ROS and the DNA damage response in cancer
Open accessAbstract
Reactive oxygen species (ROS) are a group of short-lived, highly reactive, oxygen-containing molecules that can induce DNA damage and affect the DNA damage response (DDR). There is unequivocal pre-clinical and clinical evidence that ROS influence the genotoxic stress caused by chemotherapeutics agents and ionizing radiation. Recent studies have provided mechanistic insight into how ROS can also influence the cellular response to DNA damage caused by genotoxic therapy, especially in the context of Double Strand Breaks (DSBs). This has led to the clinical evaluation of agents modulating ROS in combination with genotoxic therapy for cancer, with mixed success so far. These studies point to context dependent outcomes with ROS modulator combinations with Chemotherapy and radiotherapy, indicating a need for additional pre-clinical research in the field. In this review, we discuss the current knowledge on the effect of ROS in the DNA damage response, and its clinical relevance.
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The most frequently occurring mutations in the tumor suppressor gene TP53 in lung cancer are Guanine → Thymine and Guanine → Adenine transversions.
“The most frequently occurring mutations in the tumor suppressor gene TP53 in lung cancer are Guanine → Thymine and Guanine → Adenine transversions (Srinivas et al. 2019; Gibbons et al. 2014).”
From Reactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging (2023) · cites this paper as Srinivas et al. 2019
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“ROS plays an active role in the pathways involved in immunogenic cell death including the induction of autophagy [127], and antigen presentation by immune cells [128,129].”
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NADPH Oxidases: A Perspective on Reactive Oxygen Species Production in Tumor Biology
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Redox-sensitive alteration of replisome architecture safeguards genome integrity
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“Elevated ROS lead to dissociation of PRDX2 and TIMELESS, thus slowing replication fork speed [36].”
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Redox Modulation of HMGB1-Related Signaling
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“formation of 8-oxo guanine) [25], which can lead to G-T or G-A transversions if unrepaired.”
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“p53 is a redox protein with clusters of cysteine residues that can be targets of ROS [90], but it can also regulate ROS in turn [91].”
BackgroundLocus-specific mutation databases: pitfalls and good practice based on the p53 experience
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“This has led to suggestions that ROS modulators could be used for cancer primary prevention, or to enhance therapeutic responses [18,19].”
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“ATM-deficient cells also have increased ROS due to defects in NRF2 activity, a transcriptional factor which promotes the expression of antioxidant proteins under conditions of cellular stress [42,43].”
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Oxidative stress induces H2AX phosphorylation in human spermatozoa
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“[137], and further RCTs are required to determine the efficacy of these strategies.”
BackgroundATM/G6PD-driven redox metabolism promotes FLT3 inhibitor resistance in acute myeloid leukemia
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“Chk1 inhibition potentiates the cytotoxic effects of DNA-damage therapeutics in preclinical studies [75–77], although the relevance of ROS in this context has not been clearly defined.”
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Reactive oxygen species are essential mediators in antigen presentation by Kupffer cells
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“ROS plays an active role in the pathways involved in immunogenic cell death including the induction of autophagy [127], and antigen presentation by immune cells [128,129].”
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“directly activated by oxidative stress, for example by H2O2, leading to its autophosphorylation and subsequent downstream activation of the DDR pathway [47].”
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“As 8- Oxo-dG can be potentially converted to DSBs, further work will be required to understand the contribution of ROS to DSB generation through this route.”
BackgroundInfluentialStrategies for Prolonged Therapy in Patients With Advanced Non–Small-Cell Lung Cancer
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Cdc6 contributes to cisplatin-resistance by activation of ATR-Chk1 pathway in bladder cancer cells
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“Downstream of the sensor kinases are the transducer kinases Chk2 (activated by ATM) and Chk1 (activated by ATR), which phosphorylate and regulate proteins involved in DDR, DNA repair and cell cycle arrest.”
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“In contrast, ROS accumulation inhibits Aurora kinase A [86], even though PLK1 and Aurora-A are epistatic in the pathway.”
BackgroundIndependent Mechanistic Inhibition of Cdc25 Phosphatases by a Natural Product Caulibugulone
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“Interestingly, oxidative stress with H2O2 increases PLK1 expression in a p53 dependent manner [84,85], but maintains a G2/M arrest.”
