
In March 2026, a paper in Molecular Cell revised the understanding of a cancer target whose inhibitors are already being tested in patients. That target is Pol theta, an enzyme nearly every cell has, there to patch breaks in damaged DNA. This repair job has made it a clinical-stage drug target for years: cells that can’t repair their DNA tend to die, and cancer cells, which rack up far more damage than normal cells, are especially vulnerable to losing that option. That’s the kind of established model a field builds whole drug programs on.
Those programs include trials enrolling patients right now, testing Pol theta inhibitors in BRCA-mutant tumors and others that have lost homologous recombination (HR), a different, generally more reliable way of repairing broken DNA than the one Pol theta handles. Losing HR alone doesn’t kill these tumor cells, since they still have Pol theta’s pathway to fall back on. Take that away too, and a cancer cell that’s already down to one option for fixing this kind of damage also loses its last chance of surviving it. Scientists call this synthetic lethality.
This year, two independent labs, researching different questions, found that Pol theta plays a different role than assumed.
Continue reading “There’s a Fork in DNA Replication, and Pol Theta Takes It”