DNA mutagenesis and DNA repair
Larry H. Bernstein, MD, FCAP, Curator
Leaders in Pharmaceutical Intelligence – Series E (2; 2.11)
Evelyn M. Witkin, born Evelyn Maisel is an American geneticist who was awarded the National Medal of Science for her work on DNA mutagenesis and DNA repair.
She earned her Ph.D. in 1947 with Theodosius Dobzhansky at Columbia University for her Drosophila research. Her interests evolved from Drosophila genetics to bacterial genetics, and she spent the summer of 1944 at Cold Spring Harbor, where she isolated a radiation-resistant mutant of E. coli. Witkin remained at the Carnegie Institution Department of Genetics at Cold Spring Harbor until 1955.
In 1971, she was appointed Professor of Biological Sciences at Douglass College, Rutgers University, and was named Barbara McClintock Professor of Genetics in 1979. Witkin moved to the Wakeman Institute at Rutgers University in 1983. Among her many honors are membership in the National Academy of Sciences (1977), Fellow of the American Association for the Advancement of Science (1980), American Women of Science Award for Outstanding Research, and Fellow of the American Academy of Microbiology. She was largely responsible for creating the field of DNA mutagenesis and DNA repair, which has played an important role in the biochemical sciences and in clinical radiation therapy for cancer. She is a member of the National Academy of Sciences, a Fellow of the American Association for the Advancement of Science, and the American Academy of Arts and Sciences. Dr. Witkin has also received the Thomas Hunt Morgan Medal of the Genetics Society of America in 2000 and the the Wiley Prize.
Oral History
The reason that I got into genetics in the first place, this is while I was an undergraduate [was that] a friend of mine, my first boyfriend, was a Harvard student who was quite a radical and he had gotten hold of [Trofim Denisovich] Lysenko’s papers. And we would read them and you know, Lysenko didn’t believe in the gene. He thought Mendel was a bourgeois nothing and didn’t believe in the gene and all you had to do was manipulate the environment and you could produce anything. And he was in power. You know, to Stalin this sounded great. You know the story. But at any rate, I didn’t know any genetics yet. So this sounded very nice. It would be wonderful to show that you could just manipulate the environment and change things. And I got intrigued and I thought this would be something to look into and my idea was in going into genetics was to test this! Actually it took about a month of genetics at Columbia to realize that he [Lysenko] was completely a fraud, but I never told Dobzhansky until his fiftieth [birthday] party. It was why I got into genetics and why I wanted a Russian advisor! I confessed, and that’s why—he thought it was absolutely hilarious.
When the Demerec lab was built we all had the opportunity to design our own laboratories. That was fun! And mine was right next to Hershey’s and that was a pleasure.
Well, he was an interesting man too. He was rather—you’ve probably heard from others—he was rather reserved and very focused on his work and not very sociable, but extremely generous and kind. And obviously very brilliant! He was very helpful to me.
I could tell you one story about the 1946 symposium, which I don’t know whether you’ve heard. It’s a story about [Salvador] Luria. He was one of the organizers of the program. That was the first symposium after the war and it was the first one on microorganisms and he and some others were getting the program together and he had seen a paper by a woman named Mary Bunting which was published in 1938. [She] worked with bacteria. He was very impressed by that paper. He said that was really the only paper he knows of that does real bacterial genetics before his work with Delbrück. And he said, “She has to be on the program. We have to find her and get her to come to the symposium.” Nobody knew where Mary Bunting was and he did some real hunting. He got other people to work on it, and I remember he was saying at one point, “We can’t have the symposium without her. We have to find her!” Well, they did find her. Her husband was on the faculty at Yale Medical School and they located her there. And she had three young children and was expecting a fourth. That was her Ph.D. Thesis—this paper [that Luria spoke about] She hadn’t been doing any scientific work for awhile and when Luria proposed that she come talk about this work at the symposium she was horrified and said she couldn’t possibly, and doesn’t even remember and “Go away!” And he was very insistent and she did turn up at the symposium and gave this wonderful talk. And it really changed her life forever. I don’t know if you [know], [but] she became the Dean of Radcliffe College.
