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Tyrosyl-DNA phosphodiesterase 2 (TDP2) is a magnesium/manganese-dependent DNA repair enzyme that catalyzes the hydrolysis of 5'-phosphotyrosyl bonds linking DNA to topoisomerase II (TOP2) or topoisomerase III during abortive reactions, thereby permitting subsequent DNA repair and ligation[1][2][3][5]. TDP2 is essential for removing highly cytotoxic DNA-protein covalent complexes—termed TOP2 cleavage complexes—that block transcription and replication if left unrepaired[1][3]. TDP2 acts predominantly at double-strand breaks but is also co-opted by some RNA viruses (such as picornaviruses) to release their genome from protein primers (VPg unlinkase activity)[1]. Structurally, TDP2 contains an N-terminal ubiquitin-associated domain and a catalytic C-terminal EEP domain with several conserved motifs essential for metal-dependent phosphodiesterase activity, structurally and mechanistically similar to AP endonuclease 1 (APE1)[2][5]. Loss of TDP2 function confers cell hypersensitivity to TOP2 poisons (e.g., etoposide), supporting its role as a therapeutic target for cancer potentiation strategies[3]. No clinically approved drugs target TDP2 specifically, but inhibitors are in development for use in combination with DNA-damaging chemotherapies[1][3].
Small molecule inhibitors of TDP2 inhibit the repair of covalent topoisomerase II–DNA complexes, enhancing the cytotoxicity of topoisomerase II poisons. Sensitization to chemotherapeutics that induce topoisomerase II–mediated DNA breaks.
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