana sudest, 1-52100 Arezzo, Italy
Interests: DNA damage response pathways/cell cycle checkpoint pathways; target therapy and combination therapy in cancer; small molecular inhibitors (e.g., CHK1, WEE1 and ATR inhibitors); B cell lymphomas; melanoma; cholangiocarcinoma

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Guest Editor
Department of Oncology-Pathology, Karolinska Institute, Scilifelab, S-171 76 Stockholm, Sweden
Interests: DNA damage response pathways/cell cycle checkpoint pathways; target therapy and combination therapy in cancer; small molecular inhibitors (e.g., CHK1, WEE1 and ATR inhibitors); B cell lymphomas; melanoma; cholangiocarcinoma; oxidative DNA damage; nucleotide metabolism; synthetic lethality

Special Issue Information

Dear Colleagues,

Deregulation of the DNA damage response (DDR) is very common in cancers. Genomic instability driven by a specific deficiency in DDR can make cancer cells more dependent on the remaining and still functional DDR pathways. The possibility of specifically targeting the remaining functional DDR pathways and/or exacerbating the existing defects has proven to be an effective therapeutic strategy to kill cancer cells and has introduced the concept of synthetic lethality to the field. The unraveling of the key players in DDR, their specific inactivation in different tumor types and the synthesis of specific chemical inhibitors of DDR represent a new, highly relevant, targeted approach in cancer therapy. Multiple novel DDR inhibitors have been developed over the past two decades, including the PARP, ATR, ATM, CHK1/2, and WEE1 inhibitors.

We invite all scientists working in the DDR field to participate in this Special Issue. Original research articles, reviews, or shorter perspective articles on all aspects related to DDR pathways are welcome, including topics such as new molecular and cellular functions of the key players of DDR and novel approaches with current, under clinical development, or newly emerging DDR inhibitors on different types of tumors. Articles on the functional characterization of new rational drug combinations with the involvement of DDR inhibitors are especially encouraged. Special attention will be paid to the causes and consequences of replication stress, and how to exploit inherent high oxidative stress and disrupt nucleotide metabolism to treat cancer. Relevant topics include single and combined DDR inhibitor treatments; identification of cancer-type-specific biomarkers in response to DDR inhibitors; discovery of new rational drug combinations; identification of resistance mechanisms to DDR-targeting therapies and possible strategies for overcoming such resistance mechanisms.

Dr. Laura Carrassa
Dr. Kumar Sanjiv
Guest Editors

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Keywords

  • DDR targets (PARP, ATR, ATM, CHK1, WEE1)
  • DDR inhibitors
  • Cancer-type-specific biomarkers in response to DDR inhibitors
  • Rational drug combinations with DDR inhibitors and synthetic lethality
  • Overcoming resistance mechanisms to DDR Targeting Therapies
  • Replication stress
  • Oxidative DNA damage
  • Nucleotide metabolism

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Published Papers (3 papers)

