{Reference Type}: Journal Article {Title}: Structural basis for a Polθ helicase small-molecule inhibitor revealed by cryo-EM. {Author}: Ito F;Li Z;Minakhin L;Chandramouly G;Tyagi M;Betsch R;Krais JJ;Taberi B;Vekariya U;Calbert M;Skorski T;Johnson N;Chen XS;Pomerantz RT; {Journal}: Nat Commun {Volume}: 15 {Issue}: 1 {Year}: 2024 Aug 14 {Factor}: 17.694 {DOI}: 10.1038/s41467-024-51351-4 {Abstract}: DNA polymerase theta (Polθ) is a DNA helicase-polymerase protein that facilitates DNA repair and is synthetic lethal with homology-directed repair (HDR) factors. Thus, Polθ is a promising precision oncology drug-target in HDR-deficient cancers. Here, we characterize the binding and mechanism of action of a Polθ helicase (Polθ-hel) small-molecule inhibitor (AB25583) using cryo-EM. AB25583 exhibits 6 nM IC50 against Polθ-hel, selectively kills BRCA1/2-deficient cells, and acts synergistically with olaparib in cancer cells harboring pathogenic BRCA1/2 mutations. Cryo-EM uncovers predominantly dimeric Polθ-hel:AB25583 complex structures at 3.0-3.2 Å. The structures reveal a binding-pocket deep inside the helicase central-channel, which underscores the high specificity and potency of AB25583. The cryo-EM structures in conjunction with biochemical data indicate that AB25583 inhibits the ATPase activity of Polθ-hel helicase via an allosteric mechanism. These detailed structural data and insights about AB25583 inhibition pave the way for accelerating drug development targeting Polθ-hel in HDR-deficient cancers.