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Updated: Aug 8, 2026

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
DNA mismatch repair as an effector for promoting phorbol ester-induced apoptotic DNA damage and cell killing:
Ching-Tai Lin1, Wei-Hsin Lin, Kuan-Der Lee
1Institute of Cancer Research, National Health Research Institutes, Taipei, Taiwan, Republic of China. linct@nhri.org.tw
Abstract:
Phorbol ester was known to activate protein kinase C (PKC) and exert numerous cellular effects, including proliferation, apoptosis, and oncogenic transformation. How phorbol ester stimulates both apoptosis and tumor promotion is not clear. Here DNA mismatch repair (MMR)-proficient human colon cancer cells (DLD-1+Ch2; hMSH6+) treated with 12-O-tetradecanoylphorbol-13-acetate (TPA) undergo rapid cell death, which is significantly abolished by staurosporine (PKC inhibitor) or antioxidant, compared with the paired MMR-deficient (DLD-1; hMSH6-) cells. Induction of reactive oxygen species (ROS) by TPA is shown to be one of downstream effectors required, but not sufficient, for cell killing as it is also observed in DLD-1 cells. Strikingly, DLD-1+Ch2 cells selected for resistance to TPA are found to lose the expression of hMSH6. Treatment of TPA-resistant DLD-1+Ch2 cells with 5-aza-2'-deoxycytidine, not only restores hMSH6 expression but also resensitizes TPA-resistant cells to TPA, suggesting that expression of hMSH6 is transcriptionally silenced by cytosine methylation confirmed directly by bisulfite sequencing. Knockdown hMSH6 or hPMS2 with siRNA in DLD-1+Ch2 cells resulted in more resistant to TPA-induced cell killing, further suggesting that MMR proteins involve in TPA or ROS-induced cell killing. Results suggest that deficiency in MMR could promote tumorigenesis by inhibiting apoptotic responses to ROS-mediated DNA damages as ROS are continuously produced as a byproduct of normal metabolism.
Insights
Phorbol ester triggers cell death in colon cancer cells via DNA mismatch repair (MMR) proteins and reactive oxygen species (ROS). MMR deficiency promotes tumor growth by blocking apoptosis from ROS-induced DNA damage.
Area of Science:
- Cell Biology
- Molecular Biology
- Cancer Research
Background:
- Phorbol ester (12-O-tetradecanoylphorbol-13-acetate, TPA) activates protein kinase C (PKC), influencing cell proliferation, apoptosis, and oncogenic transformation.
- The dual role of phorbol ester in stimulating both apoptosis and tumor promotion remains unclear.
- DNA mismatch repair (MMR) proteins play a crucial role in maintaining genomic stability.
Purpose of the Study:
- To elucidate the mechanism by which phorbol ester induces apoptosis in colon cancer cells.
- To investigate the role of DNA mismatch repair (MMR) proteins in phorbol ester-induced cell death.
- To understand how MMR deficiency may contribute to tumorigenesis.
Main Methods:
- Treatment of MMR-proficient (DLD-1+Ch2; hMSH6+) and MMR-deficient (DLD-1; hMSH6-) human colon cancer cells with TPA.
- Assessment of cell death, reactive oxygen species (ROS) production, and protein kinase C (PKC) inhibition (staurosporine).
- Analysis of hMSH6 expression in TPA-resistant cells, including treatment with 5-aza-2'-deoxycytidine and bisulfite sequencing; siRNA knockdown of hMSH6 and hPMS2.
Main Results:
- TPA induced rapid cell death in MMR-proficient cells, significantly reduced by staurosporine or antioxidants.
- TPA-induced cell death was dependent on reactive oxygen species (ROS) but not sufficient on its own.
- TPA-resistant cells exhibited loss of hMSH6 expression, which was restored by 5-aza-2'-deoxycytidine, resensitizing cells to TPA.
- Knockdown of hMSH6 or hPMS2 conferred resistance to TPA-induced cell killing, implicating MMR proteins in the apoptotic response.
Conclusions:
- DNA mismatch repair (MMR) proteins are essential for mediating TPA and ROS-induced apoptosis in colon cancer cells.
- MMR deficiency may promote tumorigenesis by impairing apoptotic responses to ROS-mediated DNA damage.
- Transcriptional silencing of hMSH6 via cytosine methylation is a mechanism for TPA resistance.
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