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Updated: May 27, 2026

Zinc-finger Nuclease Enhanced Gene Targeting in Human Embryonic Stem Cells
Published on: August 23, 2014
Viral single-strand DNA induces p53-dependent apoptosis in human embryonic stem cells
Matthew L Hirsch1, B Matthew Fagan, Raluca Dumitru
1Gene Therapy Center, University of North Carolina, Chapel Hill, North Carolina, United States of America. mhirsch@email.unc.edu
Abstract:
Human embryonic stem cells (hESCs) are primed for rapid apoptosis following mild forms of genotoxic stress. A natural form of such cellular stress occurs in response to recombinant adeno-associated virus (rAAV) single-strand DNA genomes, which exploit the host DNA damage response for replication and genome persistence. Herein, we discovered a unique DNA damage response induced by rAAV transduction specific to pluripotent hESCs. Within hours following rAAV transduction, host DNA damage signaling was elicited as measured by increased gamma-H2AX, ser15-p53 phosphorylation, and subsequent p53-dependent transcriptional activation. Nucleotide incorporation assays demonstrated that rAAV transduced cells accumulated in early S-phase followed by the induction of apoptosis. This lethal signaling sequalae required p53 in a manner independent of transcriptional induction of Puma, Bax and Bcl-2 and was not evident in cells differentiated towards a neural lineage. Consistent with a lethal DNA damage response induced upon rAAV transduction of hESCs, empty AAV protein capsids demonstrated no toxicity. In contrast, DNA microinjections demonstrated that the minimal AAV origin of replication and, in particular, a 40 nucleotide G-rich tetrad repeat sequence, was sufficient for hESC apoptosis. Our data support a model in which rAAV transduction of hESCs induces a p53-dependent lethal response that is elicited by a telomeric sequence within the AAV origin of replication.
Insights
Recombinant adeno-associated virus (rAAV) transduction triggers a unique, lethal DNA damage response in human embryonic stem cells (hESCs). This p53-dependent apoptosis is caused by a telomeric sequence in the AAV origin of replication.
Area of Science:
- Stem Cell Biology
- Molecular Biology
- Virology
Background:
- Human embryonic stem cells (hESCs) are highly sensitive to genotoxic stress, leading to rapid apoptosis.
- Recombinant adeno-associated virus (rAAV) utilizes host DNA damage responses for its lifecycle, potentially stressing pluripotent cells.
Purpose of the Study:
- To investigate the specific DNA damage response induced by rAAV transduction in pluripotent hESCs.
- To elucidate the molecular mechanisms underlying rAAV-induced cell death in hESCs.
Main Methods:
- Analysis of DNA damage signaling markers (gamma-H2AX, p53 phosphorylation) post-rAAV transduction.
- Cell cycle progression analysis using nucleotide incorporation assays.
- Investigation of p53-dependent apoptosis pathways and toxicity of AAV components.
- DNA microinjection experiments to identify critical AAV sequences.
Main Results:
- rAAV transduction induced early S-phase arrest and apoptosis in hESCs, mediated by p53.
- This lethal response was independent of canonical p53 transcriptional targets (Puma, Bax, Bcl-2).
- Empty AAV capsids were non-toxic, but a specific telomeric repeat sequence within the AAV origin of replication was sufficient to induce hESC apoptosis.
Conclusions:
- Pluripotent hESCs exhibit a unique, p53-dependent lethal DNA damage response to rAAV transduction.
- A telomeric G-rich sequence within the AAV origin of replication is the primary trigger for this apoptosis.
- Differentiated cells (neural lineage) did not show this sensitivity, highlighting pluripotency-specific responses.
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