DNA replication stress

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DNA Replication Stress[edit | edit source]

Replication stress and its consequences in mitosis

DNA replication stress refers to the slowing or stalling of the DNA replication process, which can lead to genomic instability. This phenomenon is a significant concern in both normal cellular processes and in the context of cancer development. Replication stress can arise from various sources, including DNA damage, difficult-to-replicate sequences, and insufficient supply of deoxyribonucleotide triphosphates (dNTPs).

Causes of DNA Replication Stress[edit | edit source]

Replication stress can be induced by several factors:

  • DNA Damage: Lesions such as thymine dimers or double-strand breaks can impede the progression of the replication fork.
  • Replication Fork Barriers: Natural barriers such as telomeres, centromeres, and highly transcribed regions can cause stalling.
  • Oncogene Activation: Overexpression of oncogenes can lead to increased replication origin firing, depleting dNTP pools and causing stress.
  • Chromatin Structure: Tight chromatin can hinder the progression of replication machinery.

Consequences of Replication Stress[edit | edit source]

INO80 stabilizes replication forks and counteracts mislocalization of H2A.Z

When replication stress occurs, it can lead to several cellular consequences:

  • Fork Collapse: Prolonged stalling can result in the collapse of replication forks, leading to double-strand breaks.
  • Genomic Instability: Accumulation of DNA damage and improper repair can cause mutations and chromosomal rearrangements.
  • Cell Cycle Arrest: Activation of the DNA damage response can halt the cell cycle to allow for repair.
  • Apoptosis: If damage is irreparable, cells may undergo programmed cell death.

Cellular Responses to Replication Stress[edit | edit source]

Cells have evolved mechanisms to cope with replication stress:

  • Checkpoint Activation: The ATR and CHK1 pathways are crucial for detecting and responding to replication stress.
  • Fork Stabilization: Proteins such as BRCA1 and BRCA2 help stabilize stalled forks and facilitate repair.
  • Translesion Synthesis: Specialized DNA polymerases can bypass lesions to allow replication to continue.

Replication Stress in Cancer[edit | edit source]

Rationale for enhancing replication stress to kill cancer cells

Replication stress is a hallmark of cancer cells, which often exhibit high levels of genomic instability. Cancer cells frequently experience replication stress due to:

  • Oncogene-Induced Replication Stress: Oncogenes can drive excessive replication, leading to stress.
  • Defective DNA Repair: Many cancer cells have mutations in DNA repair pathways, exacerbating stress.

Therapeutic Targeting of Replication Stress[edit | edit source]

Illustration of various approaches to target replication stress for cancer treatment

Exploiting replication stress is a promising strategy in cancer therapy:

  • PARP Inhibitors: These drugs target cancer cells with defective homologous recombination repair.
  • ATR/CHK1 Inhibitors: Inhibiting these pathways can enhance replication stress, selectively killing cancer cells.
  • dNTP Pool Modulation: Altering nucleotide availability can increase stress in cancer cells.

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Contributors: Prab R. Tumpati, MD