DNA Repair and Cancer
DNA Damage
Endogenous
DNA replication errors VDJ recombination aldehydes ROS
Exogenous
IR, UV, radioisotopes, natural and contaminant diet and air
chemicals in
DNA damage sensed leading to activation of downstream pathways
DNA damage repair pathways
1. Nucleotide excision repair 2. Base excision repair 3. Mismatch repair 4. Double strand break repair
Nucleotide excision repair (NER)
Human syndromes with defects in NER genes
• Xeroderma pigmentosum • 1000 fold increase in skin cancer risk • complementation groups XP-A – XP-G • Cockayne syndrome • Trichothiodystrophy
Base excision repair
Mismatch repair
DNA double strand breaks
ATM
p53, Chk2 Cell cycle arrest
P
H2AX, NBS1, BRCA1 DNA repair
Predominant, but not exclusive, dsb repair pathways depending on stage of cell cycle M
G1
G2
HR
NHEJ S
Non-homologous end-joining (NHEJ) repair pathway for repair of DNA dsb breaks
Artemis
Chromosome aberrations visualised as colourjunctions which in turn indicate position of dsb
Chromosome rearrangement forms oncogene between NTRK1 and TPR in thyroid cells
TPR (red) and NTRK1 (green) signals in PBL (A) Thyroid (B) interphase nuclei
Rocatto et al
Consequences of mutations in NHEJ repair genes
Dsb repair by homologous recombination
Consequences of mutations in HR repair genes
DNA repair and Cancer
• repair defects = extreme variations in very small proportion of population • ? Relationship between varying repair capacity and cancer incidence in whole population • Impact of this on developing cancer and also on efficacy of treatment of that cancer
References Roccato et al. Cancer Research (2005) 65, 2572-2576 Roix et al. Nature Genetics (2003) 34, 287 - 291 Kuhne et al. Radiation Protection Dosimetry (2002) 99 129-132 Anderson et al. Cytogenetic and Genome Research (2006) 112 35-44 Rothkamm et al Cancer Research (2001) 61 3886-3893 O'Driscoll and Jeggo. Nature Reviews Genetics (2006) 7, 45-54 Volker et al. Molecular Cell (2001) 8 213-224 Jiricny and Nystrom-Lahti Current Opinion in Genetic Development (2000) 10 157 - 161