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“ROS lowers ARID1A expression by promoter methylation in ovarian cancers [53,54], and ARID1A loss sensitizes ovarian cancer cells to ROS inducing agent elesclomol [55].”
BackgroundHigh expression of phospho-H2AX predicts a poor prognosis in colorectal cancer.
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“Oxidized bases occurring from ROS activity also present a physical obstacle to replication forks [37], resulting in the breakdown of replication forks at fragile sites across the genome.”
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“ATM loss modulates mitochondrial turnover, with an increase in aberrant mitochondria and therefore ROS [40,41].”
BackgroundSinglet Oxygen-Mediated Oxidation during UVA Radiation Alters the Dynamic of Genomic DNA Replication
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“ROS oxidize dNTPs to affect polymerase activity and thereby reduce replication fork velocity in vitro [34,35].”
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“Early studies observed that depletion of GSH could enhance radiosensitivity of squamous cell carcinoma cell lines [110].”
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“Similarly, DNA-PK deficient cells accumulate higher ROS upon oxidative stress [45,46].”
BackgroundRole of imaging in predicting response to neoadjuvant chemotherapy in gastric cancer
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“have profound effects on both pro-survival and pro-death pathways [138], and may result in attenuation of specific chemotherapeutic responses [139].”
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A phase I study of imexon plus gemcitabine as first-line therapy for advanced pancreatic cancer
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“While the pro-oxidant molecule Imexon demonstrated initial promising results in advanced pancreatic cancer in combination with gemcitabine [134], a larger phase II trial demonstrated no significant survival benefit or responses (ClinicalTrials.”
BackgroundNOV-002 plus carboplatin in platinum-resistant ovarian cancer
Krasner, C. N., Seiden, M. V., Penson, R. T., Roche, M. R., Kendall, D. L., Young, J., Matulonis, U. A., Pereira, L., & Berlin, S. T. (2008) · Journal of Clinical Oncology · doi:10.1200/jco.2008.26.15_suppl.5593 · Cited by 9 · see citing works
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Reactive oxygen species (ROS) as pleiotropic physiological signalling agents
Sies, H., & Jones, D. P. (2020) · Nature Reviews Molecular Cell Biology · doi:10.1038/s41580-020-0230-3 · Cited by 5,335 · see citing works
Juan, C. A., Pérez de la Lastra, J. M., Plou, F. J., & Pérez-Lebeña, E. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22094642 · Cited by 2,810 · see citing works
“The DNA damage caused by ROS, from endogenous or exogenous sources, has been a significant breakthrough in carcinogenesis research over the last 20 years [22].”
BackgroundReactive Oxygen Species, Toxicity, Oxidative Stress, and Antioxidants: Chronic Diseases and Aging
Jomova, K., Raptova, R., Alomar, S. Y., Alwasel, S. H., Nepovimova, E., Kuca, K., & Valko, M. (2023) · Archives of Toxicology · doi:10.1007/s00204-023-03562-9 · Cited by 2,638 · see citing works
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Mitochondria in oxidative stress, inflammation and aging: from mechanisms to therapeutic advances
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The double-edged roles of ROS in cancer prevention and therapy
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“Moreover, ROS not only delay the identification of damaged regions by affecting sensor kinases (ATM and ATR) and downstream transducer kinases (CHK1 and CHK2) [101, 102], but also impair the activation of DNA repair enzyme OGG1 by oxidation of critical cysteine residues [103].”
BackgroundCopper uptake, essentiality, toxicity, detoxification and risk assessment in soil-plant environment
Shabbir, Z., Sardar, A., Shabbir, A., Abbas, G., Shamshad, S., Khalid, S., Natasha, N., Murtaza, G., Dumat, C., & Shahid, M. A. R. (2020) · Chemosphere · doi:10.1016/j.chemosphere.2020.127436 · Cited by 482 · see citing works
ROS: Basic Concepts, Sources, Cellular Signaling, and its Implications in Aging Pathways
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“Oxidative stress can injure DNA, leading to DNA damage response (DDR) [207].”
