Abstract
Replication inhibitors cause replication fork stalling and double-strand breaks (DSBs) that result from processing of stalled forks. During recovery from replication blocks, the homologous recombination (HR) factor RAD51 mediates fork restart and DSB repair. HR defects therefore sensitise cells to replication inhibitors, with clear implications for cancer therapy. Gemcitabine is a potent replication inhibitor used to treat cancers with mutations in HR genes such as BRCA2. Here we investigate why, paradoxically, mutations in HR genes protect cells from killing by Gemcitabine. Using DNA replication and -damage assays in mammalian cells, we show that even short Gemcitabine treatments cause persistent replication inhibition. BRCA2 and RAD51 are recruited to chromatin early after removal of the drug, actively inhibit replication fork progression and promote the formation of MUS81- and XPF-dependent DSBs that remain unrepaired. Our data suggest that HR intermediates formed at Gemcitabine-stalled forks are converted into DSBs and thus contribute to Gemcitabine-induced cell death, which could have implications for the treatment response of HR-deficient tumours.
| Original language | English |
|---|---|
| Pages (from-to) | 2412-2421 |
| Number of pages | 10 |
| Journal | Molecular Cancer Therapeutics |
| Volume | 13 |
| Issue number | 10 |
| DOIs | |
| Publication status | Published - 2 Oct 2014 |
Funding
This work was supported by the Medical Research Council (MR/J007595/1; to E. Petermann), the Association for International Cancer Research (13-1048; to E. Petermann), Wellcome Trust (ISSFPP12; to E. Petermann), Cancer Research UK (C17183/A13030; to G.S. Stewart). The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked advertisement in accordance with 18 U.S.C. Section 1734 solely to indicate this fact.
UN SDGs
This output contributes to the following UN Sustainable Development Goals (SDGs)
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SDG 3 Good Health and Well-being
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