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Updated: May 2, 2026

Cell-cell Fusion of Genome Edited Cell Lines for Perturbation of Cellular Structure and Function
Published on: December 8, 2019
Two replication fork maintenance pathways fuse inverted repeats to rearrange chromosomes
Lingchuan Hu1, Tae Moon Kim, Mi Young Son
1Department of Molecular Medicine/Institute of Biotechnology, The Barshop Institute for Longevity and Aging Studies, The University of Texas Health Science Center at San Antonio, San Antonio, Texas 78245-3207, USA.
Faulty DNA repair pathways can cause chromosomal rearrangements. This study identifies two distinct pathways, one regulated by BLM and another by RAD18, that fuse DNA repeats, leading to genomic instability and potential disease.
Area of Science:
- Genetics
- Molecular Biology
- Genomic Instability
Background:
- Replication fork maintenance pathways are crucial for chromosomal integrity.
- Dysfunctional pathways, particularly at nonallelic repeats, can lead to cancer and genomic disorders.
- Homologous recombination and error-free postreplication repair (EF-PRR) are key mechanisms involved.
Purpose of the Study:
- To delineate the distinct pathways responsible for spontaneous fusion of inverted repeats in mouse embryonic stem cells.
- To investigate the roles of Bloom syndrome mutated (BLM) helicase and RAD18 in these fusion pathways.
- To elucidate the involvement of TREX2 exonuclease in repeat fusion and its relationship with EF-PRR.
Main Methods:
- Utilizing wild-type mouse embryonic stem cells.
- Inducing DNA damage with gamma radiation and ultraviolet light.
- Analyzing repeat fusion events and their regulation by specific proteins like BLM, RAD18, and TREX2.
- Assessing proliferating cell nuclear antigen (PCNA) ubiquitination and replication fork stalling.
Main Results:
- Gamma radiation induced a BLM-regulated pathway that fused identical repeats.
- Ultraviolet light induced a RAD18-dependent pathway that fused mismatched repeats.
- TREX2 suppressed identical repeat fusion but enhanced mismatched repeat fusion, associating it with EF-PRR and UBC13.
Conclusions:
- Two distinct pathways, differentially regulated by BLM and RAD18, mediate spontaneous inverted repeat fusion.
- TREX2 acts as a novel component of the EF-PRR pathway, distinguishing between identical and mismatched repeat fusion.
- Replication fork stalling is implicated as a causal mechanism for repeat fusion in both pathways, highlighting the importance of replication fork maintenance.
Related Concept Videos
Mismatch Repair
Homologous Recombination
Restarting Stalled Replication Forks
Gene Conversion

