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Ribonucleotide reductase large subunit (RRM1) is the catalytic component of the ribonucleotide reductase (RR) enzyme complex, which is essential for de novo synthesis of deoxyribonucleotides (dNTPs) [UniProt: P23921]. By catalyzing the reduction of ribonucleoside diphosphates into their corresponding deoxyribonucleoside forms, RRM1 provides the necessary building blocks for DNA replication and repair [NCBI: 6240]. This enzyme is highly regulated throughout the cell cycle, with peak activity during the S-phase to support genomic duplication [PubMed: 17634284]. In oncology, RRM1 is a critical therapeutic target because its overexpression is frequently associated with tumor progression and resistance to nucleoside analog drugs [PubMed: 21533170]. Several chemotherapeutic agents, such as gemcitabine and clofarabine, act as antimetabolites that inhibit RRM1 activity or compete for its active site, leading to dNTP pool depletion and subsequent apoptosis [DrugBank: DB00441]. Furthermore, RRM1 expression levels serve as a significant biomarker for predicting patient response to gemcitabine-based chemotherapy regimens, particularly in non-small cell lung cancer [PubMed: 17634284]. Therapeutic strategies targeting RRM1 often involve combination therapies to overcome resistance mechanisms and enhance the efficacy of DNA-damaging agents [PubMed: 21533170].
Inhibition of the catalytic subunit of ribonucleotide reductase, leading to the depletion of deoxyribonucleotide triphosphate (dNTP) pools, which results in the termination of DNA synthesis and induction of apoptosis [DrugBank: DB00441, PubMed: 21533170].
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