Target intelligence / Profile preview

DNA topoisomerase II enzyme (Topo II)

Target
Topo II
Molecular classification
Enzyme, DNA-modifying enzyme, ATP-dependent enzyme
01

Overview

DNA topoisomerase II is an essential ATP-dependent enzyme that manages the topology of double-stranded DNA. It functions by creating transient double-strand breaks in the DNA helix, allowing another segment of duplex DNA to pass through before resealing the break. This process relieves torsional stress generated during replication and transcription and ensures proper chromosome segregation during mitosis. In eukaryotes there are two main isoforms—topo IIα and topo IIβ—with distinct but overlapping roles. The enzyme is a critical target for several anticancer drugs that exploit its mechanism by stabilizing its cleavage complex with DNA, thereby inducing lethal genetic damage preferentially in rapidly dividing tumor cells.

Other names
Topoisomerase IIType II topoisomeraseDNA gyrase (in prokaryotes, specifically for the bacterial form)Topo IIα (for the alpha isoform in eukaryotes)Topo IIβ (for the beta isoform in eukaryotes)
02

Mechanism of action

Drugs targeting this molecule typically act as **topoisomerase poisons**—they stabilize the transient double-strand break created by topoisomerase II, preventing religation and leading to accumulation of double-stranded breaks, which triggers apoptosis in rapidly dividing cells such as cancer cells.

03

Biological functions

Regulation of DNA supercoilingResolution of DNA tangles and knots during replication and transcriptionChromosome segregation during cell divisionDecatenation of replicated chromosomes
04

Disease associations

Cancer (targeted by several chemotherapeutic agents)Other diseases involving genomic instability or cell proliferation abnormalities
05

Safety considerations

Notable safety concerns include myelosuppression, secondary malignancies such as therapy-related acute myeloid leukemia due to chromosomal translocations involving MLL gene at 11q23, cardiotoxicity with some drugs like doxorubicin, and general cytotoxicity due to effects on normal proliferating cells.
06

Interacting drugs

Etoposide

3 more in the full profile.

07

Biomarkers

There is no universal biomarker specific to topoisomerase II activity; however, expression levels of TOP2A gene (encoding topo IIα) can be used as a biomarker for certain cancers to predict response to therapy.

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