But what happened at the symposium was, since she was bogged down with babies at Yale, some of the people here who were at Yale—[such as] Ed Tatum, I remember—they arranged for her to have some lab space at Yale and invited her to come and do some work whenever she had time. She came to seminars and caught up with things. And then she got a job when her children were a little bigger. I think her husband died around there too. She became the Dean of the Douglas College at Rutgers and she had done some very good work there in microbiology. And then she went on to become the Dean of Radcliffe and started the Mary Bunting Institute there, which is an institute designed to make it possible for women to resume their scientific careers after they’ve had a break for family reasons. She told me—I called her at one point to verify this because I mentioned this at some meeting, and I think I talked about it at the phage meeting in ’95—and she verified the fact and she said she would never have gone back to work if not for Luria’s having dug her out. Yes, it really shows things about Luria that I’m not sure are known. One is that he’s—he takes it for granted that men and women are equal. It didn’t occur to him that there’s a reason why she shouldn’t be there. And he also is very generous scientifically. He wanted her to have the credit for doing the first real genetics in bacteria.
Well, I guess I met Barbara [McClintock] my very first day here. I stayed at the dormitory and she was living there at the time. I guess I met here in the living room of the dormitory the very first day that I came and we started talking. I found her absolutely fascinating; she told me quite a lot about what she was doing. We became really good friends. And I spent a lot of time visiting her lab, and she developed a habit of calling me whenever she had something especially exciting. These were the years when she was beginning to discover transposition. I would just sort of drop everything and run over and she would show me something that was beginning to make sense to her and it was just such a privilege to be in that relation[ship] with her—to watch this story develop. It was unmistakably convincing as you explained it. You know, not having known very much about maize genetics it wasn’t easy for me to follow. But she was very patient about describing the experiments and she really was very confident about what she was doing.
Harvard geneticist wins Lasker Award for DNA work
Stephen J. Elledge Ph.D. is a Professor of Genetics at the Harvard Medical School. He earned his B.Sc. in chemistry from the University of Illinois at Urbana–Champaign and his Ph.D. in biology from MIT.
Education: Massachusetts Institute of Technology
Awards: Gairdner Foundation International Award, NAS Award in Molecular Biology, Lasker Award 2015
Harvard geneticist Stephen Elledge started his scientific career trying to figure out how to tinker with the DNA of human cells. Instead, he ended up eavesdropping on the process cells use to fix genetic mistakes.
This accidental work led to profound insights into DNA repair relevant to human birth defects, cancer, and aging.
Stephen J. Elledge, the Gregor Mendel Professor of Genetics and of Medicine at Harvard Medical School and Brigham and Women’s Hospital, is a co-recipient, with Evelyn Witkin of Rutgers University, of the 2015 Albert Lasker Basic Medical Research Award. The award, widely considered to be among the most respected in biomedicine, will be presented on Sept. 18 in New York City.
Elledge and Witkin are being honored for their seminal discoveries that have illuminated the DNA damage response, a cellular pathway that senses when DNA is altered and sets in a motion a series of responses to protect the cell. This pathway is critical to a better understanding of many diseases and conditions, such as cancer.
As cells divide and reproduce, they have to make precise copies of their DNA. Typos can doom a fetus, lead to birth defects, and cause cancer as well as symptoms of aging.
Elledge, who is also affiliated with Brigham and Women’s Hospital, uncovered a sequence of events, called a pathway, that protect a cell once its DNA has been damaged or incorrectly copied.
Harvard Medical School and Brigham and Women’s Hospital scientist recognized for discovering DNA repair
“Steve is an amazing scientist, mentor, and colleague,” said Jeffrey S. Flier, dean of Harvard Medical School (HMS). “His insights into the basic mechanisms of the DNA damage response have profoundly enriched our understanding not only of the fundamental genetics of all cellular life, but also of how we conceptualize many diseases and conditions, especially cancer. This distinction is richly deserved, and I am delighted that Steve is being honored for this extraordinary body of work.”
