DNA Adducts from Anticancer Drugs as Candidate Predictive Markers for Precision Medicine

Alessia Stornetta, Maike Zimmermann, George D. Cimino, Paul Henderson, Shana J. Sturla

Research output: Contribution to journalArticlepeer-review

29 Scopus citations


Biomarker-driven drug selection plays a central role in cancer drug discovery and development, and in diagnostic strategies to improve the use of traditional chemotherapeutic drugs. DNA-modifying anticancer drugs are still used as first line medication, but drawbacks such as resistance and side effects remain an issue. Monitoring the formation and level of DNA modifications induced by anticancer drugs is a potential strategy for stratifying patients and predicting drug efficacy. In this perspective, preclinical and clinical data concerning the relationship between drug-induced DNA adducts and biological response for platinum drugs and combination therapies, nitrogen mustards and half-mustards, hypoxia-activated drugs, reductase-activated drugs, and minor groove binding agents are presented and discussed. Aspects including measurement strategies, identification of adducts, and biological factors that influence the predictive relationship between DNA modification and biological response are addressed. A positive correlation between DNA adduct levels and response was observed for the majority of the studies, demonstrating the high potential of using DNA adducts from anticancer drugs as mechanism-based biomarkers of susceptibility, especially as bioanalysis approaches with higher sensitivity and throughput emerge.

Original languageEnglish (US)
Pages (from-to)388-409
Number of pages22
JournalChemical Research in Toxicology
Issue number1
StatePublished - Jan 17 2017

ASJC Scopus subject areas

  • Toxicology


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