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DNA crosslinking and DNA damage pathway via platinum-DNA adducts (null)

Target
null
Molecular classification
Other
01

Overview

This entry describes the biological pathway and mechanism of action of platinum-based chemotherapeutics, particularly carboplatin. It involves the direct chemical modification of genomic DNA through the formation of platinum-DNA adducts, leading to interstrand and intrastrand crosslinks. These DNA lesions inhibit DNA replication and transcription, induce cell cycle arrest, and ultimately trigger apoptosis or necrosis in tumor cells. While effective in cancer treatment, it is a broad process rather than a specific single molecular target like a protein or receptor.

Other names
Platinum-DNA adduct formationDNA platinationDNA interstrand crosslink formationcarboplatin-induced DNA damage pathway
02

Mechanism of action

Formation of monoadducts and diadducts on DNA: Carboplatin forms covalent bonds with purine bases at the N7 position. - Interstrand and intrastrand crosslinks: These lesions inhibit DNA replication and transcription. - Induction of apoptosis/necrosis: The resulting cellular stress triggers programmed cell death or necrosis in tumor cells. - Inhibition of repair mechanisms: Resistance can arise from enhanced repair pathways such as nucleotide excision repair (NER) or mismatch repair

03

Biological functions

DNA replication inhibitiontranscription inhibitioncell cycle arrest (G2/M phase)apoptosis inductionnecrosis induction
04

Disease associations

Cancer (testicular cancer, ovarian cancer, head and neck cancer, small cell lung cancer)
05

Safety considerations

MyelosuppressionNephrotoxicity (less than cisplatin)NeurotoxicityOtotoxicity
06

Interacting drugs

Carboplatin (primary)

2 more in the full profile.

07

Biomarkers

Platinum-DNA adduct levels in tumor tissueERCC1 mRNA expression as a marker for NER activityGlutathione levels as an indicator of detoxification capacityMetallothionein expression related to resistance mechanisms

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