Review Article

Involvement of DNA Damage Response Pathways in Hepatocellular Carcinoma

Table 3

Summary of the involvement of the DDR pathways in potential therapy resistance in HCC.

ProteinDNA repair pathwayUnderlying effectsReference

Chk-1HRShh ligand abolished RT-induced phosphorylation of Chk-1 as well as impairing the repair of DNA DSB, which results in HCC cells, HA22T, and Sk-Hep1, resistant to radiotherapy.[232]

Chk-2UCN-01 promotes the cytotoxicity of paclitaxel in paclitaxel resistant HCC cells (SNU449, SNU398, SUN368, SNU354, and HepG2 cells) via inhibiting activity of Chk-2.[233, 259]

ECCR1NERHCC patients with increased nuclear staining of ERCC1 are positively correlated with resistance of cisplatin treatment.[236]

XPCIncreased XPC is associated with liver fibrogenesis and cancer and could be related to the well-recognized resistance of HCC to chemotherapeutics.[135]

ATMHR or NHEJSmall molecular inhibitor, CGK733, which targets kinase activity of ATM can obviously reverse HBV-positive HCC cells, [147]
KU55933, ATM inhibitor cotreat with sorafenib, multikinase inhibitor, shows synthetic cytotoxicity to HepG2 cells.[148]