Stephen J. Elledge: Driven by Questions
Harvard geneticist Stephen J. Elledge has been recognized with the Lasker Award for a discovery that illuminates the DNA damage response. This pathway is critical to a better understanding of many diseases and conditions, such as cancer. Co-produced by Harvard Medical School and Brigham and Women’s Hospital.
“We are extremely proud of Steve, who is truly deserving of this recognition,” said Elizabeth G. Nabel, president of Brigham and Women’s Health Care. “Courageous and insatiably inquisitive, he represents the best of Brigham and Women’s and our mission of driving innovation in basic science to improve human health. As a devoted mentor, Steve is deeply committed to guiding the careers of young investigators, ensuring that the next generation of scientists is filled with curious, passionate, and talented researchers.”
Elledge often describes the process by which a cell duplicates itself as akin to the duplication of a small city. It is a vastly complex process that requires many levels of intricate coordination. Each cell contains a detailed blueprint for this entire process: DNA.
But not every duplication results in a perfect copy. That is because each time a cell makes a copy of itself, DNA is vulnerable to damage, not only from faulty cellular processes, but also from such entities as environmental chemicals. As DNA damage accumulates, it profoundly complicates a cell’s ability to make a faithful copy of itself. This can lead to serious illnesses, birth defects, cancer, and other health problems.
Witkin discovered how bacteria respond to DNA damage, detailing the response to UV radiation. Elledge uncovered a DNA-damage-response pathway that operates in more complex organisms, including humans.
Over the years, Elledge and his colleagues elucidated a signaling network that informs a cell when DNA sustains an injury. Called the DNA damage response, this network senses the problem and sends a signal to the rest of the cell so it can properly repair itself; otherwise, severe mutations could occur. As a result, this pathway helps keep the genome stable and suppresses adverse events such as tumor development. When individuals are born with mutations in this pathway, they often have severe developmental defects. If the pathway is interfered with later in life, cancer can result.
In addition to the award in basic medical research, the Lasker Foundation is also presenting awards to individuals in clinical research and in public service.
According to Claire Pomeroy, president of the Albert and Mary Lasker Foundation, this year’s recipients “remind us all that investing in biological sciences and medical research is crucial for our future.”
Joseph L. Goldstein of the University of Texas Southwestern Medical Center and chair of the Lasker Medical Research Awards Jury, added, “The 2015 Lasker winners had bold ideas and pursued novel questions that they tested through fearless experimentation.”
Over the past century, researchers have invested substantial efforts toward understanding the cell cycle. However, only recently have these studies gained a molecular foothold. Leading the research in this field is Stephen J. Elledge, professor of genetics at Harvard Medical School and Brigham and Women’s Hospital in Boston. Playing the dual roles of inventor and investigator, Elledge developed original techniques to define what drives the cell cycle and how cells respond to DNA damage. By using these tools, he and his colleagues have identified multiple genes involved in cell-cycle regulation.
Elledge’s work has earned him many awards, including a 2001 Paul Marks Prize for Cancer Research and a 2003 election to the National Academy of Sciences. In his Inaugural Article (1), published in this issue of PNAS, Elledge and his colleagues describe the function of Fbw7, a protein involved in controlling cell proliferation. These findings add to the growing cache of cell-cycle knowledge with implications for cancer research.
During his junior year abroad at the University of Southampton in England, Elledge gave biology a try by taking an introductory course and a semester of genetics. The classes sparked an interest, which he kept alive by taking a biochemistry class on his return to the United States. It was during his biochemistry lectures that Elledge first heard about recombinant DNA. “I just thought it was fabulous,” he said. “Once biology got down to being molecular, then it intersected with my interests.”
After receiving his bachelor’s degree in 1978, Elledge applied to graduate programs in biology and chemistry. Although he had not yet decided on which field to focus, he chose to continue his studies at the Massachusetts Institute of Technology (MIT) Biology Department. “I didn’t know what I wanted to do, but they had a lot of people, so I figured I’d be able to sort it out,” he said. Elledge ended up working with bacterial geneticist Graham Walker. For his thesis, Elledge studied the error-prone DNA repair mechanism in Escherichia coli called SOS mutagenesis. His work identified and described the regulation of a group of enzymes now know as errorprone polymerases, the first members of which were the umuCD genes in E. coli (2–4).
