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Topoisomerase II alpha-DNA complex (Topoisomerase IIα-DNA complex (Topo IIα-DNA complex))

Target
Topoisomerase IIα-DNA complex (Topo IIα-DNA complex)
Molecular classification
Enzyme (specifically, DNA topoisomerase, type II alpha), DNA-protein complex (when referencing drug-interacting form), Type IIA topoisomerase, DNA-associated protein
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Overview

Topoisomerase II alpha is a type IIA topoisomerase enzyme crucial for managing DNA supercoiling, untangling chromosomes, and facilitating replication and segregation during the cell cycle. The pharmacologically relevant "Topoisomerase IIα-DNA complex" refers to the specific DNA-bound state that is targeted by many cancer therapeutics known as topoisomerase poisons. Drugs like etoposide function by stabilizing this cleavage complex, leading to accumulation of DNA double-strand breaks and cell death. The ability of topoisomerase IIα to form transient covalent bonds with DNA makes this complex uniquely susceptible to poisoning by anti-cancer agents, making it a pivotal therapeutic target. However, clinical targeting is challenged by significant safety concerns, notably therapy-related secondary malignancies and cardiotoxicity, often stemming from off-target poisoning of topoisomerase IIβ. Structural studies of this complex have generated valuable insights for rational drug design, including isoform-specific inhibition to improve safety. If further detail is needed for data structuring (e.g., gene identifiers, structure IDs), additional information can be extracted from cited protein structure resources.

Other names
Topoisomerase II alpha cleavage complexTOP2A-DNA complexDNA-bound Topoisomerase IIαHuman Topo IIα-DNA complex
02

Mechanism of action

*Topoisomerase poisons*: Stabilize the covalent Topoisomerase IIα-DNA cleavage complex, preventing religation and thus creating DNA double-strand breaks that trigger apoptosis. *Catalytic inhibitors*: Inhibit the enzyme's activity by targeting inactive conformations, not by stabilizing the cleavage complex.

03

Biological functions

DNA supercoiling managementChromosome segregationDNA strand passage/religationCell cycle regulationResolution of DNA tanglesDNA replication and transcription facilitation
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Disease associations

Cancer (primary therapeutic target)Secondary malignancies (due to drug-related genotoxicity)Other roles in cell proliferation related disorders and genomic instability
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Safety considerations

Secondary malignancies (therapy-related leukemia from DNA damage and misrepair)Cardiotoxicity (especially with anthracycline drugs like doxorubicin)Non-selective toxicity due to similarity with topoisomerase IIβPotent genotoxicity and risks inherent to double-strand break induction
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Interacting drugs

Etoposide

6 more in the full profile.

07

Biomarkers

Overexpression of TOP2A (Topoisomerase IIα gene/protein) in tumorsDNA double-strand break markers (e.g., γH2AX after drug treatment)TOP2A expression for patient stratification and response prediction

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