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The **DNA topoisomerase I–DNA cleavage complex** (Top1cc) is a transient covalent intermediate formed during the catalytic cycle of DNA topoisomerase I, an enzyme essential for regulation of DNA topology during vital cellular processes such as replication, transcription, and recombination[3][1][2][6]. In this complex, the active site tyrosine of topoisomerase I forms a covalent bond with the 3′-phosphate (type IB, e.g., human TOP1) or 5′-phosphate (type IA, e.g., bacterial TopoI) of DNA at a single-strand break. This allows controlled rotation or passage of DNA strands to relieve topological stress such as supercoiling, after which the enzyme normally religates the break, restoring DNA integrity[3][6][1]. Topoisomerase I–DNA cleavage complexes are *therapeutically exploited* by drugs such as camptothecin and its derivatives, which trap the enzyme on DNA by preventing religation, leading to persistent DNA breaks and cell death—making this complex a critical **antibacterial and anticancer drug target**[1][3][2]. Excess or trapped cleavage complexes are cytotoxic and are associated with genomic instability and cancer, as well as with some off-target toxicities in normal tissues[3][1]. Trapping of this complex forms the principal mechanism of action for topoisomerase I–targeting agents used clinically and in drug discovery[1][3].
Drugs (e.g., camptothecin and derivatives) stabilize the covalent Topoisomerase I–DNA cleavage complex, preventing religation of DNA, which leads to DNA strand breaks, replication fork collision, DNA damage, and cell death[3][1][2].
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