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DNA (primary target of platinum agents via adduct formation)

Molecular classification
Other (not a receptor, enzyme, transporter, ion channel, or transcription factor; platinum drugs are alkylating-like agents, and DNA is the direct molecular target)
01

Overview

Platinum-based chemotherapeutic agents exert their antitumor effects primarily through the formation of covalent adducts with DNA, causing intra- and interstrand crosslinks that block DNA replication and transcription. This indirect enzyme inhibition results from physical and chemical distortion of the DNA template, which impedes the function of replication and transcription machinery, ultimately leading to cell cycle arrest and apoptosis in cancer cells. These drugs are widely used in the treatment of various solid tumors but are limited by resistance mechanisms and notable toxicities[2][3][5][6].

Other names
Platinum–DNA adductsplatinum-induced DNA damageplatinum crosslinkscisplatin–DNA modification
02

Mechanism of action

Formation of platinum–DNA adducts that block DNA replication and transcription machinery; Induction of DNA crosslinks leading to cell cycle arrest and apoptosis; Recruitment/hijacking of transcription factors to damaged DNA.

03

Biological functions

Cell cycle arrestInhibition of DNA replicationInhibition of transcriptionInduction of apoptosisDNA damage response activation
04

Disease associations

Cancer (main role)
05

Safety considerations

MyelosuppressionNephrotoxicity (especially cisplatin)Neurotoxicity (especially oxaliplatin)OtotoxicityDrug resistance (due to increased DNA repair, decreased apoptosis, changes in cellular platinum uptake)
06

Interacting drugs

Cisplatin

4 more in the full profile.

07

Biomarkers

DNA adduct measurement (quantification of platinum–DNA adducts)Cell cycle analysis (S phase arrest, G2/M accumulation)Genetic mutations in DNA repair pathways (e.g., defective NER, BRCA, Fanconi anemia pathway)

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