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DNA Double Strand Break Repair: Mechanisms and Therapeutic Potential

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The DNA Damage Response: Implications on Cancer Formation and Treatment

Abstract

DNA double strand breaks are widely considered to be the most cytotoxic form of DNA damage. They can be induced by exposure to exogenous agents such as ionizing radiation and topoisomerase poisons and can also occur naturally due to replication fork collapse and other cellular processes. DNA double strand breaks are also produced in the immune system as a consequence of V(D)J and class switch recombination. Here, we will review the major pathways for the detection and repair of DNA double strand breaks in human cells, namely non-homologous end joining and homologous recombination/homology-directed repair. We will also discuss how a better understanding of these pathways could lead to new, more targeted approaches for cancer therapy.

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Abbreviations

A-T:

Ataxia-Telangiectasia

ATM:

ataxia-telangiectasia mutated

ATR:

ATM- and Rad3-related

BRCA:

Breast and ovarian cancer susceptibility allele

CSR:

class switch recombination

ds:

double-stranded

DNA-PK:

DNA-dependent protein kinase

DNA-PKcs:

catalytic subunit of the DNA-dependent protein kinase

DSB:

DNA double strand break

DSBR:

DNA double strand break repair

FANCD1:

Fanconi Anemia complementary group D1

FA:

Fanconi Anemia

HDR:

homology directed repair

IR:

ionizing radiation

NBS:

Nijmegen Breakage Syndrome

NHEJ:

non-homologous end joining

PARP-1:

poly ADP ribose polymerase-1

PIKK:

phosphatidylinositol 3-kinase-like protein kinase

PNKP:

polynucleotide kinase/phosphatase

RS-SCID:

Radiosensitive severe combined immunodeficiency

SNP:

single nucleotide polymorphism

ss:

single-stranded

SSB:

DNA single strand break

XLF:

XRCC4-like factor

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Acknowledgements

Thanks to Drs E. Kurz, T. Beattie, J. Cobb and G. Bebb for helpful comments. LMW and CTW are supported by graduate studentships from the Alberta Heritage Foundation for Medical Research (AHFMR) (LMW) and Alberta Health Services (LMW and CTW). SPLM is a scientist of the AHFMR and holds the Engineered Air Chair in Cancer Research.

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Williamson, L.M., Williamson, C.T., Lees-Miller, S.P. (2009). DNA Double Strand Break Repair: Mechanisms and Therapeutic Potential. In: Khanna, K., Shiloh, Y. (eds) The DNA Damage Response: Implications on Cancer Formation and Treatment. Springer, Dordrecht. https://doi.org/10.1007/978-90-481-2561-6_8

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