Abstract
Genomic instability is a characteristic of most human cancers and plays critical roles in both cancer development and progression. There are various forms of genomic instability arising from many different pathways, such as DNA damage from endogenous and exogenous sources, centrosome amplification, telomere damage, and epigenetic modifications. DNA repair pathways can enable tumor cells to survive DNA damage. The failure to respond to DNA damage is a characteristic associated with genomic instability. Understanding of genomic instability in cancer is still very limited, but the further understanding of the molecular mechanisms through which the DNA damage response operates, in combination with the elucidation of the genetic interactions between DNA damage response pathways and other cell pathways, will provide therapeutic opportunities for the personalized medicine of cancer.
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Ferguson LR, Chen H, Collins AR et al (2015) Genomic instability in human cancer: molecular insights and opportunities for therapeutic attack and prevention through diet and nutrition. Semin Cancer Biol 35:S5–S24
Lee JH, Jeong SY, Kim MJ et al (2015) MicroRNA-22 suppresses DNA repair and promotes genomic instability through targeting of MDC1. Cancer Res 75:1298
Ciccia A, Elledge SJ (2010) The DNA damage response: making it safe to play with knives. Mol Cell 40:179–204
Negrini S, Gorgoulis VG, Halazonetis TD (2010) Genomic instability — an evolving hallmark of cancer. Nat Rev Cancer 11:220–228
Lengauer C, Kinzler KW, Vogelstein B (1997) Genetic instability in colorectal cancers. Nature 386:623–627
Fishel R, Lescoe MK, Rao MRS, Copeland NG (1993) The human mutator gene homolog MSH2 and its association with hereditary non-polyposis colon cancer. Cell 75:1027–1038
Leach FS, Nicolaides NC, Papadopoulos N, Liu B (1993) Mutations of a mutS homolog in hereditary non-polyposis colorectal cancer. Cell 75:1215–1225
Fackenthal JD, Olopade OI (2007) Breast cancer risk associated with BRCA1 and BRCA2 in diverse populations. Nat Rev Cancer 7:937–948
Bouwman P, Aly A, Escandell JM et al (2010) 53BP1 loss rescues BRCA1 deficiency and is associated with triple negative and BRCA-mutated breast cancers. Nat Struct Mol Biol 17:688–695
Levy LE (2010) Fanconi anemia and breast cancer susceptibility meet again. Nat Genet 42:368–369
Nowell PC (1976) The clonal evolution of tumor cell populations. Science 194:23–28
Loeb LA (1991) Mutator phenotype may be required for multistage carcinogenesis. Cancer Res 51:3075–3079
Rajagopalan H, Lengauer C (2004) Aneuploidy and cancer. Nature 432:338–341
Halazonetis TD, Gorgoulis VG, Bartek J (2008) An oncogene-induced DNA damage model for cancer development. Science 319:1352–1355
Gorgoulis VG, Vassiliou LVF, Karakaidos P et al (2005) Activation of the DNA damage checkpoint and genomic instability in human precancerous lesions. Nature 434:907–913
Bartkova J, Hořejší Z, Koed K et al (2005) DNA damage response as a candidate anti-cancer barrier in early human tumorigenesis. Nature 434:864–870
Bartkova J, Rezaei N, Liontos M et al (2006) Oncogene-induced senescence is part of the tumorigenesis barrier imposed by DNA damage checkpoints. Nature 444:633–637
Di Micco R, Fumagalli M, Cicalese A et al (2006) Oncogene-induced senescence is a DNA damage response triggered by DNA hyperreplication. Nature 444:638–642
Blackburn EHK (2000) Telomeres and telomerase. J Med 49:59–65
Greider CW (1991) Telomeres. Curr Opin Cell Biol 3:444–451
Konishi A, de Lange T (2008) Cell cycle control of telomere protection and NHEJ revealed by a ts mutation in the DNA-binding domain of TRF2. Genes Dev 22:1221–1230
Karlseder J, Hoke K, Mirzoeva OK et al (2004) The telomeric protein TRF2 binds the ATM kinase and can inhibit the ATM-dependent DNA damage response. PLoS Biol 2:E240
