Ff. Shadan et Lp. Villarreal, POTENTIAL ROLE OF DNA-POLYMERASE-BETA IN GENE-THERAPY AGAINST CANCER - A CASE FOR COLORECTAL-CANCER, Medical hypotheses, 47(1), 1996, pp. 1-9
Genetic instablility characterized by the accumulation of mutations of
tumor suppressor genes and oncogenes appears to be associated with ca
rcinogenesis in colorectal and other cancers. Mutations of DNA polymer
ase beta (pol beta) and related chromosomal alterations appear to be c
onsistent with the causal role of a 'mutator phenotype' in carcinogene
sis. However, homozygous knockout pol beta mutations appear to interfe
re with embryogenesis. Increased pol beta activity (i.e. relative to p
ol alpha activity) has been associated with cell cycle arrest. The rel
ated aphidicolin-resistant DNA replication has been observed primarily
in differentiating cells, including the mammalian blastocyst, adrenal
cortex, thyroid, anterior pituitary, and the mechanism of endoredupli
cation (amitotic over-replication of DNA) can be traced to lower eukar
yotes. This increased activity in relation to terminal commitment is i
nconsistent with a simple 'DNA repair' view of pol beta. It is therefo
re proposed that pol beta may play a more fundamental role in cellular
differentiation through involvement in a putative subgenomic DNA repl
ication-based model of terminal gene expression. Thus genetic instabil
ity, loss of differentiation, and carcinogenesis may result from aberr
ation(s) or 'derailment' of such replication-based mechanism of termin
al gene expression. It is suggested to examine the relationship of DNA
pol beta to genomic instability and carcinogenesis using genetic anal
yses and antisense technology with possible applications for gene ther
apy against colorectal cancer.