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Updated: May 28, 2026

Characterizing DNA Repair Processes at Transient and Long-lasting Double-strand DNA Breaks by Immunofluorescence Microscopy
Published on: June 8, 2018
DNA double-strand break repair pathways, chromosomal rearrangements and cancer
Torben R Kasparek1, Timothy C Humphrey
1CRUK/MRC Gray Institute for Radiation Oncology and Biology, Department of Oncology, University of Oxford, Oxford, UK.
Abstract:
Chromosomal rearrangements, which can lead to oncogene activation and tumour suppressor loss, are a hallmark of cancer cells. Such outcomes can result from both the repair and misrepair of DNA ends, which arise from a variety of lesions including DNA double strand breaks (DSBs), collapsed replication forks and dysfunctional telomeres. Here we review the mechanisms by which non-homologous end joining (NHEJ) and homologous recombination (HR) repair pathways can both promote chromosomal rearrangements and also suppress them in response to such lesions, in accordance with their increasingly recognised tumour suppressor function. Further, we consider how chromosomal rearrangements, together with a modular approach towards understanding their etiology, may be exploited for cancer therapy.
Insights
Chromosomal rearrangements in cancer arise from DNA repair errors. DNA repair pathways like non-homologous end joining (NHEJ) and homologous recombination (HR) can both cause and prevent these rearrangements, offering therapeutic targets.
Area of Science:
- Genetics
- Molecular Biology
- Cancer Research
Background:
- Chromosomal rearrangements are common in cancer, often activating oncogenes or inactivating tumor suppressors.
- These rearrangements stem from errors in repairing DNA lesions like double-strand breaks (DSBs), collapsed replication forks, and telomere dysfunction.
Purpose of the Study:
- To review the dual role of DNA repair pathways in promoting and suppressing chromosomal rearrangements.
- To explore the potential of exploiting chromosomal rearrangements for cancer therapy.
Main Methods:
- Review of existing literature on DNA double-strand break repair mechanisms.
- Analysis of the roles of non-homologous end joining (NHEJ) and homologous recombination (HR) in genome stability.
- Discussion of the implications for cancer etiology and treatment.
Main Results:
- Both NHEJ and HR pathways can lead to chromosomal rearrangements through misrepair.
- These pathways also possess tumor suppressor functions by accurately repairing DNA lesions.
- The context-dependent activity of repair pathways influences genomic instability.
Conclusions:
- Understanding the complex roles of NHEJ and HR in chromosomal rearrangement is crucial.
- Targeting these DNA repair pathways offers a promising strategy for novel cancer therapies.
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