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Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
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One of the common DNA damages is the chemical alteration of single bases by alkylation, oxidation, or deamination. The altered bases cause mispairing and strand breakage during replication. This type of damage causes minimal change to the DNA double helix structure and can be repaired by the base excision repair (BER) pathways. BER corrects damaged DNA sequences by removing the damaged base and restoring the original base sequence using the complementary strand as a template.
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The double-stranded structure of DNA has two major advantages. First, it serves as a safe repository of genetic information where one strand serves as the back-up in case the other strand is damaged. Second, the double-helical structure can be wrapped around proteins called histones to form nucleosomes, which can then be tightly wound to form chromosomes. This way, DNA chains up to 2 inches long can be contained within microscopic structures in a cell. A double-stranded break not only damages...
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In order to be passed through generations, genomic DNA must be undamaged and error-free. However, every day, DNA in a cell undergoes several thousand to a million damaging events by natural causes and external factors. Ionizing radiation such as UV rays, free radicals produced during cellular respiration, and hydrolytic damage from metabolic reactions can alter the structure of DNA. Damages caused include single-base alteration, base dimerization, chain breaks, and cross-linkage.
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Related Experiment Video

Updated: Feb 9, 2026

Isolation of Endocardial and Coronary Endothelial Cells from the Ventricular Free Wall of the Rat Heart
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Modified Double Patch Repair for Septal Rupture With Ventricular Wall Dissection.

Takuma Yamasaki1, Yuichi Matsuzaki1, Yu Hohri1

  • 1Department of Cardiovascular Surgery, Japanese Red Cross Kyoto Daini Hospital, Kyoto, Japan.

The Annals of Thoracic Surgery
|June 9, 2018
PubMed
Summary

Ventricular septal rupture with free wall dissection is rare after inferior myocardial infarction. A modified double patch repair technique effectively excluded dissection, preventing residual shunts and preserving cardiac function.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Cardiovascular Imaging

Background:

  • Ventricular septal rupture (VSR) with ventricular free wall dissection is a rare but severe complication following inferior myocardial infarction.

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  • Optimal surgical management for this condition is not well-established due to limited case numbers and survival data.