Hockemeyer D, Sfeir AJ, Shay JW et al (2005) POT1 protects telomeres from a transient DNA damage response and determines how human chromosomes end. EMBO J 24:2667–2678
de Lange T (2010) How shelterin solves the telomere end-protection problem. Cold Spring Harb Symp Quant Biol 75:167–177
Harley CB (1991) Telomere loss: mitotic clock or genetic time bomb. Mutat Res 256:271–282
Levy MZ, Allsopp RC, Futcher AB et al (1992) Telomere end-replication problem and cell aging. J Mol Biol 225:951–960
Aubert G, Lansdorp PM (2008) Telomeres and aging. Physiol Rev 88:557–579
Harley CB, Sherwood SW (1997) Telomerase, checkpoints and cancer. Cancer Surv 29:263–284
Nigg EA (2002) Centrosome aberrations: cause or consequence of cancer progression. Nat Rev Cancer 2:815–825
Nigg EA, Stearns T (2011) The centrosome cycle: centriole biogenesis, duplication and inherent asymmetries. Nat Cell Biol 13:1154–1160
Doxsey S (2001) Re-evaluating centrosome function. Nat Rev Mol Cell Biol 2:688–698
Ko MA, Rosario CO, Hudson JW et al (2005) Plk4 haploinsufficiency causes mitotic infidelity and carcinogenesis. Nat Genet 37:883–888
Khodjakov A (2002) De novo formation of centrosomes in vertebrate cells arrested during S phase. J Cell Biol 158:1171–1181
Glover DM, Leibowitz MH, McLean DA et al (1995) Mutations in aurora prevent centrosome separation leading to the formation of monopolar spindles. Cell 891:95–105
Maxwell CA, Keats JJ, Belch AR et al (2005) Receptor forhyaluronan-mediated motility correlates with centrosome abnormalities in multiple myeloma and maintains mitotic integrity. Cancer Res 56:850–860
Ogden A, Rida PC, Aneja R (2012) Let’s huddle to prevent a muddle: centrosome declustering as an attractive anticancer strategy. Cell Death Differ 19:1255–1267
Gergely F, Basto R (2008) Multiple centrosomes: together they stand, divided they fall. Genes Dev 22:2291–2296
Marthien V, Piel M, Basto RJ (2012) Never tear us apart – the importance of centrosome clustering. Cell Sci 125:3281–3292
Fang X, Zhang R (2011) Aneuploidy and tumourigenesis. Semin Cell Dev Biol 22:595–601
Sharma S, Kelly TK, Jones PA (2010) Epigenetics in cancer. Carcinogenesis 31:27–36
Cedar H, Bergman Y (2009) Linking DNA methylation and histone modification: patterns and paradigms. Nat Rev Genet 10:295–304
Hitchins MP (2010) Inheritance of epigenetic aberrations (constitutional epimutations) in cancer susceptibility. Adv Genet 70:201–243
Sproul D, Gilbert N, Bickmore WA (2005) The role of chromatin structure in regulating the expression of clustered genes. Nat Rev Genet 6:775–781
Mailand N, Bekker JS, Faustrup H et al (2007) RNF8 ubiquitylates histones at DNA double-strand breaks and promotes assembly of repair proteins. Cell 131:887–900
Lord CJ, Ashworth A (2012) The DNA damage response and cancer therapy. Nature 481:287
Lindahl T, Barnes DE (2000) Repair of endogenous DNA damage. Cold Spring Harb Symp Quant Biol 65:127–133
Hoeijmakers JH (2009) DNA damage, aging, and cancer. N Engl J Med 361:1475–1485
David SS, O’Shea VL, Kundu S (2007) Base-excision repair of oxidative DNA damage. Nature 447(941):950
Schreiber V, Dantzer F, Ame JC, de Murcia G (2006) Poly(ADPribose): novel functions for an old molecule. Nat Rev Mol Cell Biol 7:517–528
Jirincy J (2006) The multifaceted mismatch-repair system. Nat Rev Mol Cell Biol 7:335–346
Moynahan ME, Jasin M (2010) Mitotic homologous recombination maintains genomic stability and suppresses tumorigenesis. Nat Rev Mol Cell Biol 11:196–207
Lieber MR (2010) NHEJ and its backup pathways in chromosomal translocations. Nat Struct Mol Biol 17:393–395
Artandi SE, DePinho RA (2010) Telomeres and telomerase in cancer. Carcinogenesis 31:9–18
