2016
DOI: 10.1016/j.mrrev.2015.11.001
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Contributions of DNA repair and damage response pathways to the non-linear genotoxic responses of alkylating agents

Abstract: From a risk assessment perspective, DNA-reactive agents are conventionally assumed to have genotoxic risks at all exposure levels, thus applying a linear extrapolation for low-dose responses. New approaches discussed here, including more diverse and sensitive methods for assessing DNA damage and DNA repair, strongly support the existence of measurable regions where genotoxic responses with increasing doses are insignificant relative to control. Model monofunctional alkylating agents have in vitro and in vivo d… Show more

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Cited by 40 publications
(28 citation statements)
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“…This is of particular interest in case of low, for human exposure relevant levels. As stated in the introduction, there have been numerous contributions stating that for alkylating agents there may be a dose range where DNA adducts are measurable but do not result in increased mutation frequencies; for recent review see (Klapacz et al 2016 ). Nevertheless, this raises the question whether this is a general phenomenon or restricted to certain DNA lesions.…”
Section: Discussionmentioning
confidence: 99%
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“…This is of particular interest in case of low, for human exposure relevant levels. As stated in the introduction, there have been numerous contributions stating that for alkylating agents there may be a dose range where DNA adducts are measurable but do not result in increased mutation frequencies; for recent review see (Klapacz et al 2016 ). Nevertheless, this raises the question whether this is a general phenomenon or restricted to certain DNA lesions.…”
Section: Discussionmentioning
confidence: 99%
“…Especially directly genotoxic, i.e., DNA-reactive agents or their DNA-reactive metabolites, are generally assumed to represent risk factors at any concentration, following a linear dose–response also in the low concentration range, implying that even one or a few DNA lesions may result in mutations, and thus, may increase tumor risk. This assumption has repeatedly been challenged during the last years, due to observations that, for example, in case of alkylating compounds such as EMS DNA lesions are linear also in the low dose range, while increases in mutation frequencies follow a non-linear dose–response relationship (Doak et al 2007 ; Gocke and MĂŒller 2009 ; Jenkins et al 2010 ; Pottenger et al 2009 ; for recent review see Klapacz et al 2016 ). This raised the question whether this may apply for all genotoxic substances, due to, for example, complete repair, as well as other DNA damage response systems in cases of low levels of DNA damage, which are overwhelmed in case of higher levels of DNA adducts (Greim and Albertini 2014 ; Klapacz et al 2016 ).…”
Section: Introductionmentioning
confidence: 99%
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“…133 Exogenous alkylating agents also contribute to the occurrence of O 6 -MedG in the genome, including natural and anthropogenic components of air, water, and food, as well as several chemotherapeutic agents. 134 Fig . 6 Genome-wide mapping method for BPDE-dG NER repair events.…”
Section: Methylating Agents (O 6 -Methylguanine)mentioning
confidence: 99%
“…Theoretically, genetic damage poses a safety concern only if (a) interaction with genetic material is likely to occur in vivo; (b) the genetic interaction, which is a stochastic event, occurs at a relevant genetic locus in a coding or otherwise functional DNA sequence (rather than as a silent DNA modification); (c) repair is insufficient (DNA repair capacity is exceeded); and (d) the phenotype of the genetic damage has biological consequences (i.e. leads to cancer, germ cell damage, or other cell/tissue disruption) (Vogelstein et al 2013;Klapacz et al 2016;Liu et al 2016;Basu 2018).…”
Section: The Fema Expert Panel Approach To the Genotoxicity Evaluatiomentioning
confidence: 99%