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Updated: Aug 23, 2026

Defining Gene Functions in Tumorigenesis by Ex vivo Ablation of Floxed Alleles in Malignant Peripheral Nerve Sheath Tumor Cells
Published on: August 25, 2021
ATR functions as a gene dosage-dependent tumor suppressor on a mismatch repair-deficient background
Yanan Fang1, Cheng-Chung Tsao, Barbara K Goodman
1Department of Pharmacology and Cancer Biology, Duke University Medical Center, Durham, NC 27710, USA.
Abstract:
The ataxia-telangiectasia mutated and rad3-related (ATR) kinase orchestrates cellular responses to DNA damage and replication stress. Complete loss of ATR function leads to chromosomal instability and cell death. However, heterozygous ATR mutations are found in human cancers with microsatellite instability, suggesting that ATR haploinsufficiency contributes to tumorigenesis. To test this possibility, we generated human cell line and mouse model systems in which a single ATR allele was inactivated on a mismatch repair (MMR)-deficient background. Monoallelic ATR gene targeting in MLH1-deficient HCT 116 colon carcinoma cells resulted in hypersensitivity to genotoxic stress accompanied by dramatic increases in fragile site instability, and chromosomal amplifications and rearrangements. The ATR(+/-) HCT 116 cells also displayed compromised activation of Chk1, an important downstream target for ATR. In complementary studies, we demonstrated that mice bearing the same Atr(+/-)/Mlh1(-/-) genotype were highly prone to both embryonic lethality and early tumor development. These results demonstrate that MMR proteins and ATR functionally interact during the cellular response to genotoxic stress, and that ATR serves as a haploinsufficient tumor suppressor in MMR-deficient cells.
Insights
Ataxia-telangiectasia mutated and rad3-related (ATR) haploinsufficiency in mismatch repair-deficient cells causes genomic instability and cancer. This highlights ATR
Area of Science:
- Genetics
- Molecular Biology
- Cancer Research
Background:
- The ataxia-telangiectasia mutated and rad3-related (ATR) kinase is crucial for DNA damage and replication stress response.
- Complete ATR loss causes cell death, but heterozygous mutations are linked to microsatellite unstable cancers.
- ATR haploinsufficiency's role in tumorigenesis, particularly in mismatch repair (MMR)-deficient contexts, remains to be fully elucidated.
Purpose of the Study:
- To investigate the functional consequences of ATR haploinsufficiency in MMR-deficient cells.
- To determine if ATR haploinsufficiency contributes to tumorigenesis in a genetically engineered model.
Main Methods:
- Generated human cell lines (HCT 116) and mouse models with monoallelic ATR inactivation on an MMR-deficient background (MLH1-/-).
- Assessed cellular responses to genotoxic stress, including Chk1 activation, fragile site instability, and chromosomal aberrations.
- Evaluated embryonic lethality and tumor development in mice with the Atr(+/-)/Mlh1(-/-) genotype.
Main Results:
- Monoallelic ATR inactivation in MLH1-deficient cells led to hypersensitivity to genotoxic stress, increased chromosomal instability, and impaired Chk1 activation.
- Atr(+/-)/Mlh1(-/-) mice exhibited high rates of embryonic lethality and early tumor development.
- These findings demonstrate a functional interaction between MMR proteins and ATR.
Conclusions:
- ATR acts as a haploinsufficient tumor suppressor in MMR-deficient cells.
- The study reveals a critical role for ATR in maintaining genomic stability within the context of MMR deficiency.
- MMR proteins and ATR functionally cooperate in cellular responses to genotoxic stress, impacting cancer development.
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