Elledge’s schedule at MIT allowed him time for side projects, and he used the opportunity to develop a new cloning tool. His creation was spurred by the frustration of unsuccessfully trying to use two existing tools, lambda phage and bacterial plasmid libraries, to clone the umuC gene, which produces proteins necessary for UV and chemical mutagenesis in E. coli. By combining the tools, Elledge invented a technique that allowed him to approach future cloning problems of this type with great rapidity (5). With the new technique, “you could make large libraries in lambda that behave like plasmids. We called them `phasmid’ vectors, like plasmid and phage together,” said Elledge. The phasmid cloning method was an early cornerstone for molecular biology research.
In 1984, Elledge began a postdoctoral fellowship at Stanford University (Stanford, CA) with mentor Ronald Davis. “Davis is an inventor,” said Elledge. “We had a lot in common because I’m interested in developing new technologies and so is he.”
Elledge soon began working on homologous recombination, an important niche in the field of eukaryotic genetics. Working with the yeast genome, Elledge searched for rec A, a gene that allows DNA to recombine homologously. Although he never located rec A, his work accidentally led him to a family of genes known as ribonucleotide reductases (RNRs), which are involved in DNA production (6). Rec A and RNRs share the same last 4 amino acids, which caused an antibody crossreaction in one of Elledge’s experiments. Initially disappointed with the false positives in his hunt for rec A, Elledge was later delighted with his luck. He found that RNRs are turned on by DNA damage (6), and that these genes are regulated by the cell cycle (7). “It was just serendipity,” he said.
Elledge’s work in this area led to a job offer from Baylor College of Medicine, Houston, in 1989. Prior to leaving Stanford, Elledge attended a talk at the University of California, San Francisco, by Paul Nurse, a leader in cell-cycle research who would later win the 2001 Nobel Prize in medicine. Nurse described his success in isolating the homolog of a key human cell-cycle kinase gene, Cdc2, by using a mutant strain of yeast (8). Although Nurse’s methods were primitive, Elledge was struck by the message he carried: that cell-cycle regulation was functionally conserved, and that many human genes could be isolated by looking for complimentary genes in yeast. Elledge then took advantage of his past successes in building phasmid vectors to build a versatile human cDNA library that could be expressed in yeast.
In his first experiments after setting up a laboratory at Baylor, he introduced this library into yeast, screening for complimentary cell-cycle genes. He quickly identified the same Cdc2 gene isolated by Nurse. However, Elledge also discovered a related gene known as Cdk2. Elledge subsequently found that Cdk2 controlled the G1 to S cell-cycle transition, a step that often goes awry in cancer. These results were published in theEMBO Journal in 1991 (9). “It was one of the biggest papers I’ve had,” said Elledge.
Elledge also continued to capitalize on his unexpected discovery of RNRs and used them to perform genetic screens to identify genes involved in sensing and responding to DNA damage. He subsequently worked out the signal transduction pathways in both yeast and humans that recognize damaged DNA and replication problems (10–12). These “checkpoint” pathways are central to the prevention of genomic instability and a key to understanding tumorigenesis.
Elledge’s research caught the attention of Wade Harper, a new member of Baylor’s biochemistry faculty. Combining their efforts, Harper and Elledge studied the regulation of Cdk2. “I was a geneticist and Wade was a biochemist. Together we were able to accomplish much more than either alone,” said Elledge. Elledge revamped a method for detecting protein interactions, known as the “two-hybrid system,” into a cloning method by combining it with his lambda cloning techniques. By using the new method, Harper and Elledge succeeded in isolating a gene known as p21, which they later identified as part of a family of Cdk2inhibitors. The gene also was cloned by Bert Vogelstein’s laboratory at Johns Hopkins University (Baltimore, MD), who discovered p21 was regulated by the cancer gene p53. Elledge and Vogelstein realized the similarity of their findings after chatting on the phone and published articles back-to-back in Cell in 1993 (13,14).
