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Topoisomerases (I and II) !

Topoisomerases cut and rejoin DNA to remove the twists that build up when it opens; they are the target of several anticancer drugs.

Updated 2026-11-01

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Key facts

  • Type I: cuts one strand, lets the other rotate and rejoins it; uses no ATP. Changes the linking number by 1.
  • Type II: cuts both strands, passes another double helix through the gap and seals; uses ATP. Changes the linking number by 2 and unlinks entangled chromosomes.
  • The enzyme stays attached to DNA by a covalent phosphotyrosine bond while the DNA is cut.
  • Topoisomerase 'poisons' stabilise the cut complex and turn the enzyme into a source of breaks.
  • Human topo I: irinotecan and topotecan (camptothecins). Topo II: etoposide, doxorubicin. In bacteria: gyrase and topo IV, targets of fluoroquinolones.
Also called
Topo I, Topo II
EC number
5.6.2.1 / 5.6.2.2
Genes
TOP1, TOP2A, TOP2B
Structure (PDB)
1K4T

Regulation

  • Topo IIα is abundant in dividing cells (S/G2/M phase), so fast-growing tumours are more sensitive.
  • Topo IIβ is expressed in non-dividing cells and takes part in transcription.

Inhibitors and toxins

  • Camptothecins: irinotecan, topotecan (topo I)
  • Etoposide (topo II)
  • Anthracyclines: doxorubicin, daunorubicin (topo II, also intercalators)
  • Fluoroquinolones (bacterial gyrase and topo IV; see DNA gyrase)

Clinical notes

  • Anti-topoisomerase I antibodies (anti-Scl-70) are linked to diffuse systemic sclerosis.
  • Etoposide and anthracyclines can cause secondary leukaemias with KMT2A (MLL) rearrangements.
  • Doxorubicin cardiotoxicity is partly linked to topo IIβ in heart muscle.

Drugs that act here

Test yourself

Think of the answer, then tap the question to see it.

How do topoisomerase I and II differ?

Type I cuts one strand and uses no ATP; type II cuts both, passes another helix through the cut and uses ATP.

How do topoisomerase 'poisons' such as etoposide kill cells?

They stabilise the cut enzyme–DNA complex; the cuts are not resealed and become lethal breaks.

Which anti-topoisomerase autoantibody is typical of diffuse systemic sclerosis?

Anti-Scl-70, directed against topoisomerase I.

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Educational information, not medical advice. For any symptom, see a health professional.

Sources: TOP1: DNA topoisomerase 1 (human) (UniProt, 2026); TOP2A: DNA topoisomerase 2-alpha (human) (UniProt, 2026); 1K4T: HUMAN DNA TOPOISOMERASE I (70 KDA) IN COMPLEX WITH THE POISON TOPOTECAN AND COVALENT COMPLEX WITH A 22 BASE PAIR DNA DUPLEX (RCSB Protein Data Bank, 2026); 3QX3: Human topoisomerase IIbeta in complex with DNA and etoposide (RCSB Protein Data Bank, 2026); Textbook of Biochemistry for Medical Students, 6th ed. (Jaypee Brothers Medical Publishers (Vasudevan DM, Sreekumari S, Vaidyanathan K), 2011).

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Representative model, for educational purposes only.