Translesion polymerase η is upregulated by cancer therapeutics and confers anticancer drug resistance
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Updated: Apr 25, 2026

Utilizing Murine Inducible Telomerase Alleles in the Studies of Tissue Degeneration/Regeneration and Cancer
Published on: April 13, 2015
Maja T Tomicic1, Dorthe Aasland1, Steffen C Naumann1
1Department of Toxicology, University Medical Center Mainz, Mainz, Germany.
Abstract:
DNA repair processes are a key determinant of the sensitivity of cancer cells to DNA-damaging chemotherapeutics, which may induce certain repair genes as a mechanism to promote resistance. Here, we report the results of a screen for repair genes induced in cancer cells treated with DNA crosslinking agents, which identified the translesion polymerase η (PolH) as a p53-regulated target acting as one defense against interstrand crosslink (ICL)-inducing agents. PolH was induced by fotemustine, mafosfamide, and lomustine in breast cancer, glioma, and melanoma cells in vitro and in vivo, with similar inductions observed in normal cells such as lymphocytes and diploid fibroblasts. PolH contributions to the protection against ICL-inducing agents were evaluated by its siRNA-mediated attenuation in cells, which elevated sensitivity to these drugs in all tumor cell models. Conversely, PolH overexpression protected cancer cells against these drugs. PolH attenuation reduced repair of ICL lesions as measured by host cell reactivation assays and enhanced persistence of γH2AX foci. Moreover, we observed a strong accumulation of PolH in the nucleus of drug-treated cells along with direct binding to damaged DNA. Taken together, our findings implicated PolH in ICL repair as a mechanism of cancer drug resistance and normal tissue protection.
Insights
Translesion polymerase eta (PolH) protects cancer cells from DNA crosslinking chemotherapy. This DNA repair mechanism promotes drug resistance and normal tissue protection against these agents.
Area of Science:
- Molecular Biology
- Cancer Research
- Genetics
Background:
- DNA repair mechanisms are critical in determining cancer cell sensitivity to chemotherapy.
- Certain DNA repair genes can be induced by chemotherapeutics, contributing to drug resistance.
Purpose of the Study:
- To identify DNA repair genes induced by DNA crosslinking agents in cancer cells.
- To investigate the role of translesion polymerase eta (PolH) in cellular defense against interstrand crosslink (ICL)-inducing agents.
Main Methods:
- A screen was conducted to identify repair genes induced by DNA crosslinking agents.
- siRNA-mediated attenuation and overexpression of PolH were used to evaluate its role in drug sensitivity.
- Host cell reactivation assays and γH2AX foci analysis measured ICL lesion repair.
- PolH localization and DNA binding were assessed in drug-treated cells.
Main Results:
- Translesion polymerase eta (PolH) was identified as a p53-regulated target induced by ICL-inducing agents (fotemustine, mafosfamide, lomustine) in various cancer and normal cells.
- PolH induction conferred resistance to ICL-inducing agents in cancer cells, while PolH attenuation increased sensitivity.
- PolH was found to be essential for efficient repair of ICL lesions and reduced γH2AX foci.
- PolH accumulated in the nucleus of drug-treated cells and directly bound to damaged DNA.
Conclusions:
- Translesion polymerase eta (PolH) plays a significant role in repairing interstrand crosslink lesions.
- PolH functions as a mechanism of cancer drug resistance and normal tissue protection against ICL-inducing chemotherapeutics.
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