The multifaceted role of reactive oxygen species in tumorigenesis
Kirtonia, A., Sethi, G., & Garg, M. (2020) · Cellular and Molecular Life Sciences · doi:10.1007/s00018-020-03536-5 · Cited by 452 · see citing works
Anti‐inflammatory hydrogel dressings and skin wound healing
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Tumor‐Microenvironment‐Responsive Nanomedicine for Enhanced Cancer Immunotherapy
Peng, S., Xiao, F., Chen, M., & Gao, H. (2021) · Advanced Science · doi:10.1002/advs.202103836 · Cited by 446 · see citing works
ROS induced lipid peroxidation and their role in ferroptosis
Endale, H. T., Tesfaye, W., & Mengstie, T. A. (2023) · Frontiers in Cell and Developmental Biology · doi:10.3389/fcell.2023.1226044 · Cited by 423 · see citing works
Interplay of oxidative stress, cellular communication and signaling pathways in cancer
Iqbal, M. J., Kabeer, A., Abbas, Z., Siddiqui, H. A., Călina, D. C., Sharifi‐Rad, J., & Cho, W. C. S. (2024) · Cell Communication and Signaling · doi:10.1186/s12964-023-01398-5 · Cited by 426 · see citing works
“At high oxidative stress levels, p53 promotes cell death by suppressing the expression of antioxidant genes and inducing the expression of prooxidative genes, including PIG3, PIG6, FDRX, Bax, Puma to further stimulate ROS production in cell that leads towards senescence [40, 45–47].”
BackgroundAnti-angiogenic therapy: current challenges and future perspectives
Lopes-Coelho, F., Martins, F., Pereira, S. A., & Serpa, J. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22073765 · Cited by 416 · see citing works
“However, higher ROS are also associated with chemotherapy resistance [221].”
BackgroundDas, A. K. (2023) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2023.165076 · Cited by 384 · see citing works
DNA Damage/Repair Management in Cancers
Alhmoud, J. F., Woolley, J. F., Moustafa, A. A., & Malki, M. I. (2020) · Cancers · doi:10.3390/cancers12041050 · Cited by 378 · see citing works
“Sources of DNA damage can be endogenous or exogenous and include reactive oxygen species (ROS) or ionizing radiation [1].”
BackgroundCellular Stress Responses in Radiotherapy
Kim, W., Lee, S., Seo, D., Kim, D., Kim, K., Kim, E., Kang, J., Seong, K. M., Youn, H., & Youn, B. (2019) · Cells · doi:10.3390/cells8091105 · Cited by 343 · see citing works
Cancer Metabolism: The Role of ROS in DNA Damage and Induction of Apoptosis in Cancer Cells
Zhao, Y., Ye, X., Xiong, Z., Ihsan, A., Arés, I., Martínez, M., López-Torres, B., Martínez‐Larrañaga, M., Anadón, A., Wang, X., et al. (2023) · Metabolites · doi:10.3390/metabo13070796 · Cited by 340 · see citing works
“The imbalance of ROS induces adverse cancer outcomes by affecting sign l transduction wi hin the DDR [93] because the accumulation of ROS can be toxic to cells, and toxic levels of ROS have been shown to affect replication”
BackgroundInfluentialTargeting Metabolic Plasticity and Flexibility Dynamics for Cancer Therapy
Fendt, S., Frezza, C., & Erez, A. (2020) · Cancer Discovery · doi:10.1158/2159-8290.cd-20-0844 · Cited by 320 · see citing works
Helicobacter pylori and gastric cancer: mechanisms and new perspectives
Duan, Y., Xu, Y., Dou, Y., & Xu, D. (2025) · Journal of Hematology & Oncology · doi:10.1186/s13045-024-01654-2 · Cited by 311 · see citing works
The Influence of Cell Cycle Regulation on Chemotherapy
Sun, Y., Liu, Y., Ma, X., & Hu, H. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms22136923 · Cited by 306 · see citing works
“ROS can induce CHK1 activation or directly affect the protein phosphatase Cdc25 family (Cdc25A, B, and C) to promote cell cycle arrest [98].”
BackgroundThe emerging role of oxidative stress in inflammatory bowel disease
Muro, P., Zhang, L., Li, S., Zhao, Z., Jin, T., Mao, F., & Mao, Z. (2024) · Frontiers in Endocrinology · doi:10.3389/fendo.2024.1390351 · Cited by 313 · see citing works
“Furthermore, ROS/RNS can directly attack DNA, causing oxidative DNA damage in IBD (41).”