Elledge and his laboratory continued to look for other human genes that complimented yeast cell-cycle regulators. In 1996, his team identified a conserved motif, the F-box, that is present in some proteins. This motif recognizes specific protein sequences and tags them with ubiquitin for destruction. The buildup of certain proteins can sabotage the cell cycle and bring it to a halt; thus, destroying these proteins keeps cells dividing. Further investigation showed that the F-box sequence is ubiquitous throughout evolution. “There were so many F-box proteins that we figured it was going to be very central,” he said. Since Elledge’s laboratory published its first article on the F-box in 1998 (15), almost a thousand articles have reported investigations of F-box proteins and related ubiquitin ligases. The F-box has been implicated in numerous pathways, including gene expression, the immune response, cell morphology, cancer, and circadian rhythms.
Elledge’s focus still centers on the F-box motif and the roles played by its multitude of variations. In his Inaugural Article, found on page 3338, Elledge and his colleagues (1) describe mouse knockouts missing the gene to create an F-box protein known as Fbw7. Previous research suggested that Fbw7 controls the degradation of cyclin E, a protein that drives cell proliferation. By studying the knockouts, Elledge’s team showed that Fbw7 controls not only the abundance of cyclin E but also Notch protein. Both of these proteins play key roles in regulating mammalian development.
Elledge’s findings add to the growing body of knowledge on how F-box proteins operate in cells. However, with the function of hundreds of different F-box proteins currently unknown, Elledge and his collaborators, including Wade Harper, will have their work cut out for decades more. He and his laboratory plan to continue studying the genetics and genomics of different F-box proteins, elucidating their roles in cell proliferation. Elledge expects that this vast mystery, combined with his regular discoveries, will keep his passion alive. “I’m a scientist. I want to discover new things, and I want to develop new ways of looking at things. That’s what makes me excited, and that’s what I’m interested in,” he said.
This is a Biography of a recently elected member of the National Academy of Sciences to accompany the member’s Inaugural Article on page 3338.
References
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Tetzlaff, M. T., Yu, W., Li, M., Zhang, P., Finegold, M., Mahon, K., Harper, J. W., Schwartz, R. J. & Elledge, S. J. (2004) Proc. Natl. Acad. Sci. USA 100 , 3338-3345.
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Elledge, S. J. & Walker, G. C. (1983) J. Mol. Biol. 164 , 175-192.
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Perry, K., Elledge, S. J., Mitchell, B. B., Marsh, L. & Walker, G. C. (1985) Proc. Natl. Acad. Sci. USA 82 , 4331-4335.
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Elledge, S. J. & Walker, G. C. (1985) J. Bacteriol. 162 , 777-783.
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Elledge, S. J. & Davis, R. W. (1987) Mol. Cell. Biol. 7 , 2783-2793.
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Elledge, S. J. & Davis, R.W. (1990) Genes Dev. 4, 740-751.
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Lee, M. G. & Nurse, P. (1987) Nature 32 , 31-35.
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Elledge, S. & Spottswood, M. (1991) EMBO J. 10 , 2653-2659.
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Zhou, Z. & Elledge, S. J. (1993) Cell 75, 1119-1127.
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Zou, L. & Elledge, S. J. (2003) Science 300, 1542-1548.
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Harper, J. W., Adami, G., Wei, N., Keyomarsi, K. & Elledge, S. J. (1993) Cell 75 , 805-816.
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El-Deiry, W. S., Tokino, T., Velculescu, V. E., Levy, D. B., Parsons, R., Trent, J. M., Lin, D., Mercer, W. E., Kinzler, K. W. & Vogelstein, B. (1993) Cell 75, 817-825.
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Bai, C., Sen, P., Hofmann, K., Ma, L., Goebl, M., Harper, J.W. & Elledge, S. J. (1996) Cell 86, 263-274.
