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. 2024 Jan 23;10(1):9. doi: 10.1038/s41514-024-00135-7

Fig. 2. Pathways involved in DNA damage.

Fig. 2

After induction of DNA damage, ATR-CHK1 and ATM-CHK2 are recruited to the damaged position. These lead to an activation and increased presence of p53, by inhibiting MDM2/4. Activated p53 in turn either binds to FOXO4, inducing increased expression of p21, or interacts with PUMA and NOXA, which activates the apoptosis cascade. Besides activation of p53, ATR-CHK1 and ATM-CHK2 are also responsible for phosphorylation of p38MAPK and transcription of p16. These two proteins activate senescence in the cell.