Molecular Classification
DNA, Other
Other Names
DNA Adducts, DNA Interstrand Crosslinks, DNA Intrastrand Crosslinks, DNA-Protein Crosslinks
Disease Roles
CancerGenetic DisordersAging

DNA (Crosslinking) Overview

DNA crosslinking refers to the formation of covalent bonds between two nucleotides within DNA, either on the same strand (intrastrand) or between opposite strands (interstrand). This process can be triggered by various exogenous agents (such as chemotherapeutic drugs, radiation, or environmental toxins) or endogenous factors. Crosslinks disrupt essential cellular processes such as replication and transcription, leading to cell death. It is a key target in cancer therapy using crosslinking agents that induce apoptosis in rapidly dividing cells. Cells have evolved complex repair pathways for resolving these lesions involving NER, homologous recombination, and base excision repair pathways.

Mechanism of Action

Drugs like cisplatin and nitrogen mustards introduce covalent crosslinks between DNA strands, particularly at guanine residues, which disrupts DNA replication and transcription, leading to cell cycle arrest and apoptosis, especially in rapidly dividing cells such as cancer cells.

Biological Functions

DNA Replication Inhibition
Transcription Inhibition
Cell Death
Genome Integrity
DNA Repair

Disease Associations

Cancer
Genetic Disorders
Aging

Safety Considerations

  • Off-target effects leading to toxicity in healthy cells
  • Development of drug resistance due to increased DNA repair capacity in cancer cells
  • Secondary malignancies due to DNA damage in non-cancerous cells
  • Myelosuppression
  • Nephrotoxicity

Interacting Drugs

Cisplatin
Melphalan
Nitrogen Mustards

Associated Biomarkers

Biomarker
Levels of DNA adducts
Expression of DNA repair proteins (e.g., XPF-ERCC1, BRCA1)
Micronuclei formation