Applications

Where POLEX™ goes to work.

DNA breaks drive cancer, ageing, and neurodegeneration. They are also the biggest safety obstacle in gene therapy, and the warning sign of drug toxicity. POLEX™ resolves them at base resolution across the whole genome, including the centromeres and satellite regions short-read methods cannot read.

Why this matters

Why does it matter how DNA breaks are measured?

Every drug-development decision, biomarker, and treatment choice that involves DNA damage rests on a measurement. The method shapes what you see. Three methods dominate the field. Each has a hard limit that decides which applications it can serve.

Microscopy

γH2AX foci

An indirect marker. Counts spots of phosphorylated H2AX as a proxy for nearby breaks. Today's standard pharmacodynamic readout in clinical trials.

Limitations
  • Saturates above ~100 foci/cell. Useless at high radiotherapy doses.
  • No genomic location. Can't tell on- from off-target.
  • Non-specific. Also lights up replication stress, R-loops, apoptosis.
  • Subjective. Antibody, exposure, image analysis all shift numbers.
Comet assay

Single-cell electrophoresis

Damage measured by the length of a DNA "comet tail" in a gel under microscopy. Decades old. Still widely used in genotoxicity work.

Limitations
  • Detection floor of ~50 breaks/cell. Misses subtle damage.
  • No genomic location at all.
  • Conflates SSB, DSB, and alkali-labile sites.
  • Lab-to-lab variability. Hard to reproduce.
Short-read sequencing

BLISS, GUIDE-seq, END-seq

Capture-based methods using 50 to 300 bp Illumina reads. Direct break detection at base resolution, but only where reads can be uniquely mapped.

Limitations
  • Can't read centromeres or satellites.
  • Can't read rDNA. Invisible to short reads.
  • ~10 to 15% of the genome unmappable. Exactly where stress damage concentrates.
  • Misses off-targets in homologous gene families.

Capability comparison

What each method can, and can't, measure.

γH2AX Comet Short-read POLEX™
Direct break detection indirect indirect
Per-base genomic resolution partial
Reads centromeres & satellites
Reads rDNA repeats
Distinguishes SSB / DSB / complex lesions partial
Quantitative at therapeutic Gy doses saturates
Genomic-context MoA fingerprint partial
Cytosolic DNA / micronucleus origin partial

Why nuclear medicine cares

Therapeutic radiation hits centromeres and pericentric heterochromatin hardest. γH2AX foci saturate at clinical doses. Short-read methods can't map the centromeric breakage that drives mitotic catastrophe. POLEX™ resolves it.

Why cGAS-STING cares

Cytosolic DNA fragments trigger innate-immunity priming. Most of them come from centromeric DNA stuck in micronuclei. Conventional methods can't trace origin. POLEX™ identifies the genomic source.

Why neurodegen cares

rDNA breakage is increasingly linked to neurodegeneration. But rDNA is invisible to short-read sequencing. POLEX™ reads through ribosomal repeats. New damage axis, now measurable.

Drug discovery

From target to candidate.

POLEX™ measures the on-target DNA damage signature of a compound at every step, from target validation through preclinical optimisation. Base resolution. Repetitive regions included.

Safety

Genotoxicity screening

Quantify compound-induced DNA damage with dose response. Catch tox liabilities early. Cuts late-stage attrition. Works in primary cells, iPSCs, and organoids.

Endpoints

Break rate per Mb · lesion class · strand bias · dose response

Drug discovery

DDR drugs & mode of action

For PARP, ATR, ATM, WEE1, USP1, PARP7, and DNA-PK programmes. Show where in the genome target inhibition drives damage. Turns MoA claims into mappable evidence.

Outputs

Target engagement · MoA fingerprint · pathway preference

Gene editing

Editor quality control

Map on- and off-target breaks from CRISPR, base editors, and prime editors at single-read resolution. Catches off-targets in repeats where GUIDE-seq and amplicon sequencing fail.

Outputs

Off-target atlas · repair outcome · editor fidelity score

Clinical translation

From candidate to patient.

Once a compound enters the clinic, POLEX™ supports the readouts that drive trial decisions. Patient stratification. Dose escalation. Response prediction. Resistance tracking.

Oncology

Tumour instability profiling

Quantify break burden, repair-deficiency signatures, and HRD status from FFPE or fresh tumour tissue at single-base resolution. Complements existing genomic and IHC workups.

Signals

SSB/DSB burden · HRD signature · repair fingerprint

Biomarkers

Pharmacodynamic readouts

Quantitative DSB induction in patient-matched material. A PD readout for Phase Ia/Ib dose escalation. Separates on-target damage from off-target toxicity in a way viability assays cannot.

Endpoints

Pre vs on-treatment delta · dose response · per-patient PD curve

Precision medicine

Functional drug selection

Test several DDR drugs on a patient-derived organoid. Rank by induced break burden. Recommend therapy. Catches acquired resistance (like BRCA reversion) that genomic testing alone misses.

Outputs

Per-patient drug ranking · resistance flags · therapy recommendation

Specialised areas

Where DSB readouts open new frontiers.

Areas where direct DNA-break measurement has been underused because conventional methods couldn't deliver the resolution. POLEX™ changes the calculus.

Radiotherapy

Radioligand & beam therapy

For external-beam, brachytherapy, and the next-generation radioligand pipeline (PSMA-617, DOTATATE class). Map radiation-induced DSB landscapes at therapeutic doses. Characterise off-target damage. Support dosimetry.

Outputs

Per-region DSB density · LET signature · dose response

Immuno-oncology

cGAS-STING & combination IO

For DDR plus checkpoint blockade combination programmes. Quantify the breaks that drive cytosolic DNA, micronucleus formation, and cGAS-STING activation. The molecular trigger for innate-immunity priming.

Outputs

Cytosolic-DNA origin · STING surrogate · combo synergy

Neurodegen

Neurons & cellular ageing

For Alzheimer's, ALS, Parkinson's, and longevity research. Detect break accumulation in postmitotic neurons. Resolve damage in repetitive neuronal regions where conventional methods are blind. New therapeutic axis.

Endpoints

Longitudinal break accumulation · region-specific damage · pathway gaps

Pipeline readiness

Program status.

Where each indication sits in our internal pipeline.

Indication Sample type Stage
Cancer (HRD-deficient tumours)FFPE / fresh tissueActive pilot
Neurodegeneration (HD, ALS, AD)Patient-derived neurons / brain tissueActive research
Premature ageing & progeroid syndromesPatient fibroblasts / iPSCsIn planning
Gene therapy / immunodeficiency (V(D)J)Edited cells / clinical samplesIn planning
DDR drug development & MoAto be updatedOpen for collaboration
Pharmacodynamic biomarkers (clinical)to be updatedOpen for collaboration
Radiotherapy & radioligand therapyto be updatedOpen for collaboration
Cancer immunotherapy / cGAS-STINGto be updatedOpen for collaboration

Interested in a specific application?

We run pilot studies, custom analyses, and full-service collaborations. Reach out and we’ll scope it with you.

Start a conversation →

Stay ahead of DNA damage research

Monthly updates on the POLEX platform, publications, and open roles. No spam.