BackgroundMucha, P., Skoczyńska, A., Małecka, M., Hikisz, P., & Budzisz, E. (2021) · Molecules · doi:10.3390/molecules26164886 · Cited by 290 · see citing works
NF‐κB signalling pathways in nucleus pulposus cell function and intervertebral disc degeneration
Zhang, G., Liu, M., Chen, H., Wu, Z., Gao, Y., Ma, Z., He, X., & Kang, X. (2021) · Cell Proliferation · doi:10.1111/cpr.13057 · Cited by 263 · see citing works
Intratumoural microbiota: a new frontier in cancer development and therapy
Cao, Y., Xia, H., Tan, X., Shi, C., Ma, Y., Meng, D., Zhou, M., Lv, Z., Wang, S., & Jin, Y. (2024) · Signal Transduction and Targeted Therapy · doi:10.1038/s41392-023-01693-0 · Cited by 263 · see citing works
“146 147 – 149 ETBF toxin increases the expression of spermine oxidase (SMO) in HT29/c1 and T84 colonic epithelial cells, triggering the SMO-dependent production of ROS and activation of γ -H2A, which causes DNA damage.”
BackgroundThe Role of Cancer Stem Cells in Radiation Resistance
Arnold, C. R., Mangesius, J., Skvortsova, I., & Ganswindt, U. (2020) · Frontiers in Oncology · doi:10.3389/fonc.2020.00164 · Cited by 214 · see citing works
Dual Role of Reactive Oxygen Species and their Application in Cancer Therapy
Huang, R., Chen, H., Liang, J., Li, Y., Yang, J., Luo, C., Tang, Y., Ding, Y., Liu, X., Yuan, Q., et al. (2021) · Journal of Cancer · doi:10.7150/jca.54699 · Cited by 218 · see citing works
“Under oxidative stress, ROS regulate the activation of ATM, which recognizes DNA damage [138].”
BackgroundChaudhary, M. R., Chaudhary, S., Sharma, Y., Singh, T. A., Mishra, A. K., Sharma, S. G., & Mehdi, M. M. (2023) · Biogerontology · doi:10.1007/s10522-023-10050-1 · Cited by 210 · see citing works
Mitochondrial Dynamics, ROS, and Cell Signaling: A Blended Overview
Brillo, V., Chieregato, L., Leanza, L., Muccioli, S., & Costa, R. (2021) · Life · doi:10.3390/life11040332 · Cited by 202 · see citing works
“Intracellular ROS increase promotes a series of signaling cascades, including the activation of MAPK and NF-κB pathways; moreover, DNA damage induced by ROS accumulation can promote p53 accumulation, activating the p53/Bax pathway and resulting in apoptosis [117].”
BackgroundInfluentialCopper Complexes as Anticancer Agents Targeting Topoisomerases I and II
Molinaro, C., Martoriati, A., Pélinski, L., & Cailliau, K. (2020) · Cancers · doi:10.3390/cancers12102863 · Cited by 200 · see citing works
Salivary gland function, development, and regeneration
Chibly, A. M., Aure, M. H., Patel, V. N., & Hoffman, M. P. (2022) · Physiological Reviews · doi:10.1152/physrev.00015.2021 · Cited by 207 · see citing works
Rauf, A., Khalil, A. A., Awadallah, S. M., Khan, S. A., Abu‐Izneid, T., Kamran, M., Hemeg, H. A., Mubarak, M. S., Khalid, A., & Wilairatana, P. (2023) · Food Science & Nutrition · doi:10.1002/fsn3.3784 · Cited by 201 · see citing works
Antioxidant Therapy in Cancer: Rationale and Progress
Luo, M., Zhou, L., Huang, Z., Li, B., Nice, E. C., Xu, J., & Huang, C. (2022) · Antioxidants · doi:10.3390/antiox11061128 · Cited by 201 · see citing works
Molecular Mechanisms of Parthanatos and Its Role in Diverse Diseases
Huang, P., Chen, G., Jin, W., Mao, K., Wan, H., & He, Y. T. (2022) · International Journal of Molecular Sciences · doi:10.3390/ijms23137292 · Cited by 193 · see citing works
Stimuli-Responsive Gene Delivery Nanocarriers for Cancer Therapy
Zhang, Q., Kuang, G., Li, W., Wang, J., Ren, H., & Zhao, Y. (2023) · Nano-Micro Letters · doi:10.1007/s40820-023-01018-4 · Cited by 190 · see citing works
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Cytotoxic mechanisms of doxorubicin at clinically relevant concentrations in breast cancer cells
Nicoletto, R. E., & Ofner, C. M. (2022) · Cancer Chemotherapy and Pharmacology · doi:10.1007/s00280-022-04400-y · Cited by 178 · see citing works
“Detection of phosphorylated H2AX at Serine-139 allows for the quantification of DNA DSBs.”
