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DNA topoisomerase II (bacterial: DNA gyrase) (DNA gyrase (for bacteria); TOP2 (for eukaryotic topoisomerase II))

Target
DNA gyrase (for bacteria); TOP2 (for eukaryotic topoisomerase II)
Molecular classification
Enzyme, Type II topoisomerase
01

Overview

DNA topoisomerase II is an essential enzyme in both prokaryotes and eukaryotes that introduces transient double-strand breaks in DNA, using ATP hydrolysis, to modify DNA topology by removing or introducing supercoils, decatenating interlinked DNA molecules, and facilitating replication, transcription, and chromosome segregation[1][2][3][4][6][7][8]. DNA gyrase is a bacterial type II topoisomerase uniquely capable of introducing negative supercoils into DNA; it consists of two GyrA and two GyrB subunits and acts through a mechanism involving DNA cleavage, strand passage, and religation powered by ATP hydrolysis[3][6][1]. Both enzymes are exploited in anti-infective (particularly antibacterial) and anticancer therapy—bacterial gyrase is the target of fluoroquinolone antibiotics, while eukaryotic topoisomerase II is targeted by cancer chemotherapy agents such as etoposide[2][3][4]. Inhibition of these enzymes causes accumulation of DNA breaks, leading to cell death or viability loss, which underlies both their clinical utility and some safety challenges[2].

Other names
DNA gyraseTopoisomerase IIType II DNA topoisomeraseTOP2 (isoforms: Topoisomerase II alpha, Topoisomerase II beta)
02

Mechanism of action

Inhibition of DNA gyrase or topoisomerase II prevents relaxation or supercoiling of DNA, resulting in inhibition of DNA replication and transcription, leading to cell death. Poisoning mechanism (topoisomerase inhibitors): Drugs trap the enzyme-DNA cleavage complex, causing DNA double-strand breaks.

03

Biological functions

DNA supercoiling (introduction/removal of supercoils)Decatenation (separating intertwined DNA)DNA replication and transcriptionChromosome condensation and segregation
04

Disease associations

Infection (particularly by bacteria due to gyrase)Cancer (topoisomerase II inhibitors used in oncology)
05

Safety considerations

Genotoxicity, as inhibition induces DNA strand breaksSecondary malignancies with long-term topoisomerase II inhibitor useQT prolongation and tendon rupture with fluoroquinolones (gyrase inhibitors)
06

Interacting drugs

Ciprofloxacin, levofloxacin, norfloxacin, nalidixic acid (fluoroquinolones, target bacterial gyrase)

1 more in the full profile.

07

Biomarkers

no widely approved DNA gyrase/TOP2 specific biomarkers for patient selection; TOP2A expression may sometimes be assessed in cancer

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