Target intelligence / Profile preview

Platinum–DNA adduct

Molecular classification
Other (DNA lesion/adduct)
01

Overview

Platinum–DNA adducts are covalent complexes formed when platinum-based chemotherapy drugs, such as cisplatin, bind to the N7 position of purine bases (primarily guanine) in DNA[2][3]. This results in multiple lesion types, including 1,2-intrastrand crosslinks (GpG, ApG), 1,3-intrastrand crosslinks, interstrand crosslinks, and monofunctional adducts[3]. The formation of these adducts disrupts DNA replication and transcription, activates cellular DNA damage responses, and ultimately leads to apoptosis. Platinum–DNA adduct formation is the primary cytotoxic mechanism of platinum drugs, and levels of adducts are associated with efficacy and toxicity in cancer therapy[3]. The “target” in this context is the cellular DNA itself, not a receptor or enzyme, but the biological effect results from platinum-induced modification of DNA structure and function, impairing cellular proliferation and survival[2][3].

Other names
Platinum–DNA adductPt–DNA adductDNA–platinum complexPlatinum cross-link (context-dependent)Cisplatin–DNA adduct
02

Mechanism of action

Covalent binding of platinum to DNA bases (mainly guanine), forming intrastrand and interstrand crosslinks, as well as monofunctional adducts, leading to DNA polymerase stalling, inhibition of transcription and replication, activation of DNA damage response, and cell death[2][3].

03

Biological functions

DNA replication inhibitionTranscription inhibitionInduction of DNA damage responseApoptosis inductionCell cycle arrestImpairment of DNA repair
04

Disease associations

Cancer
05

Safety considerations

Non-specific DNA damage (affects both tumor and normal cells)Nephrotoxicity (especially kidney, where adducts accumulate)NeurotoxicityOtotoxicityMyelosuppression[3]
06

Interacting drugs

Cisplatin

3 more in the full profile.

07

Biomarkers

DNA–platinum adduct level (measured in blood or tumor tissue as a pharmacodynamic marker)Nucleotide excision repair activity (predictive of response)[3]ERCC1 (excision repair cross-complementation group 1) expression (predictive marker for platinum drug sensitivity)

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