A rise in double-strand breaks sensitizes tumors to oxidative metabolism inhibitors - 25/03/26
, Francesc Viñals a, b, c, ⁎ 
Abstract |
Double-strand breaks (DSBs) accumulate in tumoral DNA due to deficiencies in homologous recombination (HR) repair, such as mutations in BRCA genes, or following antitumoral treatments. In the present study, we show that DSB accumulation, irrespective of origin, triggers an adaptive shift toward oxidative metabolism. We demonstrate that DSBs downregulate the glycolytic transcription factor HIF-1α. This downregulation reduces PDHK1 expression, thereby activating the pyruvate dehydrogenase complex, a key mitochondrial gatekeeper of cellular metabolism. We establish that the induction of oxidative metabolism represents a therapeutically actionable vulnerability across diverse cancer types, independent of HR proficiency. Targeting this metabolic switch in combination with DSB-inducing chemotherapies synergizes in vivo , resulting in significantly reduced tumor growth. Collectively, our findings reveal a critical feedback loop linking DSBs to cancer cell metabolism that constrains metabolic plasticity and creates a compelling therapeutic opportunity for rational combination strategies.
Le texte complet de cet article est disponible en PDF.Graphical Abstract |
Highlights |
• | DSBs induce a metabolic shift towards OXPHOS metabolism. |
• | DSB induce downregulation of HIF-1 that triggers metabolic reprogramming. |
• | Combining non-toxic doses of OXPHOS inhibitors with DSB-inducing drugs is effective in tumoral cells. |
• | This regimen might be also useful in situations where patients may have chemotherapy intolerance. |
Keywords : Cancer metabolism, DNA damage, OXPHOS inhibitors, Chemotherapy
Plan
Vol 197
Article 119184- avril 2026 Retour au numéroBienvenue sur EM-consulte, la référence des professionnels de santé.
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