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Updated: Jun 20, 2026

Transmitochondrial Cybrid Generation Using Cancer Cell Lines
Published on: March 17, 2023
Anticancer DNA intercalators cause p53-dependent mitochondrial DNA nucleoid re-modelling
1Nuffield Department of Obstetrics and Gynaecology, University of Oxford, Level 3, Women's Centre, John Radcliffe Hospital, Headington, Oxford, UK. Neil.Ashley@clin-pharm.ox.ac.uk
Abstract:
Many anticancer drugs, such as doxorubicin (DXR), intercalate into nuclear DNA of cancer cells, thereby inhibiting their growth. However, it is not well understood how such drugs interact with mitochondrial DNA (mtDNA). Using cell and molecular studies of cultured cells, we show that DXR and other DNA intercalators, such as ethidium bromide, can rapidly intercalate into mtDNA within living cells, causing aggregation of mtDNA nucleoids and altering the distribution of nucleoid proteins. Remodelled nucleoids excluded DXR and maintained mtDNA synthesis, whereas non-remodelled nucleoids became heavily intercalated with DXR, which inhibited their replication, thus leading to mtDNA depletion. Remodelling was accompanied by extensive mitochondrial elongation or interconnection, and was suppressed in cells lacking mitofusin 1 and optic atrophy 1 (OPA1), the key proteins for mitochondrial fusion. In contrast, remodelling was significantly increased by p53 or ataxia telangiectasia mutated inhibition (ATM), indicating a link between nucleoid dynamics and the genomic DNA damage response. Collectively, our results show that DNA intercalators can trigger a common mitochondrial response, which likely contributes to the marked clinical toxicity associated with these drugs.
Insights
Anticancer drugs like doxorubicin (DXR) enter mitochondria, causing DNA damage. A mitochondrial response remodels DNA, but some damage leads to mitochondrial DNA depletion and potential drug toxicity.
Area of Science:
- Cell Biology
- Molecular Biology
- Genetics
Background:
- Anticancer drugs, such as doxorubicin (DXR), are known to intercalate into nuclear DNA, inhibiting cancer cell growth.
- The interaction of these DNA intercalators with mitochondrial DNA (mtDNA) is not well understood.
Purpose of the Study:
- To investigate how DNA intercalators interact with mtDNA within living cells.
- To elucidate the cellular response to DNA intercalator-induced mtDNA damage.
Main Methods:
- Cell and molecular studies using cultured cells.
- Analysis of mitochondrial DNA nucleoid structure and protein distribution.
- Investigation of mitochondrial morphology and fusion proteins (mitofusin 1, OPA1).
- Assessment of the role of p53 and ATM in the response.
Main Results:
- DNA intercalators rapidly intercalate into mtDNA, causing nucleoid aggregation and altered protein distribution.
- Mitochondrial DNA nucleoids remodel to exclude intercalators and maintain synthesis, while non-remodelled nucleoids experience replication inhibition and mtDNA depletion.
- Mitochondrial remodeling is linked to mitochondrial elongation/interconnection and suppressed by defects in mitochondrial fusion proteins (mitofusin 1, OPA1).
- p53 or ATM inhibition enhances nucleoid remodeling, suggesting a link to the genomic DNA damage response.
Conclusions:
- DNA intercalators trigger a common mitochondrial response involving nucleoid remodeling and altered mitochondrial dynamics.
- This mitochondrial response may contribute to the clinical toxicity observed with DNA intercalating anticancer drugs.
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