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Review

20 pages, 921 KiB  
Review
Novel Therapeutic Approaches with DNA Damage Response Inhibitors for Melanoma Treatment
by Luisa Maresca, Barbara Stecca and Laura Carrassa
Cells 2022, 11(9), 1466; https://doi.org/10.3390/cells11091466 - 26 Apr 2022
Cited by 6 | Viewed by 4197
Abstract
Targeted therapies against components of the mitogen-activated protein kinase (MAPK) pathway and immunotherapies, which block immune checkpoints, have shown important clinical benefits in melanoma patients. However, most patients develop resistance, with consequent disease relapse. Therefore, there is a need to identify novel therapeutic [...] Read more.
Targeted therapies against components of the mitogen-activated protein kinase (MAPK) pathway and immunotherapies, which block immune checkpoints, have shown important clinical benefits in melanoma patients. However, most patients develop resistance, with consequent disease relapse. Therefore, there is a need to identify novel therapeutic approaches for patients who are resistant or do not respond to the current targeted and immune therapies. Melanoma is characterized by homologous recombination (HR) and DNA damage response (DDR) gene mutations and by high replicative stress, which increase the endogenous DNA damage, leading to the activation of DDR. In this review, we will discuss the current experimental evidence on how DDR can be exploited therapeutically in melanoma. Specifically, we will focus on PARP, ATM, CHK1, WEE1 and ATR inhibitors, for which preclinical data as single agents, taking advantage of synthetic lethal interactions, and in combination with chemo-targeted-immunotherapy, have been growing in melanoma, encouraging the ongoing clinical trials. The overviewed data are suggestive of considering DDR inhibitors as a valid therapeutic approach, which may positively impact the future of melanoma treatment. Full article
(This article belongs to the Special Issue Exploiting DNA Damage Response (DDR) Inhibitors in Cancer Therapy)
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19 pages, 933 KiB  
Review
DNA Damage Response Inhibitors in Cholangiocarcinoma: Current Progress and Perspectives
by Öykü Gönül Geyik, Giulia Anichini, Engin Ulukaya, Fabio Marra and Chiara Raggi
Cells 2022, 11(9), 1463; https://doi.org/10.3390/cells11091463 - 26 Apr 2022
Cited by 8 | Viewed by 3668
Abstract
Cholangiocarcinoma (CCA) is a poorly treatable type of cancer and its incidence is dramatically increasing. The lack of understanding of the biology of this tumor has slowed down the identification of novel targets and the development of effective treatments. Based on next generation [...] Read more.
Cholangiocarcinoma (CCA) is a poorly treatable type of cancer and its incidence is dramatically increasing. The lack of understanding of the biology of this tumor has slowed down the identification of novel targets and the development of effective treatments. Based on next generation sequencing profiling, alterations in DNA damage response (DDR)-related genes are paving the way for DDR-targeting strategies in CCA. Based on the notion of synthetic lethality, several DDR-inhibitors (DDRi) have been developed with the aim of accumulating enough DNA damage to induce cell death in tumor cells. Observing that DDRi alone could be insufficient for clinical use in CCA patients, the combination of DNA-damaging regimens with targeted approaches has started to be considered, as evidenced by many emerging clinical trials. Hence, novel therapeutic strategies combining DDRi with patient-specific targeted drugs could be the next level for treating cholangiocarcinoma. Full article
(This article belongs to the Special Issue Exploiting DNA Damage Response (DDR) Inhibitors in Cancer Therapy)
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19 pages, 2624 KiB  
Review
Re-Discovery of Pyrimidine Salvage as Target in Cancer Therapy
by Melanie Walter and Patrick Herr
Cells 2022, 11(4), 739; https://doi.org/10.3390/cells11040739 - 20 Feb 2022
Cited by 30 | Viewed by 10322
Abstract
Nucleotides are synthesized through two distinct pathways: de novo synthesis and nucleoside salvage. Whereas the de novo pathway synthesizes nucleotides from amino acids and glucose, the salvage pathway recovers nucleosides or bases formed during DNA or RNA degradation. In contrast to high proliferating [...] Read more.
Nucleotides are synthesized through two distinct pathways: de novo synthesis and nucleoside salvage. Whereas the de novo pathway synthesizes nucleotides from amino acids and glucose, the salvage pathway recovers nucleosides or bases formed during DNA or RNA degradation. In contrast to high proliferating non-malignant cells, which are highly dependent on the de novo synthesis, cancer cells can switch to the nucleoside salvage pathways to maintain efficient DNA replication. Pyrimidine de novo synthesis remains the target of interest in cancer therapy and several inhibitors showed promising results in cancer cells and in vivo models. In the 1980s and 1990s, poor responses were however observed in clinical trials with several of the currently existing pyrimidine synthesis inhibitors. To overcome the observed limitations in clinical trials, targeting pyrimidine salvage alone or in combination with pyrimidine de novo inhibitors was suggested. Even though this approach showed initially promising results, it received fresh attention only recently. Here we discuss the re-discovery of targeting pyrimidine salvage pathways for DNA replication alone or in combination with inhibitors of pyrimidine de novo synthesis to overcome limitations of commonly used antimetabolites in various preclinical cancer models and clinical trials. We also highlight newly emerged targets in pyrimidine synthesis as well as pyrimidine salvage as a promising target in immunotherapy. Full article
(This article belongs to the Special Issue Exploiting DNA Damage Response (DDR) Inhibitors in Cancer Therapy)
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