Target intelligence / Profile preview

DNA topoisomerase II alpha-DNA complex (TOP2A-DNA complex)

Target
TOP2A-DNA complex
Molecular classification
Enzyme, DNA topoisomerase, Isomerase, DNA topoisomerase II, Type II DNA topoisomerase, Type IIA family
01

Overview

DNA topoisomerase II alpha (TOP2A) is an ATP-dependent nuclear enzyme that manages DNA topology by making transient double-strand breaks, enabling the passage of another DNA helix through the gap[1][2][5][8][10]. This mechanism is crucial for the relaxation of supercoiled DNA, chromosome segregation, and decatenation after replication[7][8]. TOP2A is essential for cell proliferation and highly expressed in dividing cells, making it a critical cancer target[6][7][8]. Many chemotherapeutic agents act by stabilizing the transient covalent complex formed between TOP2A and DNA, causing irreversible DNA damage and apoptosis[3][9][10]. The drug-stabilized TOP2A-DNA cleavage complex interrupts DNA religation, resulting in cell death but also contributing to genotoxic side effects[6][10]. Selective inhibition of TOP2A versus TOP2B is an ongoing therapeutic challenge to avoid adverse events like secondary leukemias[6][9]. The full-length structure of the TOP2A-DNA complex has illuminated the enzyme’s domain organization and revealed targets for selective drug design[2][4][5][10].

Other names
DNA topoisomerase II alphaTopoisomerase II alphaTOP2ATopo IIαType IIA topoisomerase
02

Mechanism of action

Topoisomerase II poisons: stabilize the covalent TOP2A-DNA cleavage complex, thereby preventing DNA religation and causing double-strand DNA breaks, which trigger cell death\nCatalytic inhibitors: target the enzyme’s ability to manipulate DNA topology but do not induce DNA breaks

03

Biological functions

Regulation of DNA topology: manages DNA supercoiling, catenation, and decatenationChromosome segregation: especially essential during cell divisionDNA transcription and replication (modulates DNA structure for polymerases)Cell cycle progressionCell proliferation—required for rapidly dividing cells
04

Disease associations

Cancer: overexpressed in many tumors, essential for cell proliferation, and is a direct target of multiple chemotherapy agentsSecondary malignancies: targeting the related enzyme TOP2B, rather than TOP2A, can result in therapy-induced leukemiaNone established for inflammation, neurodegenerative disease, or infection
05

Safety considerations

Genotoxicity: drugs stabilizing the TOP2A-DNA complex cause DNA breaks and cytotoxicitySecondary malignancies: off-target activity against TOP2B may lead to therapy-induced leukemiaCardiotoxicity: especially with anthracyclinesDevelopment of resistance through mutations or expression changes in TOP2A
06

Interacting drugs

doxorubicin

7 more in the full profile.

07

Biomarkers

TOP2A expression levels: used for patient selection in certain cancers (e.g., breast cancer prognostics)Double-strand DNA breaks: indicate successful target engagement by poisons

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