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DNA topoisomerase–DNA complex

Molecular classification
Enzyme (topoisomerase), Nucleic acid–protein adduct, DNA-processing enzyme complex
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Overview

The **topoisomerase–DNA complex** refers to a transient, functionally essential intermediate formed during the catalytic cycle of DNA topoisomerases, enzymes that resolve topological problems in DNA by transiently cleaving one or both strands to allow strand passage, relaxation, or untangling. Therapeutically, "trapping" this complex (i.e., preventing re-ligation of the DNA) is key to the cytotoxicity of several classes of anticancer drugs and antibiotics. This leads to persistent DNA breaks and cell death, especially in rapidly dividing cells. While this complex is critical in both normal physiology and as a drug target, the term describes an enzyme–substrate intermediate, not a specific protein or receptor. **Important note:** For most applications, **"Topoisomerase–DNA complex"** is not a canonical drug target name but a description of a key druggable complex state that arises during topoisomerase action and is exploited pharmacologically. Therapeutic databases typically list specific protein entities (e.g., DNA topoisomerase II alpha), not complexes per se.

Other names
Topoisomerase–DNA covalent complexTopoisomerase cleavage complexDNA–topoisomerase complexTopo–DNA adduct
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Mechanism of action

Drugs targeting the topoisomerase–DNA complex generally: - Stabilize the transient cleavage complex (covalent topoisomerase–DNA intermediate) and prevent religation, causing accumulation of DNA breaks, leading to cell death (cytotoxicity). - For example, **etoposide** traps TopoII–DNA cleavage complexes, inducing DNA double-strand breaks. - **Camptothecin** analogs trap TopoI–DNA single-strand breaks. - **Fluoroquinolones** trap bacterial topoisomerase–DNA complexes, leading to DNA fragmentation.

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Biological functions

Regulation of DNA topologyDNA replicationTranscriptionDNA recombinationChromosome segregationDNA repair
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Disease associations

Cancer (therapeutic target and mechanism of cytotoxicity)Infection (as bacterial topoisomerases are drug targets)Other (secondary malignancies due to off-target action)Neurodegeneration is less directly linked but possible through genotoxic stress
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Safety considerations

Genotoxicity: induction of double-strand DNA breaks in non-target cellsSecondary malignancies (especially leukemia with topo II poisons)MyelosuppressionCardiovascular toxicity (with some agents: e.g., doxorubicin)Off-target activity (especially with bacterial–human cross-reactivity)Development of drug resistance
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Interacting drugs

Etoposide

7 more in the full profile.

07

Biomarkers

Topoisomerase I and II protein expression (for predicting response in some tumors)DNA double-strand break markers (γH2AX, used in monitoring efficacy/toxicity)Complexes themselves can be detected as pharmacodynamic markers in cells

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