BackgroundInfluentialNickel Carcinogenesis Mechanism: DNA Damage
Guo, H., Liu, H., Wu, H., Cui, H., Fang, J. S., Zuo, Z., Deng, J., Li, Y., Wang, X., & Zhao, L. (2019) · International Journal of Molecular Sciences · doi:10.3390/ijms20194690 · Cited by 176 · see citing works
Shin, J., Song, M.-H., Oh, J.-W., Keum, Y.-S., & Saini, R. K. (2020) · Antioxidants · doi:10.3390/antiox9060532 · Cited by 173 · see citing works
“In the human body, a range of short-lived reactive oxygen species (ROS), including superoxide radical/anion (O2•−), hydroxyl radical (•OH), and hydrogen peroxide H2O2 are endogenously produced by mitochondria (electron transport chain), NADPH oxidase, peroxisomes, and endoplasmic reticulum (as byproducts during the ce…”
BackgroundThe gold complex auranofin: new perspectives for cancer therapy
Abdalbari, F. H., & Telleria, C. M. (2021) · Discover Oncology · doi:10.1007/s12672-021-00439-0 · Cited by 169 · see citing works
Shi, Y., Zhu, X.-T., Su-na, Z., Ma, Y., Han, Y., Yue, J., & Zhang, Y. (2023) · Frontiers in Endocrinology · doi:10.3389/fendo.2023.1172481 · Cited by 179 · see citing works
“transduction within DDR, interfering with cell cycle progression, and inducing p53 transcriptional response and apoptosis (32).”
BackgroundReactive Oxygen Species Scavenging Nanomedicine for the Treatment of Ischemic Heart Disease
Zhang, Z., Dalan, R., Hu, Z., Wang, J., Chew, N., Poh, K. K., Tan, R., Soong, T. W., Dai, Y., Ye, L., et al. (2022) · Advanced Materials · doi:10.1002/adma.202202169 · Cited by 174 · see citing works
Recent advances in MOF-based nanoplatforms generating reactive species for chemodynamic therapy
Zhong, Y., Li, X., Chen, J., Wang, X., Wei, L.-T., Fang, L., Kumar, A., Zhuang, S., & Liu, J. (2020) · Dalton Transactions · doi:10.1039/d0dt01882a · Cited by 158 · see citing works
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Connecting Calcium-Based Nanomaterials and Cancer: From Diagnosis to Therapy
Bai, S., Lan, Y., Fu, S., Cheng, H., Lu, Z., & Liu, G. (2022) · Nano-Micro Letters · doi:10.1007/s40820-022-00894-6 · Cited by 155 · see citing works
“Although free radicals are generally thought to exert antitumor effects through directly attack on the double stranded DNA structure and causing irreversible DNA damage, cytotoxic free radicalinduced dysregulation of associated calcium signaling is also thought to be the cause of cell apoptosis, which explains why the…”
BackgroundImpact of heavy metal toxicity on the human health and environment
Kotnala, S., Tiwari, S., Nayak, A., Bhushan, B., Chandra, S., Medeiros, C. R., & Coutinho, H. D. M. (2025) · The Science of The Total Environment · doi:10.1016/j.scitotenv.2025.179785 · Cited by 162 · see citing works
Altered glucose metabolism and cell function in keloid fibroblasts under hypoxia
Wang, Q., Wang, P., Qin, Z., Yang, X. C., Pan, B., Nie, F., & Bi, H. (2020) · Redox Biology · doi:10.1016/j.redox.2020.101815 · Cited by 153 · see citing works
“A growing body of data revealed that ROS level increased in cells exposed to hypoxia [30, 31], while other researchers detected the opposite result.”
