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Updated: Mar 20, 2026

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
DNA damage tolerance by recombination: Molecular pathways and DNA structures
Dana Branzei1, Barnabas Szakal1
1IFOM, The FIRC Institute of Molecular Oncology, Via Adamello 16, 20139 Milan, Italy.
Abstract:
Replication perturbations activate DNA damage tolerance (DDT) pathways, which are crucial to promote replication completion and to prevent fork breakage, a leading cause of genome instability. One mode of DDT uses translesion synthesis polymerases, which however can also introduce mutations. The other DDT mode involves recombination-mediated mechanisms, which are generally accurate. DDT occurs prevalently postreplicatively, but in certain situations homologous recombination is needed to restart forks. Fork reversal can function to stabilize stalled forks, but may also promote error-prone outcome when used for fork restart. Recent years have witnessed important advances in our understanding of the mechanisms and DNA structures that mediate recombination-mediated damage-bypass and highlighted principles that regulate DDT pathway choice locally and temporally. In this review we summarize the current knowledge and paradoxes on recombination-mediated DDT pathways and their workings, discuss how the intermediate DNA structures may influence genome integrity, and outline key open questions for future research.
Insights
DNA damage tolerance (DDT) pathways are vital for replication completion and genome stability. This review explores recombination-mediated DDT, its mechanisms, and its role in preventing mutations during DNA replication stress.
Area of Science:
- Molecular Biology
- Genetics
- Cell Biology
Background:
- Replication perturbations trigger DNA damage tolerance (DDT) pathways essential for replication completion.
- DDT pathways prevent replication fork breakage, a major source of genome instability.
- Two DDT modes exist: translesion synthesis (TLS) polymerases (mutagenic) and recombination-mediated mechanisms (accurate).
Purpose of the Study:
- To review current knowledge on recombination-mediated DDT pathways.
- To discuss DNA structures involved in recombination-mediated damage bypass.
- To highlight principles regulating DDT pathway choice and identify future research directions.
Main Methods:
- Literature review of recent advances in recombination-mediated DDT.
- Analysis of DNA structures mediating damage bypass and fork restart.
- Discussion of regulatory principles governing DDT pathway selection.
Main Results:
- Recombination-mediated DDT is generally accurate, contrasting with potentially mutagenic TLS.
- Homologous recombination is critical for restarting stalled replication forks in certain scenarios.
- Fork reversal can stabilize forks but may lead to error-prone restart outcomes.
Conclusions:
- Understanding recombination-mediated DDT is crucial for comprehending genome stability.
- Intermediate DNA structures in DDT significantly influence genome integrity.
- Further research is needed to resolve paradoxes and fully elucidate DDT mechanisms.
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