Target intelligence / Profile preview

DNA topoisomerase I–DNA complex (TopI–DNA complex)

Target
TopI–DNA complex
Molecular classification
Enzyme–DNA adduct, Enzyme (Type IB topoisomerase), DNA–protein crosslink (for the complex form)
01

Overview

The **DNA topoisomerase I–DNA complex** is a transient intermediate formed when DNA topoisomerase I, an essential enzyme, covalently binds to the DNA backbone during the process of relieving torsional strain in supercoiled DNA[1][2][3][7]. Type IB topoisomerases (including human topoisomerase I) cleave one strand of DNA via a catalytic tyrosine, creating a covalent enzyme–DNA complex which allows relaxation of superhelical tension by controlled rotation, followed by religation of the strand[1][2][5]. Certain anticancer drugs, especially the **camptothecin** class and their derivatives, “trap” the TopI–DNA complex by stabilizing the covalent intermediate and preventing religation, resulting in persistent DNA breaks and ultimately cell death. This makes the Topoisomerase I–DNA complex a validated therapeutic target in oncology, particularly in the treatment of solid tumors such as colorectal and ovarian cancers[1][7]. However, drug-induced stabilization of this complex can also generate genotoxicity in normal tissues, resulting in side effects and safety concerns. The accumulation of these complexes can serve as a pharmacodynamic biomarker of drug effect and is also linked to the efficacy and toxicity of topoisomerase I inhibitors[1][7].

Other names
Topoisomerase I–DNA adductTopI–DNA covalent complexDNA topoisomerase I cleavage complexTopoisomerase IB–DNA complex
02

Mechanism of action

Inhibitors such as camptothecin stabilize the covalent Topoisomerase I–DNA complex (“cleavage complex”), preventing religation and resulting in DNA single-strand and double-strand breaks, which lead to cytotoxicity and cell death[1][7].

03

Biological functions

Relaxation of DNA supercoilingRegulation of DNA replicationRegulation of transcriptionRegulation of recombinationChromosome condensationResolution of DNA topology during cell division
04

Disease associations

CancerOther (cell death through DNA damage, used in chemotherapy)
05

Safety considerations

Off-target DNA damage leading to myelosuppression and gastrointestinal toxicitySecondary malignancies due to genotoxicityRisk of severe diarrhea (with irinotecan)Potential for development of drug resistance
06

Interacting drugs

Camptothecin

4 more in the full profile.

07

Biomarkers

Accumulation of Topoisomerase I–DNA cleavage complexes (detectable by immunoassays in patient samples)γH2AX (as a secondary marker of DNA double-strand breaks from persistent cleavage complexes)

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