ResultCircadian rhythms and cancers: the intrinsic links and therapeutic potentials
Zhou, L., Zhang, Z., Nice, E. C., Huang, C., Zhang, W., & Tang, Y. C. (2022) · Journal of Hematology & Oncology · doi:10.1186/s13045-022-01238-y · Cited by 156 · see citing works
Li, C., Deng, C., Wang, S., Dong, X. D., Dai, B., Guo, W., Guo, Q., Feng, Y., Xu, H., Song, X., et al. (2024) · Redox Biology · doi:10.1016/j.redox.2024.103059 · Cited by 149 · see citing works
“While Cisplatin induces DNA single-strand breaks, activating the ATR-Chk1 pathway [24 – 26].”
BackgroundAntitumor Effects of Carvacrol and Thymol: A Systematic Review
Sampaio, L. A., Pina, L. T. S., Serafini, M. R., Tavares, D. D. S., & Guimarães, A. G. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.702487 · Cited by 148 · see citing works
Reactive oxygen species-powered cancer immunotherapy: Current status and challenges
He, M., Wang, M., Xu, T., Zhang, M., Dai, H., Wang, C., Ding, D., & Zhong, Z. (2023) · Journal of Controlled Release · doi:10.1016/j.jconrel.2023.02.040 · Cited by 144 · see citing works
Regulation and signaling pathways in cancer stem cells: implications for targeted therapy for cancer
Zeng, Z., Fu, M., Hu, Y., Wei, Y., Wei, X., & Luo, M. (2023) · Molecular Cancer · doi:10.1186/s12943-023-01877-w · Cited by 143 · see citing works
“Moreover, studies have demonstrated how CSCs use ROS to resist radio-and chemotherapy-derived oxidative stress [324].”
BackgroundLi, J., Zhao, Y., Gong, S., Wang, M., Liu, X., He, Q., Li, Y., Huang, S., Qiao, H., Tan, X.-R., et al. (2023) · Nature Communications · doi:10.1038/s41467-023-36523-y · Cited by 143 · see citing works
Emerging carbon-supported single-atom catalysts for biomedical applications
Liao, G., Zhang, L., Li, C., Liu, S., Fang, B., & Yang, H. (2022) · Matter · doi:10.1016/j.matt.2022.07.031 · Cited by 134 · see citing works
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“On the other hand, ROS also oxidatively modify key signaling proteins and proteins involved in crucial biological mechanisms [4, 29, 30].”
BackgroundMechanisms and applications of radiation-induced oxidative stress in regulating cancer immunotherapy
Zheng, Z., Su, J., Bao, X., Wang, H., Bian, C., Zhao, Q., & Jiang, X. M. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1247268 · Cited by 135 · see citing works
“DNA is one of the main targets of ROS, which can induce DNA damage and induce DNA damage response (18).”
BackgroundSupramolecular hydrogels for wound repair and hemostasis
Zhuo, S., Liang, Y., Wu, Z., Zhao, X., Han, Y. N., & Guo, B. (2023) · Materials Horizons · doi:10.1039/d3mh01403g · Cited by 132 · see citing works
Advancements in Regenerative Hydrogels in Skin Wound Treatment: A Comprehensive Review
Olteanu, G., Neacșu, S. M., JOIȚA, F. A., Musuc, A. M., Lupu, C. E., Ioniță-Mîndrican, C.-B., Lupuliasa, D., & Mititelu, M. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25073849 · Cited by 131 · see citing works
Qi, B., Song, L., Hu, L., Guo, D. S., Ren, G., Peng, T., Liu, M., Fang, Y., Li, C., Zhang, M., et al. (2022) · Experimental & Molecular Medicine · doi:10.1038/s12276-022-00800-5 · Cited by 126 · see citing works
Mechanisms and regulations of ferroptosis
Zhang, X.-D., Liu, Z., Wang, M.-S., Guo, Y.-X., Wang, X., Luo, K., Huang, S., & Li, R. (2023) · Frontiers in Immunology · doi:10.3389/fimmu.2023.1269451 · Cited by 131 · see citing works
Howard, D., Sebastian, S. T., Le, Q. V.-C., Thierry, B., & Kempson, I. M. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21020579 · Cited by 125 · see citing works
“Out of these the double strand breaks causes are most important [29,34].”
