Hypertranscription and replication stress in cancer

Trends Cancer. 2021 Sep;7(9):863-877. doi: 10.1016/j.trecan.2021.04.006. Epub 2021 May 26.

Abstract

Replication stress results from obstacles to replication fork progression, including ongoing transcription, which can cause transcription-replication conflicts. Oncogenic signaling can promote global increases in transcription activity, also termed hypertranscription. Despite the widely accepted importance of oncogene-induced hypertranscription, its study remains neglected compared with other causes of replication stress and genomic instability in cancer. A growing number of recent studies are reporting that oncogenes, such as RAS, and targeted cancer treatments, such as bromodomain and extraterminal motif (BET) bromodomain inhibitors, increase global transcription, leading to R-loop accumulation, transcription-replication conflicts, and the activation of replication stress responses. Here we discuss our mechanistic understanding of hypertranscription-induced replication stress and the resulting cellular responses, in the context of oncogenes and targeted cancer therapies.

Keywords: R-loops; genomic instability; hypertranscription; oncogenes; replication stress.

Publication types

  • Research Support, Non-U.S. Gov't
  • Review

MeSH terms

  • DNA Damage
  • DNA Replication*
  • Genomic Instability
  • Humans
  • Neoplasms* / genetics
  • Oncogenes
  • R-Loop Structures