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Updated: May 25, 2026

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
Chronic hypoxia compromises repair of DNA double-strand breaks to drive genetic instability
Ramya Kumareswaran1, Olga Ludkovski, Alice Meng
1Ontario Cancer Institute, Princess Margaret Hospital (University Health Network), Toronto, Ontario, Canada.
Abstract:
Hypoxic cells have been linked to genetic instability and tumor progression. However, little is known about the exact relationship between DNA repair and genetic instability in hypoxic cells. We therefore tested whether the sensing and repair of DNA double-strand breaks (DNA-dsbs) is altered in irradiated cells kept under continual oxic, hypoxic or anoxic conditions. Synchronized G0-G1 human fibroblasts were irradiated (0-10 Gy) after initial gassing with 0% O(2) (anoxia), 0.2% O(2) (hypoxia) or 21% O(2) (oxia) for 16 hours. The response of phosphorylated histone H2AX (γ-H2AX), phosphorylated ataxia telangiectasia mutated [ATM(Ser1981)], and the p53 binding protein 1 (53BP1) was quantified by intranuclear DNA repair foci and western blotting. At 24 hours following DNA damage, residual γ-H2AX, ATM(Ser1981) and 53BP1 foci were observed in hypoxic cells. This increase in residual DNA-dsbs under hypoxic conditions was confirmed using neutral comet assays. Clonogenic survival was also reduced in chronically hypoxic cells, which is consistent with the observation of elevated G1-associated residual DNA-dsbs. We also observed an increase in the frequency of chromosomal aberrations in chronically hypoxic cells. We conclude that DNA repair under continued hypoxia leads to decreased repair of G1-associated DNA-dsbs, resulting in increased chromosomal instability. Our findings suggest that aberrant DNA-dsb repair under hypoxia is a potential factor in hypoxia-mediated genetic instability.
Insights
Hypoxia impairs DNA double-strand break (DNA-DSB) repair in human fibroblasts, leading to increased residual DNA damage and chromosomal instability. This suggests aberrant repair under hypoxia contributes to genetic instability in tumors.
Area of Science:
- Cellular Biology
- Radiation Oncology
- Genetics
Background:
- Hypoxic conditions are prevalent in solid tumors and linked to genetic instability and poor prognosis.
- The precise mechanisms connecting DNA repair, genetic instability, and hypoxia remain incompletely understood.
Purpose of the Study:
- To investigate the impact of sustained oxic, hypoxic, and anoxic conditions on DNA double-strand break (DNA-DSB) sensing and repair in irradiated human fibroblasts.
- To determine if altered DNA repair under hypoxia contributes to genetic instability.
Main Methods:
- Human fibroblasts synchronized in G0-G1 phase were exposed to varying oxygen levels (anoxia, hypoxia, oxia) before irradiation (0-10 Gy).
- DNA double-strand break (DNA-DSB) repair markers (γ-H2AX, ATM(Ser1981), 53BP1 foci) were quantified using immunofluorescence and western blotting.
- Neutral comet assays and analysis of chromosomal aberrations were performed to assess DNA damage and genomic instability.
- Clonogenic survival assays evaluated cell viability under different oxygen conditions.
Main Results:
- Persistently elevated levels of residual DNA double-strand breaks (DNA-DSBs), indicated by γ-H2AX, ATM(Ser1981), and 53BP1 foci, were observed in hypoxic cells 24 hours post-irradiation.
- Neutral comet assays confirmed increased residual DNA-DSBs in hypoxic cells.
- Chronic hypoxia resulted in reduced clonogenic survival and a higher frequency of chromosomal aberrations.
- These findings indicate impaired repair of G1-associated DNA-DSBs under hypoxic conditions.
Conclusions:
- Continued hypoxia impairs the repair of DNA double-strand breaks (DNA-DSBs) in the G1 phase of the cell cycle.
- This deficient DNA repair under hypoxia leads to increased residual DNA damage and subsequent chromosomal instability.
- Aberrant DNA-DSB repair in hypoxia is a significant contributor to hypoxia-mediated genetic instability in cancer cells.
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