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http://news.harvard.edu/gazette/story/2015/09/geneticist-stephen-j-elledge-receives-lasker-award/
https://www.bostonglobe.com/metro/2015/09/08/harvard-geneticist-stephen-elledge-wins-lasker-award-highest-american-honor-for-scientist/P1ul4SUip2zXQh33CrshAM/story.html
http://www.nytimes.com/2015/09/09/health/lasker-awards-go-to-3-scientists-and-doctors-without-borders.html?ref=todayspaper&_r=0
The DNA Damage Response—Self-awareness for DNAThe 2015 Albert Lasker Basic Medical Research Award
Stephen J. Elledge, PhD1
The 2015 Albert Lasker Basic Medical Research Award has been presented to Stephen J. Elledge, PhD, for discoveries concerning the DNA-damage response—a fundamental mechanism that protects the genomes of all living organisms. This Viewpoint provides a summary of the role of the DNA damage response in physiologic responses and the importance in human health.
One of the remarkable properties of nature’s most remarkable molecule, DNA, is self-awareness: it can detect information about its own integrity and transmit that information back to itself. The pathway responsible for this impressive ability is known as the DNA damage response (DDR). The first thoughts many scientists have about DNA damage involve the stereotypical DNA repair pathways such as nucleotide excision repair or base excision repair, which identify damaged bases, excise them, and perfectly patch the DNA. However, there is a much higher-level orchestrator of the cellular response to damaged DNA that deals with nonstereotypical and supremely deleterious alterations of DNA structure and distribution of information about their existence.
Particularly deleterious are the events that break both strands of the DNA or disrupt the most vulnerable aspect of the DNA molecule, its replication. These events require the cell to possess the ability to distinguish the myriad possible structures resulting from these events. Furthermore, cells require this knowledge to properly resolve these problems. If this fails, the integrity of the genome is lost and significantly deleterious events can ensue. Much like the brain, which takes sensory input and transduces that information through neural circuitry to effect the proper response, the DDR acts as a sensor that transduces information on the status of the integrity of the genome to elicit the proper response.
The DDR is a form of chemical intelligence. It ensures that the enzymes that have the ability to remodel the structure of DNA—enzymes that are actually dangerous to DNA if used inappropriately—are activated and deployed at the right time and right place to resolve a particular altered DNA structure to maintain genomic integrity.1 Morever, it is not only the repair enzymes that are the recipients of this information but also many aspects of cellular and organismal physiology.
RESEARCH IN MODEL ORGANISMS UNCOVERS THE DDR
The notion that cells respond to DNA damage has it roots in basic genetic research dating back to the 1940s, in work by Jean Weigle and Evelyn Witkin that contributed to knowledge of the SOS response in bacteria.2Years later my laboratory and others, through genetic research using the yeasts Saccharomyces cerevisiaeand Schizosaccharomyces pombe,discovered the major components of a very complex eukaryotic DDR.3Genetic analysis of the DNA damage–induced transcriptional induction of genes and radiation-sensitive mutants that control cell cycle transitions uncovered the core DDR genes. This provided a foothold for the transition to human cells, in which the significance of this pathway to human health emerged.
TRANSDUCING THE DNA DAMAGE SIGNAL
The core of the DDR is a pair of parallel protein kinase cascades that sense and distribute information about different classes of DNA structures. The ATM branch senses double-strand breaks and the ATR branch senses stalled replication structures and certain double-strand breaks that occur during S phase. ATM and ATR are both protein kinases of the PIKK family and when activated in response to damage, they phosphorylate downstream checkpoint kinases, Chk2 and Chk1, respectively, to transduce the damage signal.
The effect of activation of these pathways is substantial. More than 1000 proteins are altered by the DDR in response to structural alterations in DNA, profoundly altering cellular physiology.4 Beyond repair, communicating the information of DNA damage is critical for multicellular organisms in many other ways. The relevance of the DDR to human health is demonstrated by the more than 30 human disease syndromes that result from mutations in DDR genes spanning developmental disorders, neural degeneration, immune dysregulation, progeria, cancer, and other critical diseases.1 Below are several examples of some of these connections.
