2018
DOI: 10.1111/febs.14377
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Challenges to DNA replication in hypoxic conditions

Abstract: The term hypoxia refers to any condition where insufficient oxygen is available and therefore encompasses a range of actual oxygen concentrations. The regions of tumours adjacent to necrotic areas are at almost anoxic levels and are known to be extremely therapy resistant (radiobiological hypoxia). The biological response to radiobiological hypoxia includes the rapid accumulation of replication stress and subsequent DNA damage response, including both ATR‐ and ATM‐mediated signalling, despite the absence of de… Show more

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Cited by 48 publications
(39 citation statements)
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References 79 publications
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“…Replication stress is characterized by the presence of stalled forks with long stretches of ssDNA. 9 Replication Protein A is one of the initial responders to replication stress and binds to ssDNA for stabilization. Despite the replication stress, some cells can bypass genetic lesions and continue replicating by repriming the lesion.…”
Section: Discussionmentioning
confidence: 99%
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“…Replication stress is characterized by the presence of stalled forks with long stretches of ssDNA. 9 Replication Protein A is one of the initial responders to replication stress and binds to ssDNA for stabilization. Despite the replication stress, some cells can bypass genetic lesions and continue replicating by repriming the lesion.…”
Section: Discussionmentioning
confidence: 99%
“…8 In addition, severe hypoxia can lead to replication stress and can impact the efficient replication of the genome. 9 Longer periods of severe hypoxia lead to stalled replication forks which can then lead to over-replication of DNA. 9 In addition, reoxygenation during intermittent hypoxic conditions can lead to increased Reactive Oxygen Species (ROS) and ATP deprivation and can induce reprogramming in the DNA repair gene expression.…”
Section: Introductionmentioning
confidence: 99%
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“…ATM acts as the central coordinator of the cellular response to DNA double strand breaks (DSB)[ 50 ]. Previous studies also suggest ATM participates in the response to replicative stress, in the mitotic spindle checkpoint and in cytoplasmic pathways, for example, the mobilization of calcium and potassium ions [ 51 55 ]. Additionally, ATR is a member of DDR that works during replicative stress by suppressing new origin firing, protecting and reactivating stalled forks, and preventing mitotic anomalies, including chromosome fragmentation [ 56 – 58 ].…”
Section: Discussionmentioning
confidence: 99%
“…The level of hypoxia associated with radiation resistance, radiobiological hypoxia (<0.13% O 2 ), is characterised by a rapid induction of replication stress, which is defined as the slowing or stalling of replication forks. We have attributed hypoxia-induced replication stress to decreased nucleotide availability [2][3][4] . Previously, we demonstrated that hypoxia-induced replication stress leads to the induction of an ATR-and ATMdependent DNA damage response (DDR).…”
Section: Introductionmentioning
confidence: 99%