BackgroundRole of Rad51 and DNA repair in cancer: A molecular perspective
Laurini, E., Marson, D., Fermeglia, A., Aulić, S., Fermeglia, M., & Pricl, S. (2020) · Pharmacology & Therapeutics · doi:10.1016/j.pharmthera.2020.107492 · Cited by 128 · see citing works
The Importance of Being PI3K in the RAS Signaling Network
Cuesta, C., Arévalo-Alameda, C., & Castellano, E. (2021) · Genes · doi:10.3390/genes12071094 · Cited by 123 · see citing works
Gallic acid for cancer therapy: Molecular mechanisms and boosting efficacy by nanoscopical delivery
Ashrafizadeh, M., Zarrabi, A., Mirzaei, S., Hashemi, F., Samarghandian, S., Zabolian, A., Hushmandi, K., Ang, H. L., Sethi, G., Kumar, A. P., et al. (2021) · Food and Chemical Toxicology · doi:10.1016/j.fct.2021.112576 · Cited by 124 · see citing works
Yi, G. Y., Kim, M. J., Kim, H. I., Park, J., & Baek, S. H. (2022) · Antioxidants · doi:10.3390/antiox11040625 · Cited by 121 · see citing works
ROS: A “booster” for chronic inflammation and tumor metastasis
Chen, A., Huang, H., Fang, S., & Hang, Q. (2024) · Biochimica et Biophysica Acta (BBA) - Reviews on Cancer · doi:10.1016/j.bbcan.2024.189175 · Cited by 127 · see citing works
Medicinal Prospects of Antioxidants From Algal Sources in Cancer Therapy
Ferdous, U. T., & Yusof, Z. N. B. (2021) · Frontiers in Pharmacology · doi:10.3389/fphar.2021.593116 · Cited by 121 · see citing works
“Above all, these alterations of chromosomes give rise to genetic instability and ultimately lead to carcinogenesis (De Sá Junior et al., 2017; Srinivas et al., 2019).”
BackgroundOxidative Stress in Cancer Therapy: Friend or Enemy?
Azmanova, M., & Pitto‐Barry, A. (2022) · ChemBioChem · doi:10.1002/cbic.202100641 · Cited by 119 · see citing works
Hyaluronan and Reactive Oxygen Species Signaling—Novel Cues from the Matrix?
Berdiaki, A., Neagu, M. T., Spyridaki, I., Николаевич, К. А., Pérez, S., & Nikitovic, D. (2023) · Antioxidants · doi:10.3390/antiox12040824 · Cited by 118 · see citing works
Ashrafizadeh, M., Bakhoda, M. R., Bahmanpour, Z., Ilkhani, K., Zarrabi, A., Makvandi, P., Khan, H. Z., Mazaheri, S., Darvish, M., & Mirzaei, H. (2020) · Frontiers in Chemistry · doi:10.3389/fchem.2020.00829 · Cited by 114 · see citing works
Recent Overview of Potent Antioxidant Activity of Coordination Compounds
El‐Lateef, H. M. A., El‐Dabea, T., Khalaf, M. M., & Abu‐Dief, A. M. (2023) · Antioxidants · doi:10.3390/antiox12020213 · Cited by 114 · see citing works
Sun, X., Wang, S., Gai, J., Guan, J., Li, J., Li, Y., Zhao, J., Zhao, C., Fu, L., & Li, Q. (2019) · Frontiers in Oncology · doi:10.3389/fonc.2019.00754 · Cited by 110 · see citing works
Zhou, T., Yang, X., Chen, Z., Yang, Y., Wang, X., Cao, X., Chen, C., Chen, H., Tian, H., Qin, A., et al. (2022) · Advanced Science · doi:10.1002/advs.202105466 · Cited by 108 · see citing works
Molecular mechanisms of ROS-modulated cancer chemoresistance and therapeutic strategies
Zhou, X., An, B., Lin, Y., Ni, Y., Zhao, X., & Liang, X. (2023) · Biomedicine & Pharmacotherapy · doi:10.1016/j.biopha.2023.115036 · Cited by 107 · see citing works
Regulation of seed germination: ROS, epigenetic, and hormonal aspects
Wang, Y., Sun, X., Peng, J., Li, F., Ali, F., & Wang, Z. (2024) · Journal of Advanced Research · doi:10.1016/j.jare.2024.06.001 · Cited by 108 · see citing works
“The formation of hydroxyl radicals at a higher level in the mitochondria of seeds results in a higher degree of damage to mitochondrial DNA and activation of the antioxidant defense system [70,71].”