ROLES OF THE DDR IN ORGANISMAL PHYSIOLOGY
Immune Cell Function
Cells undergoing immunoglobulin and T-cell receptor rearrangement experience programmed double-strand breaks and require the DDR to properly execute these recombination events. ATM activation after initial cleavage of one allele results in the repositioning of the other allele to the nuclear periphery to ensure monoallelic recombination.1 ATM also arrests the cell cycle in response to programmed breaks to ensure recombination prior to S-phase entry. If S-phase entry occurs before the breaks are repaired, it can promote translocations. Immune deficiency also arises from mutations in several DDR genes including the RNF168gene responsible for RIDDLE syndrome, characterized by radiosensitivity, immunodeficiency, dysmorphic features, and learning difficulties.
Brain Development and Neural Degeneration
Mutations in multiple DDR components lead to developmental defects. Brain development in particular appears to be especially sensitive to defects in DNA repair and DDR function. Hypomorphic alleles of ATRcause Seckel syndrome, which is characterized by dwarfism, severe microcephaly, and facial malformation and mental retardation. Microcephaly is also associated with mutations in NBN and MRE11, both regulators of the ATM branch of the DDR, and mutations in MCPH1/BRIT1.1
Mutations in the ATM gene result in ataxia telangiectasia, a debilitating disease in which progressive loss of purkinjee cells in the cerebellum leads to ataxia. Patients with ataxia telangiectasia also develop weakened immune systems and high rates of infection and premature mortality.
Hematopoetic Disorders
Mutations in the Fanconi anemia pathway, which is controlled by ATR phosphorylation, results in numerous developmental defects including hematologic abnormalities and bone marrow failure. Patients with Fanconi anemia experience increased frequencies of myelodysplastic syndrome, and many develop acute myelogenous leukemia.
Responding to Viral Infections
A complex relationship exists between viral infection and the DDR. Many DNA viruses, including adenovirus, Kaposi sarcoma–associated herpesvirus, hepatitis B virus, and Epstein-Barr virus, activate the DDR because viral replication intermediates resemble DNA damage. Viruses may also indirectly activate the DDR by expressing oncoproteins that force cells into S phase and generate replicative stress. The DDR can signal directly to the immune system by inducing ligands for the NKG2D and DNAMA-1 receptors5expressed on natural killer cells and CD8+ T cells, both of which are capable of killing cells and contributing to antiviral immunity. In some cases, viruses such as SV40 have grown to depend on the DDR, and other viruses such as adenoviruses go to great lengths to inactivate the DDR, underscoring its role in controlling viral function.
The DDR and Cancer
The DDR is highly relevant to all aspects of cancer.6 Most critically, DDR function promotes genomic stability. Loss of a large number of DDR genes result in increased frequencies of cancer; these include ATM,NBS1, p53, BRCA1, BRCA2, PALB2, BRIP, BLM, WRN, MCPH1, 53BP1, ATR, CHK1, CHK2, and numerous Fanconi anemia genes whose loss enhance the frequencies of alterations in classical tumor suppressors and oncogenes. Second, the DDR is also relevant to the effectiveness of classic therapeutic treatments, such as radiotherapy and chemotherapy, because these therapies are based on induction of DNA damage, which triggers DDR-dependent cell death, particularly in proliferating cells. Because many tumors become defective in some aspect of the DDR, they become more dependent on other DDR or DNA repair components, and cancer therapies directed at inhibiting key components like CHK1, ATR, or PARP are being evaluated in clinical trials.6
Aging and Telomeres
Another critical sensory event occurs when somatic cells exceed their intended proliferative lifetimes, such as in the early stages of cancer. In these cells telomeric ends of chromosomes shorten and are sensed as DNA damage, activating the DDR. Telomere shortening also occurs in a normal physiological setting with aging. Under these conditions, DDR activation informs the cell such that it may choose to undergo apoptosis or a differentiation pathway called senescence, both potent tumor suppressive mechanisms. Senescence relies on 2 of the most potent tumor suppressors, p53 and p16.7 Importantly, the accumulation of senescent cells has been implicated in acceleration of aging and age-related diseases. Senescent cells secrete cytokines and chemokines and contribute to progressive chronic inflammation, which may contribute to aging and age-related diseases. Removing senescent cells reduces aging in mice.7 Thus, the DDR is a 2-edged sword. On the one hand it acts as a barrier to tumorigenesis and on the other hand it acts to promote aging and aging-related diseases.
