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Updated: Jun 7, 2026

Next Generation Sequencing for the Detection of Actionable Mutations in Solid and Liquid Tumors
Published on: September 20, 2016
An MLH1 mutation links BACH1/FANCJ to colon cancer, signaling, and insight toward directed therapy
Jenny Xie1, Shawna Guillemette, Min Peng
11Department of Cancer Biology, University of Massachusetts Medical School, Women's Cancers Program, UMass Memorial Cancer Center, Worcester, Massachusetts 01605, USA.
Abstract:
Defects in MLH1, as with other mismatch repair (MMR) proteins, are the primary cause of hereditary nonpolyposis colon cancer (HNPCC). Mutations in MMR genes often disrupt mismatch repair and MMR signaling functions. However, some HNPCC-associated mutations have unknown pathogenicity. Here, we uncover an MLH1 clinical mutation with a leucine (L)-to-histidine (H) amino acid change at position 607 that ablates MLH1 binding to FANCJ. Given that a DNA helicase is not essential for mammalian MMR in vitro, we considered that loss of MLH1 binding to FANCJ could alter MMR signaling. Consistent with this hypothesis, FANCJ-deficient cells exhibit delayed MMR signaling and apoptotic responses that generate resistance to agents that induce O(6)-methylguanine lesions. Our data indicate that the delay in MMR signaling provides time for the methylguanine methyltransferase (MGMT) enzyme to reverse DNA methylation. In essence, FANCJ deficiency alters the competition between two pathways: MGMT-prosurvival versus MMR-prodeath. This outcome could explain the HNPCC familial cancers that present as microsatellite stable and with intact MMR, such as MLH(L607H). Importantly, the link between FANCJ and HNPCC provides insight toward directed therapies because loss of the FANCJ/MLH1 interaction also uniquely sensitizes cells to DNA cross-linking agents.
Insights
A specific MLH1 mutation disrupts its interaction with FANCJ, delaying DNA repair signaling. This delay impacts hereditary nonpolyposis colon cancer (HNPCC) development and suggests new therapeutic strategies.
Area of Science:
- Molecular biology
- Genetics
- Cancer research
Background:
- Defects in MLH1 and other mismatch repair (MMR) proteins are primary causes of hereditary nonpolyposis colon cancer (HNPCC).
- Some HNPCC-associated mutations have unknown pathogenicity, necessitating further investigation into their mechanisms.
Purpose of the Study:
- To investigate the functional consequences of an MLH1 clinical mutation (L607H) on MLH1 binding to FANCJ.
- To elucidate the role of the MLH1-FANCJ interaction in DNA mismatch repair (MMR) signaling and cellular responses to DNA damage.
Main Methods:
- Characterization of an MLH1 clinical mutation (L607H) affecting MLH1 binding to the DNA helicase FANCJ.
- Analysis of MMR signaling and apoptotic responses in FANCJ-deficient cells.
- Assessment of cellular resistance and sensitivity to DNA damaging agents.
Main Results:
- The MLH1(L607H) mutation ablates MLH1 binding to FANCJ.
- FANCJ deficiency leads to delayed MMR signaling and apoptotic responses, conferring resistance to O(6)-methylguanine lesions by allowing MGMT-mediated DNA repair.
- This altered balance between MGMT-prosurvival and MMR-prodeath pathways explains microsatellite-stable HNPCC cases with intact MMR.
- Loss of the FANCJ/MLH1 interaction sensitizes cells to DNA cross-linking agents.
Conclusions:
- The MLH1-FANCJ interaction is crucial for timely MMR signaling and apoptosis, influencing cancer development.
- The findings provide a molecular explanation for certain types of HNPCC and identify FANCJ as a potential therapeutic target.
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