Zhang, C., Xin, L., Li, J., Cao, J., Sun, Y., Wang, X., Luo, J., Zeng, Y., Li, Q., Zhang, Y., et al. (2021) · Advanced Healthcare Materials · doi:10.1002/adhm.202101946 · Cited by 106 · see citing works
Krawczyk, M., Burzyńska-Pędziwiatr, I., Woźniak, L. A., & Bukowiecka‐Matusiak, M. (2023) · Biomolecules · doi:10.3390/biom13091402 · Cited by 114 · see citing works
“This can lead to mutations, carcinogenesis, apoptosis, necrosis, and hereditary diseases [43].”
BackgroundCancer cell membrane-coated nanoparticles: a promising anti-tumor bionic platform
Guo, Q., Wang, S., Xu, R., Tang, Y., & Xia, X. (2024) · RSC Advances · doi:10.1039/d4ra01026d · Cited by 108 · see citing works
“145 In recent years other metal ion ( e.g. , Cu 2+ and Mn 2+ ) mediated Fenton-like reactions have also been developed for CTD enhancement.”
BackgroundLow‐Density Neutrophils in Systemic Lupus Erythematosus
Tay, S. H., Celhar, T., & Fairhurst, A. (2020) · Arthritis & Rheumatology · doi:10.1002/art.41395 · Cited by 107 · see citing works
“Consistent with these findings, chronically elevated ROS, which often occurs in SLE, affects several aspects of DNA damage response and may lead to accumulation of such genomic changes (57,58).”
BackgroundRole of Mitochondria in Cancer Stem Cell Resistance
García-Heredia, J. M., & Carnero, A. (2020) · Cells · doi:10.3390/cells9071693 · Cited by 85 · see citing works
Emerging roles of cystathionine β-synthase in various forms of cancer
Ascenção, K., & Szabó, C. (2022) · Redox Biology · doi:10.1016/j.redox.2022.102331 · Cited by 105 · see citing works
Sirtuins' control of autophagy and mitophagy in cancer
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Ammonia detoxification promotes CD8+ T cell memory development by urea and citrulline cycles
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“Increased production of ROS promotes accumulation of P53 in numerous cell types [37,38], which sparked the idea that the enhanced presence of P53 in Piezo1scKO MuSCs is due to increased ROS production.”
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“Radiation directly kills cancer cells by inducing DNA damage and increasing reactive oxygen species (ROS) levels, which will restrict the proliferation of irradiated cells and promote cell apoptosis.(125) Intriguingly, our previous study first revealed that the adaptive immune system was required for the optimal antit…”
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- Authors
- Srinivas, U. S., Tan, B. W. Q., Vellayappan, B. A., & Jeyasekharan, A. D.
- Affiliations
- National University of Singapore (SG)
- National University Hospital (SG)
- Corresponding author
- Jeyasekharan, Anand D.
- Venue
- Redox Biology
- Publisher
- Elsevier BV
- Published
- 2019-07
- Volume
- 25
- Pages
- 101084
- ISSN
- 2213-2317 (ISSN-L)
- PMC
- PMC6859528
- OpenAlex
- W2906120852
- Cited by
- 2,144
- References
- 153
- Citations by year
- 2026: 217 · 2025: 396 · 2024: 392 · 2023: 381 · 2022: 335 · 2021: 262 · 2020: 132 · 2019: 26
- FWCI
- 10.28
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- Redox Biology (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- National University of Singapore (submittedVersion, cc-by-nc-nd)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Funders
- National Medical Research Council (NMRC/TA/0052/2016)
- AstraZeneca
- Ministry of Health -Singapore
- Meso Scale Diagnostics
- National Research Foundation Singapore
- Ministry of Education - Singapore
- Janssen Pharmaceuticals
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Redox biology and oxidative stress
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Health Sciences › Medicine › Radiology, Nuclear Medicine and Imaging › Effects of Radiation Exposure
- Keywords
- reactive oxygen species, DNA damage response, cancer, DNA double-strand breaks, genotoxic stress, anticancer agents, ionizing radiation, radiosensitizers, combination therapy, oxidative DNA damage
- MeSH terms
- Animals, DNA Damage, DNA Repair, Humans, Neoplasms, Tumor Suppressor Protein p53, Apoptosis, Reactive Oxygen Species
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