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GENE:

TOP2A (DNA topoisomerase 2-alpha)

i
Other names: TOP2A, DNA Topoisomerase II Alpha, Topoisomerase (DNA) II Alpha 170kDa, DNA Topoisomerase II, Alpha Isozyme, DNA Topoisomerase 2-Alpha, TOP2, DNA Topoisomerase II, 170 KD
1d
The flavonoid astragalin induces apoptosis in lung adenocarcinoma and correlates with a prognostic cell cycle gene signature associated with PANoptosis. (PubMed, Transl Cancer Res)
Our study identifies a four-gene cell cycle signature associated with poor LUAD prognosis and demonstrates that astragalin induces apoptosis in LUAD cells. These genes are involved in a PANoptosis-related network, suggesting a potential mechanistic link requiring further validation.
Journal • Gene Signature • IO biomarker
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BCL2 (B-cell CLL/lymphoma 2) • TOP2A (DNA topoisomerase 2-alpha) • PLK1 (Polo Like Kinase 1) • CASP3 (Caspase 3) • CCNB1 (Cyclin B1) • CDK3 (Cyclin Dependent Kinase 3)
6d
Single-cell transcriptomic profiling uncovers key molecular signatures in glioma pathogenesis. (PubMed, Front Genet)
This comprehensive single-cell transcriptomic analysis successfully characterized the cellular heterogeneity of glioma, identifying distinct cell populations and molecular signatures. PLP1, FTH1, and GM42418 were validated as potential molecular biomarkers, providing novel insights into glioma pathogenesis and potential therapeutic targets.
Journal
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TOP2A (DNA topoisomerase 2-alpha) • BIRC5 (Baculoviral IAP repeat containing 5) • CDK1 (Cyclin-dependent kinase 1) • S100A16 (S100 Calcium Binding Protein A16) • C1QB (Complement C1q B Chain) • CLEC12A (C-Type Lectin Domain Family 12 Member A)
7d
Identification of a novel PANoptosis-associated prognostic signature and immune landscape analysis in neuroblastoma with experimental validation. (PubMed, Front Immunol)
Functional experiments showed that TOP2A knockdown inhibited proliferation, migration, and invasion of NB cells. We established an eight-gene PANoptosis-related prognostic index for neuroblastoma and highlighted four hub genes (KIF18A, EXO1, TOP2A, and TACC3) closely associated with NB risk and prognosis.
Journal • IO biomarker
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TACC3 (Transforming acidic coiled-coil containing protein 3) • TOP2A (DNA topoisomerase 2-alpha) • KIF18A (Kinesin Family Member 18A)
8d
Effectiveness of pegylated liposomal doxorubicin (Caelyx®) monotherapy in patients with metastatic HER2-low breast cancer: a monocentric retrospective study. (PubMed, Cancer Treat Res Commun)
PLD demonstrated modest efficacy in metastatic BC lacking HER2 overexpression, with comparable outcomes in HER2-low and HER2-negative subgroups. These findings suggest that HER2-low status does not predict anthracycline benefit and support the view that HER2-low is unlikely to represent a distinct therapeutic subtype. Further research is needed to refine treatment selection in this heterogeneous population.
Retrospective data • Journal
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HER-2 (Human epidermal growth factor receptor 2) • TOP2A (DNA topoisomerase 2-alpha)
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HER-2 positive • HER-2 overexpression • HER-2 negative • HER-2 positive + HER-2 overexpression
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Enhertu (fam-trastuzumab deruxtecan-nxki) • pegylated liposomal doxorubicin
9d
Deciphering the potential molecular links between ochratoxin A and colorectal cancer: an integrated computational toxicological and single-cell transcriptomic study. (PubMed, Toxicon)
This integrated computational study prioritized a five-gene framework potentially linking OTA-related predicted targets with CRC-associated metabolic and immune-related molecular alterations. These findings are supported by immune contexture inference, external protein-level reference data, computational structural analyses, and single-cell-based in silico perturbation results, providing a hypothesis-generating framework for subsequent experimental investigations into the potential toxicological relevance of OTA in CRC.
Journal
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CD8 (cluster of differentiation 8) • TOP2A (DNA topoisomerase 2-alpha) • ADH1B (Alcohol Dehydrogenase 1B (Class I), Beta Polypeptide) • FABP4 (Fatty Acid Binding Protein 4) • PLAU (Plasminogen Activator)
10d
Circumvention of acquired resistance to topoisomerase II-targeted anticancer agents in HL-60 leukemia cells by prevention of intronic polyadenylation. (PubMed, J Pharmacol Exp Ther)
The resulting splice site gene-edited clone, designated MX2/SS-Edit, expressed reduced TOP2α/160 mRNA/protein, increased TOP2α/170 mRNA/protein, and exhibited partial restoration of sensitivity to mitoxantrone, etoposide, and amsacrine. SIGNIFICANCE STATEMENT: Results presented here validated drug resistance in the HL-60/MX2 leukemia cell line driven by intronic polyadenylation (IPA) within intron 33 of the DNA topoisomerase IIα (TOP2α) gene, which produced a truncated and predominantly cytoplasmic TOP2α protein isoform (TOP2α/160). Using CRISPR/Cas9/homology-directed repair gene editing, the weak exon 33/intron 33 5' splice site was enhanced to suppress IPA, which restored expression of full-length protein (TOP2α/170) and led to a gain-of-function in drug sensitivity, offering a potential strategy to overcome drug resistance.
