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Nuclear DNA polymerases are a group of essential enzymes that catalyze the synthesis of DNA molecules from nucleoside triphosphates, playing a central role in the replication and maintenance of the nuclear genome [1.4.1, 1.4.2]. In humans, this group comprises 14 distinct enzymes (excluding the mitochondrial Pol γ) classified into families A, B, X, and Y, each with specialized roles in high-fidelity replication or various DNA repair pathways [1.4.3, 1.4.5]. The replicative polymerases (α, δ, and ε) are responsible for the bulk of DNA synthesis during the S-phase, while others like Pol β and Pol θ are critical for base excision repair and double-strand break repair, respectively [1.4.1, 1.5.3]. Due to their necessity for cell division, these polymerases are major targets for antimetabolite chemotherapies, such as cytarabine and gemcitabine, which act as nucleoside analogs to induce chain termination [1.3.1, 1.3.4]. Emerging therapeutic strategies focus on the synthetic lethal relationship between specific polymerases, such as Pol θ, and deficiencies in other repair pathways like BRCA1/2, offering a more targeted approach to treating certain cancers [1.1.5, 1.5.1].
Nucleoside analogs act as competitive inhibitors of dNTPs and are incorporated into the DNA strand, causing chain termination or replication fork stalling [1.3.1, 1.3.4]. Small molecule inhibitors like ART558 target the polymerase or helicase domains of specific enzymes like Pol θ to disrupt repair pathways [1.1.5, 1.5.1].
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