Bell O, Tiwari VK, Thoma NH, Schubeler D (2011) Determinants and dynamics of genome accessibility. Nat Rev Genet 12:554–564
Warmerdam DO, Kanaar R (2010) Dealing with DNA damage: relationships between checkpoint and repair pathways. Mutat Res 704:2–11
Swann PF, Waters TR, Moulton DC (1996) Role of postreplicative DNA mismatch repair in the cytotoxic action of thioguanine. Science 273:1109–1111
Helleday T, Petermann E, Lundin C et al (2008) DNA repair pathways as targets for cancer therapy. Nat Rev Cancer 8:193–204
Bryant HE, Schultz N, Thomas HD et al (2005) Specific killing of BRCA2-deficient tumours with inhibitors of poly(ADP-ribose) polymerase. Nature 434:913–917
O’Shaughnessy J, Osborne C, Pippen JE et al (2011) Iniparib plus chemotherapy in metastatic triple-negativebreast cancer. N Engl J Med 364:205–214
Zhaia L, Li S, Li X et al (2015) The nuclear expression of poly (ADP-ribose) polymerase-1 (PARP1) in invasive primary breast tumors is associated with chemotherapy sensitivity. Pathol Res Pract 211:130–137
Frizzell KM, Kraus WL (2009) PARP inhibitors and the treatment of breast cancer: beyond BRCA1/2? Breast Cancer Res 11:111
Durkacz BW, Omidiji O, Gray DA, Shall S (1980) (ADP-ribose)n participates in DNA excision repair. Nature 283:593–596
Rouleau M, Patel A, Hendzel MJ et al (2010) PARP inhibition: PARP1 and beyond. Nat Rev Cancer 10:293–301
Plummer R, Jones C, Middleton M et al (2008) Phase I study of the poly(ADP-ribose) polymerase inhibitor, AG014699, in combination with temozolomide in patients with advanced solid tumors. Clin Cancer Res 14:7917–7923
Plummer R, Lorigan P, Steven N et al (2013) A phase II study of the potent PARP inhibitor, rucaparib (PF-01367338, AG014699), with temozolomide in patients with metastatic melanoma demonstrating evidence of chemopotentiation. Cancer Chemother Pharmacol 71(5):1191–1199
Penning TD, Zhu GD, Gandhi VB et al (2009) Discovery of the poly(ADP-ribose) polymerase (PARP) inhibitor 2-[(R)-2-methylpyrrolidin-2-Yl]-1h-benzimidazole-4-carboxamide (ABT-888) for the treatment of cancer. J Med Chem 52:514–523
Kummar S, Kinders R, Gutierrez ME et al (2009) Phase 0 clinical trial of the poly (ADP-ribose) polymerase inhibitor ABT-888 in patients with advanced malignancies. J Clin Oncol 27:2705–2711
Isakoff SJ, Overmoyer B, Tung NM et al (2010) A phase II trial of the PARP inhibitor veliparib (ABT888) and temozolomide for metastatic breast cancer. ASCO Annual Meeting Abstracts. 1019, JCO Vol 28: 1019
Fong PC, Yap TA, Boss DS et al (2009) Poly(ADP)-ribose polymerase inhibition: frequent durable responses in BRCA carrier ovarian cancer correlating with platinum-free interval. J Clin Oncol 28:2512–2519
Yamamoto N, Nokihara H, Yamada Y et al (2012) A phase I, dosefinding and pharmacokinetic study of olaparib (AZD2281) in Japanese patients with advanced solid tumors. Cancer Sci 103:504–509
Bundred N, Gardovskis J, Jaskiewicz J et al (2013) Evaluation of the pharmacodynamics and pharmacokinetics of the PARP inhibitor olaparib: a phase I multicenter trial in patients scheduled for elective breast cancer surgery. Investig New Drugs 31:949–958
Samol J, Ranson M, Scott E et al (2012) Safety and tolerability of the poly(ADP-ribose) polymerase (PARP) inhibitor, olaparib (AZD2281) in combination with topotecan for the treatment of patients with advanced solid tumors: a phase I study. Investig New Drugs 30:1493–1500
Rajan A, Carter CA, Kelly RJ et al (2012) A phase I combination study of olaparib with cisplatin and gemcitabine in adults with solid tumors. Clin Cancer Res 18:2344–2351
Dean E, Middleton MR, Pwint T et al (2012) Phase I study to assess the safety and tolerability of olaparib in combination with bevacizumab in patients with advanced solid tumours. Br J Cancer 106:468–474