Preclinical • Journal
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TOP2A (DNA topoisomerase 2-alpha) • MX2 (MX Dynamin Like GTPase 2)
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etoposide IV • mitoxantrone • Amsidine (amsacrine)
10d
Suppression of glioblastoma progression by novel Phthalocyanine derivatives: In vitro characterization and molecular docking analysis. (PubMed, J Inorg Biochem)
Redocking of co-crystallized ligands yielded RMSD values below 2.0 Å, supporting protocol reliability. Overall, these findings suggest preliminary dark-condition in vitro activity of SiPc (Tan et al., 2020 (4)) and SubPc (Weller et al., 2021 (5)) against U-87 MG cells, while the docking results offer hypothesis-generating molecular insight into possible target interactions that may support future mechanistic and optimization studies.
Preclinical • Journal
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TOP2A (DNA topoisomerase 2-alpha)
11d
Integrative single-cell and spatial transcriptomics analysis reveals a baicalein-responsive 10-gene signature for non-small cell lung cancer. (PubMed, Transl Oncol)
This integrative study provides a comprehensive single‑cell and spatial atlas of baicalein‑responsive genes in NSCLC, identifies a robust diagnostic signature, and offers mechanistic insights for developing baicalein as a potential therapeutic agent.
Journal • Gene Signature
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TOP2A (DNA topoisomerase 2-alpha) • CDH1 (Cadherin 1) • SPP1 (Secreted Phosphoprotein 1) • CA9 (Carbonic anhydrase 9) • AURKB (Aurora Kinase B) • NQO1 (NAD(P)H dehydrogenase, quinone 1) • CCNB2 (Cyclin B2) • CCNB1 (Cyclin B1) • HMGB2 (High Mobility Group Box 2)
16d
The heat shock transcription factor, HSF1, stimulates the catalytic engagement of topoisomerase IIβ over topoisomerase IIα. (PubMed, Mol Cell)
Topoisomerase II (TOP2) poisons, such as etoposide, are potent antineoplastic drugs that also cause significant secondary toxicity to postmitotic cells...Intriguingly, HSF1 preferentially stimulates TOP2B over TOP2A, and knockdown or inhibition of HSF1 reduces the levels of catalytically engaged TOP2B but not TOP2A. Moreover, HSF1 inhibitors suppress the cytotoxicity of TOP2 poisons toward postmitotic cells without compromising their ability to kill cancer cells, revealing a strategy for minimizing the side-effects of TOP2 poison-based chemotherapy.
Journal
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TOP2A (DNA topoisomerase 2-alpha) • HSF1 (Heat Shock Transcription Factor 1)
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etoposide IV
20d
Identification of a TOP3A genetic variant as a novel biomarker for sensitivity to doxorubicin. (PubMed, Front Pharmacol)
Variant T-allele carriers (CT or TT) exhibited approximately 30% lower DOX EC50 than CC homozygotes in both the training and the test sets. Comprehensive analysis of common diversity in genetic loci coding for human topoisomerases identified rs113270903 in TOP3A as a new promising determinant of DOX sensitivity.
Journal
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TOP2A (DNA topoisomerase 2-alpha)
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doxorubicin hydrochloride
21d
Lactylation-related prognostic signature characterized in pancreatic ductal adenocarcinoma through public scRNA-seq dataset and machine learning algorithms: the TOP2A-H3K18la-NQO1 axis orchestrates malignant progression. (PubMed, Br J Cancer)
This study presents a lactylation-related risk score model with significant potential for improving the management of PDAC patients. The identification of the lactate-TOP2A-H3K18la-NQO1 axis enhances the understanding of lactylation mechanisms in PDAC, thereby providing a foundation for targeted therapeutic approaches.
Journal • Tumor mutational burden
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TMB (Tumor Mutational Burden) • TOP2A (DNA topoisomerase 2-alpha) • NQO1 (NAD(P)H dehydrogenase, quinone 1)
22d
TOP2 and NOS2 Orchestrate the Generation of DNA Breaks to Promote Colitis Cancer Initiation. (PubMed, Cancers (Basel))
While ICRF-193 suppressed tumor growth, Top2βf/f deficiency (with a compensatory TOP2α upregulation) enhanced tumor development, indicating potential roles for TOP2 isozymes in tumor formation and progression. Collectively, these findings identify the cooperative action of TOP2 and NOS2 in driving DSBs, highlighting a potential therapeutic target in inflammation-associated CRC.
Journal
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TOP2A (DNA topoisomerase 2-alpha) • NOS2 (Nitric Oxide Synthase 2)