Mammalian cells are frequently at risk of DNA damage from multiple sources. Accordingly, cells have evolved the DNA damage
response (DDR) pathways to monitor the integrity of their genome. Conceptually, DDR pathways contain three major components
(some with overlapping functions): sensors, signal transducers, and effectors. At the level of sensors, ATM (ataxia telangiectasia
mutated) and ATR (ATM-Rad3-related) are proximal kinases that act as the core sensors of and are central to the entire DDR.
These two kinases function to detect various forms of damaged DNA and trigger DNA damage response cascades. If cells harbor
DDR defects and fail to repair the damaged DNA, it would cause genomic instability and, as a result, lead to cellular transformation.
Indeed, deficiencies of DDR frequently occur in human cancers. Interestingly, this property of cancer also provides a great
opportunity for cancer therapy. For example, by using a synthetic lethality model to search for the effective drugs, ChK1
inhibitors have been shown to selectively target the tumor cells with p53 mutations. In addition, the inhibitors of poly(ADP-ribose)
polymerase (PARP-1) showed selectively killing effects on the cells with defects of homologous recombination (HR), particularly
in the context of BRCA1/2 mutations. Since Brit1 is a key regulator in DDR and HR repair, we believe that we can develop a
similar strategy to target cancers with Brit1 deficiency. Currently, we are conducting a high-throughput screening to identify
novel compounds that specifically target the Brit1-deficient cancer which will lead to development of effective personalized
drugs to cure cancer in clinic.
Presented at the Molecular Surgeon Symposium on Personalized Genomic Medicine and Surgery at the Baylor College of Medicine,
Houston, Texas, USA, April 12, 2008. The symposium was supported by a grant from the National Institutes of Health (R13 CA132572
to Changyi Chen).