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Updated: Apr 15, 2026

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
Excision of translesion synthesis errors orchestrates responses to helix-distorting DNA lesions
Anastasia Tsaalbi-Shtylik1, Cristina Ferrás1, Bea Pauw1
1Department of Human Genetics, Leiden University Medical Center, 2300 RC Leiden, Netherlands.
Abstract:
In addition to correcting mispaired nucleotides, DNA mismatch repair (MMR) proteins have been implicated in mutagenic, cell cycle, and apoptotic responses to agents that induce structurally aberrant nucleotide lesions. Here, we investigated the mechanistic basis for these responses by exposing cell lines with single or combined genetic defects in nucleotide excision repair (NER), postreplicative translesion synthesis (TLS), and MMR to low-dose ultraviolet light during S phase. Our data reveal that the MMR heterodimer Msh2/Msh6 mediates the excision of incorrect nucleotides that are incorporated by TLS opposite helix-distorting, noninstructive DNA photolesions. The resulting single-stranded DNA patches induce canonical Rpa-Atr-Chk1-mediated checkpoints and, in the next cell cycle, collapse to double-stranded DNA breaks that trigger apoptosis. In conclusion, a novel MMR-related DNA excision repair pathway controls TLS a posteriori, while initiating cellular responses to environmentally relevant densities of genotoxic lesions. These results may provide a rationale for the colorectal cancer tropism in Lynch syndrome, which is caused by inherited MMR gene defects.
Insights
DNA mismatch repair (MMR) proteins initiate cellular responses to DNA damage. A novel MMR pathway controls translesion synthesis (TLS) and triggers apoptosis, explaining Lynch syndrome
Area of Science:
- Molecular Biology
- Genetics
- Cell Biology
Background:
- DNA mismatch repair (MMR) proteins are known for correcting nucleotide mismatches.
- MMR proteins also play roles in cellular responses to DNA damage, including mutagenic, cell cycle, and apoptotic pathways.
- The precise mechanisms underlying these responses to aberrant DNA lesions are not fully understood.
Purpose of the Study:
- To investigate the mechanistic basis of MMR-mediated cellular responses to DNA damage.
- To elucidate the role of MMR in conjunction with nucleotide excision repair (NER) and translesion synthesis (TLS) pathways.
- To understand how MMR proteins handle DNA photolesions induced by ultraviolet (UV) light.
Main Methods:
- Exposing cell lines with genetic defects in NER, TLS, and MMR to low-dose UV light during the S phase.
- Analyzing the roles of specific MMR proteins, such as the Msh2/Msh6 heterodimer.
- Investigating the induction of DNA checkpoints and double-strand breaks.
Main Results:
- The MMR heterodimer Msh2/Msh6 excises incorrect nucleotides incorporated by TLS opposite DNA photolesions.
- This excision creates single-stranded DNA patches that activate canonical Rpa-Atr-Chk1 checkpoints.
- These DNA lesions subsequently lead to double-strand breaks and apoptosis in the next cell cycle.
Conclusions:
- A novel MMR-related DNA excision repair pathway acts postreplicatively to control TLS.
- This pathway initiates cellular responses to genotoxic lesions, including checkpoints and apoptosis.
- These findings offer a potential explanation for the predisposition to colorectal cancer in Lynch syndrome patients with inherited MMR gene defects.
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