CONCLUSIONS
The significance of the DDR to human health is clear. Further highlighting its importance is that the loss of the most central components make it impossible to make, not only an organism, but even a cell. Thus, the self-awareness afforded to the DNA molecule by the sensory and information distribution system known as the DDR is critical for the health and survival of the human species. This once again underscores the importance to human health of basic research in model organisms.
ARTICLE INFORMATION
Corresponding Author: Stephen J. Elledge, PhD, Department of Genetics, Harvard Medical School, 77 Ave Louis Pasteur, Room 158D, NRB, Boston, MA 02115 (selledge@genetics.med.harvard.edu).
Published Online: September 8, 2015. doi:10.1001/jama.2015.10387.
Conflict of Interest Disclosures: The author has completed and submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest and none were reported.
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PubMed | Link to Article
Novel Protein May Open Door to New Therapies for Infection and Cancer
GEN News Aug 28, 2015 http://www.genengnews.com/gen-news-highlights/novel-protein-may-open-door-to-new-therapies-for-infection-and-cancer/81251675/
Scientists at Florida State University say they have taken a critical step forward in the fight against cancer with a discovery that could open up the door for new research and treatment options.
Fanxiu Zhu, Ph.D., the FSU Margaret and Mary Pfeiffer Endowed Professor for Cancer Research, and his team uncovered a viral protein in the cell that inhibits the major DNA sensor and thus the body’s response to viral infection, suggesting that this cellular pathway could be manipulated to help a person fight infection, cancer, or autoimmune diseases. They named the protein KicGas.
“We can manipulate the protein and/or the sensor to boost or tune down the immune response in order to fight infectious and autoimmune diseases, as well as cancers,” said Dr. Zhu, whose study (“Inhibition of cGAS-cGAMP DNA-Sensing Signaling by a Herpesvirus Virion Protein”) was published in Cell Host and Microbe.
Dr. Zhu leads a research team investigating how DNA viruses can cause cancer. About 15% of human cancer cases are caused by viruses, so scientists have been seeking answers about how the body responds to viral infection and how some viruses maintain life-long infections.
In the past few years, researchers finally identified the major DNA sensor in cells, known as cGas. That spurred researchers to further examine this sensor in the context of human disease because ideally that sensor should have been alerting the body to fight disease brought by a DNA virus.
Although people are equipped with sophisticated immune systems to cope with viral infection, many viruses have co-evolved mechanisms to evade or suppress the body’s immune responses. So the discovery of this protein is critical to further exploration of how these DNA viruses work and how they can be thwarted.
To uncover this protein, Dr. Zhu’s team studies Kaposi’s sarcoma-associated herpesvirus (KSHV), a human herpesvirus that causes some forms of lymphoma and Kaposi’s sarcoma, a cancer commonly occurring in AIDS patients and other immunocompromised individuals.
In this study, researchers screened every protein in a KSHV cell (90 in total) and ultimately found that one of them directly inhibited the DNA sensor called cGAS. They infected human cell lines with the Kaposi’s sarcoma virus to mimic natural infection, and found when they eliminated the inhibitor protein (KicGas) the cells produced a much stronger immune response.
To do this work, Dr. Zhu collaborated with several scientists both in the U.S. and Germany, including Hong Li, Ph.D., FSU professor of chemistry and biochemistry.
Dr. Li, whose focuses are molecular biology and molecular biophysics, specifically examined how the protein inhibited the cGAS activity in test tubes. For the next phase of research, she is building a three-dimensional model of the interactions to help them better understand how the inhibitor functions.
“These are hard problems to solve, and there is still much to learn here,” Dr. Li said. Learning how the inhibitor functions is a big next step, though. “Once we figure that out, we can hopefully design something to fight the disease,” according to Dr. Zhu.
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