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DNA polymerase (human) (POL (commonly followed by Greek letter or family designation, e.g., POLA for polymerase alpha, POLH for polymerase eta; "DNA polymerase" itself is a general term))

Target
POL (commonly followed by Greek letter or family designation, e.g., POLA for polymerase alpha, POLH for polymerase eta; "DNA polymerase" itself is a general term)
Molecular classification
Enzyme, DNA polymerase family (A, B, C, D, X, Y, RT), Translesion synthesis enzyme (for Y-family, e.g., polymerase eta), DNA repair enzyme (some family X/Y members)
01

Overview

DNA polymerases in humans are a diverse family of enzymes that catalyze the synthesis of DNA from deoxyribonucleotide triphosphates, playing central roles in chromosomal replication and various forms of DNA repair. Replicative polymerases (alpha, delta, epsilon) ensure accurate genome duplication and cell division, while specialized DNA repair polymerases (e.g., beta, lambda, eta, kappa, iota, mu, terminal deoxynucleotidyl transferase) enable tolerance of DNA damage and maintenance of genomic stability through repair pathways or translesion synthesis. DNA polymerases are critical drug targets in cancer chemotherapy (via nucleoside analogs) and antiviral therapies. Defects or dysregulation can lead to disease such as cancer, immunodeficiency (e.g., xeroderma pigmentosum variant from POLH mutations), or other genome instability syndromes. Each human DNA polymerase has unique substrate specificity, fidelity, processivity, and cellular function—therapeutic targeting thus requires careful, polymerase-specific consideration.

Other names
DNA polymerase (generic)DNA polymerase alpha (POLA)DNA polymerase delta (POLD)DNA polymerase epsilon (POLE)DNA polymerase eta (POLH)DNA polymerase iota (POLI)DNA polymerase kappa (POLK)DNA polymerase lambda (POLL)DNA polymerase mu (POLM)DNA polymerase beta (POLB)Terminal deoxynucleotidyl transferase (TdT)
02

Mechanism of action

Competitive inhibition at nucleotide binding site (nucleoside/nucleotide analogs compete with normal substrates); Chain termination (drugs cause premature termination of DNA chain); Error induction or stalling (some drugs make polymerase incorporate errors or stall at lesions); Allosteric modulation (rare, some inhibitors)

03

Biological functions

DNA replication (primary function of family B polymerases: alpha, delta, epsilon)DNA repair (family X, some Y; e.g., base excision repair, double-strand break repair, translesion synthesis)Genome maintenance/stabilityCell cycle progression (via regulation of replication)Damage tolerance (translesion synthesis)
04

Disease associations

Cancer (mutations/dysregulation; also as drug target)Neurodegenerative disease (genomic instability may contribute)Infection (as targets for antiviral agents)Immunodeficiency (POLH deficiency: Xeroderma pigmentosum variant)Other (general genome instability syndromes)
05

Safety considerations

Off-target genomic instability (non-specific inhibition can induce mutations/genotoxicity)Myelosuppression (cytotoxic drugs that inhibit DNA polymerases can suppress bone marrow)Resistance development (mutations in polymerase reduce inhibitor efficacy)Toxicity to normal proliferating tissues
06

Interacting drugs

Cytarabine (ara-C; inhibits replicative DNA polymerases)

4 more in the full profile.

07

Biomarkers

Gene/protein expression level (e.g., POLA, POLH; altered in some cancers)Mutation status (Polymerase epsilon and delta exonuclease domain mutations in several cancers)Functional readouts of DNA repair/replication/fidelityXeroderma pigmentosum variant (POLH deficiency)

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