Liu JF, Tolaney SM, Birrer M et al (2013) A phase 1 trial of the poly(ADP-ribose) polymerase inhibitor olaparib (AZD2281) in combination with the anti-angiogenic cediranib (AZD2171) in recurrent epithelial ovarian or triple-negative breast cancer. Eur J Cancer 49:2972–2978
Dent RA, Lindeman GJ, Clemons M et al (2013) Phase I trial of the oral PARP inhibitor olaparib in combination with paclitaxel for first- or second-line treatment of patients with metastatic triple-negative breast cancer. Breast Cancer Res 15:R88
Del Conte G, Sessa C, von Moos R et al (2014) Phase I study of olaparib in combination with liposomal doxorubicin in patients with advanced solid tumours. Br J Cancer 111:651–659
Audeh MW, Carmichael J, Penson RT et al (2010) Oral poly(ADPribose) polymerase inhibitor olaparib in patients with BRCA1 or BRCA2 mutations and recurrent ovarian cancer: a proof-of-concept trial. Lancet 376:245–251
Tutt A, Robson M, Garber JE et al (2010) Oral poly(ADP-ribose) polymerase inhibitor olaparib in patients with BRCA1 or BRCA2 mutations and advanced breast cancer: a proof-of-concept trial. Lancet 376:235–244
Gelmon KA, Tischkowitz M, Mackay H et al (2011) Olaparib in patients with recurrent high-grade serous or poorly differentiated ovarian carcinoma or triple-negative breast cancer: a phase 2, multicentre, open-label, non-randomised study. Lancet Oncol 12:852–861
Bedikian AY, Papadopoulos NE, Kim KB et al (2009) A phase IB trial of intravenous INO-1001 plus oral temozolomide in subjects with unresectable stage-III or IV melanoma. Cancer Investig 27:756–763
Plummer R, Stephens P, Aissat-Daudigny L et al (2014) Phase 1 dose escalation study of the PARP inhibitor CEP-9722 as monotherapy or in combination with temozolomide in patients with solid tumors. Cancer Chemother Pharmacol 74:257–265
Sargent DJ, Marsoni S, Monges G et al (2010) Defective mismatch repair as a predictive marker for lack of efficacy of fluorouracil-based adjuvant therapy in colon cancer. J Clin Oncol 28:3219–3226
Sinicrope FA, Foster NR, Thibodeau SN et al (2011) DNA mismatch repair status and colon cancer recurrence and survival in clinical trials of 5-fluorouracil-based adjuvant therapy. J Natl Cancer Inst 103:863–875
McCabe N, Turner NC, Lord CJ et al (2006) Deficiency in the repair of DNA damage by homologous recombination and sensitivity to poly(ADP-ribose) polymerase inhibition. Cancer Res 66:8109–8115
Vilar E, Bartnik CM, Stenzel SL et al (2011) MRE11deficiency increases sensitivity to poly(ADP-ribose) polymerase inhibition in microsatellite unstable colorectal cancers. Cancer Res 71:2632–2642
Miquel C, Jacob S, Grandjouan S et al (2007) Frequent alteration of DNA damage signalling and repair pathways in human colorectal cancers with microsatellite instability. Oncogene 26:5919–5926
Papoutsis AJ, Borg JL, Selmin OI, Romagnolo DF (2012) BRCA-1 promoter hypermethylation and silencing induced by the aromatic hydrocarbon receptor-ligand TCDD are prevented by resveratrol in MCF-7 cells. J Nutr Biochem 23:1324–1332
Kwon M, Godinho SA, Chandhok NS et al (2008) Mechanisms to suppress multipolar divisions in cancer cells with extra centrosomes. Genes Dev 22:2189–2203
Castiel A, Visochek L, Mittelman L et al (2011) Aphenanthrene derived PARP inhibitor is an extra-centrosomes declustering agent exclusively eradicating human cancer cells. BMC Cancer 11:412
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Locatelli, M., Curigliano, G. (2017). Targeting Genome Instability and DNA Repair. In: Veronesi, U., Goldhirsch, A., Veronesi, P., Gentilini, O., Leonardi, M. (eds) Breast Cancer. Springer, Cham. https://doi.org/10.1007/978-3-319-48848-6_68
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DOI: https://doi.org/10.1007/978-3-319-48848-6_68
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