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DNA polymerase alpha catalytic subunit (POLA1) is a fundamental enzyme responsible for the initiation of DNA replication in eukaryotic cells. As the largest subunit of the four-protein DNA polymerase alpha-primase complex, it extends the short RNA primers synthesized by the primase subunits with approximately 20 deoxynucleotides, creating the RNA-DNA chimeric primers required for the processive polymerases delta and epsilon to take over. Beyond its nuclear role in the S phase of the cell cycle, POLA1 also functions in the cytosol to maintain a physiological concentration of RNA:DNA hybrids, which serve as critical negative regulators of the cGAS-STING pathway to prevent the spontaneous activation of type I interferon responses. Mutations in the POLA1 gene are associated with rare X-linked disorders such as reticulate pigmentary disorder (XLPDR) and Van Esch-O'Driscoll syndrome (VEODS), which manifest as immunodeficiency, growth retardation, and autoinflammation. In the context of oncology, POLA1 is frequently overexpressed in various malignancies, including colorectal and bladder cancers, making it a viable therapeutic target for small-molecule inhibitors like CD437 and ST1926 that induce replication stress and apoptosis in rapidly proliferating cells.
Inhibition of the catalytic active site to prevent DNA template and nucleotide binding, leading to the disruption of RNA-DNA primer synthesis, induction of replication stress, and triggering of apoptosis.
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