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Updated: Aug 21, 2026

Analysis of DNA Double-strand Break (DSB) Repair in Mammalian Cells
Published on: September 8, 2010
DNA double strand break repair in human bladder cancer is error prone and involves microhomology-associated
Johanne Bentley1, Christine P Diggle, Patricia Harnden
1Cancer Research UK Clinical Centre, St James's University Hospital, Leeds, LS9 7TF, UK. J.Bentley@cancermed.leeds.ac.uk
Abstract:
In human cells DNA double strand breaks (DSBs) can be repaired by the non-homologous end-joining (NHEJ) pathway. In a background of NHEJ deficiency, DSBs with mismatched ends can be joined by an error-prone mechanism involving joining between regions of nucleotide microhomology. The majority of joins formed from a DSB with partially incompatible 3' overhangs by cell-free extracts from human glioblastoma (MO59K) and urothelial (NHU) cell lines were accurate and produced by the overlap/fill-in of mismatched termini by NHEJ. However, repair of DSBs by extracts using tissue from four high-grade bladder carcinomas resulted in no accurate join formation. Junctions were formed by the non-random deletion of terminal nucleotides and showed a preference for annealing at a microhomology of 8 nt buried within the DNA substrate; this process was not dependent on functional Ku70, DNA-PK or XRCC4. Junctions were repaired in the same manner in MO59K extracts in which accurate NHEJ was inactivated by inhibition of Ku70 or DNA-PK(cs). These data indicate that bladder tumour extracts are unable to perform accurate NHEJ such that error-prone joining predominates. Therefore, in high-grade tumours mismatched DSBs are repaired by a highly mutagenic, microhomology-mediated, alternative end-joining pathway, a process that may contribute to genomic instability observed in bladder cancer.
Insights
High-grade bladder tumors exhibit faulty DNA repair mechanisms. Instead of accurate non-homologous end-joining (NHEJ), they use a mutagenic pathway, potentially driving cancer genomic instability.
Area of Science:
- Molecular Biology
- Genetics
- Cancer Research
Background:
- DNA double-strand breaks (DSBs) are repaired in human cells primarily through the non-homologous end-joining (NHEJ) pathway.
- Deficiencies in NHEJ can lead to error-prone repair of DSBs involving microhomology.
- Accurate NHEJ typically resolves DSBs with incompatible 3' overhangs via overlap/fill-in mechanisms.
Purpose of the Study:
- To investigate the DNA repair mechanisms for DSBs with mismatched ends in human bladder carcinoma tissues.
- To compare the accuracy of DSB repair in bladder tumor extracts versus normal cell lines.
- To determine the pathway responsible for DSB repair in high-grade bladder tumors.
Main Methods:
- Utilized cell-free extracts from human glioblastoma (MO59K) and urothelial (NHU) cell lines for comparison.
- Analyzed DSB repair products from extracts of four high-grade bladder carcinomas.
- Inactivated accurate NHEJ in MO59K cells by inhibiting Ku70 or DNA-PK(cs) to assess alternative pathways.
Main Results:
- Cell-free extracts from normal human cell lines accurately joined DSBs with incompatible 3' overhangs via NHEJ.
- Bladder tumor extracts failed to form accurate joins; instead, they exhibited non-random nucleotide deletions.
- Repair in tumor extracts favored annealing at an 8 nt microhomology, independent of Ku70, DNA-PK, or XRCC4, and persisted even when NHEJ was inhibited.
Conclusions:
- Bladder tumor extracts demonstrate a significant deficiency in accurate NHEJ, leading to predominant error-prone joining.
- High-grade bladder tumors utilize a mutagenic, microhomology-mediated alternative end-joining pathway for mismatched DSBs.
- This alternative repair pathway may significantly contribute to the genomic instability observed in bladder cancer.
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