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Updated: Jan 31, 2026

Direct Restart of a Replication Fork Stalled by a Head-On RNA Polymerase
Published on: April 29, 2010
USP1 Is Required for Replication Fork Protection in BRCA1-Deficient Tumors
Kah Suan Lim1, Heng Li2, Emma A Roberts1
1Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, MA 02215, USA.
Abstract:
BRCA1-deficient tumor cells have defects in homologous-recombination repair and replication fork stability, resulting in PARP inhibitor sensitivity. Here, we demonstrate that a deubiquitinase, USP1, is upregulated in tumors with mutations in BRCA1. Knockdown or inhibition of USP1 resulted in replication fork destabilization and decreased viability of BRCA1-deficient cells, revealing a synthetic lethal relationship. USP1 binds to and is stimulated by fork DNA. A truncated form of USP1, lacking its DNA-binding region, was not stimulated by DNA and failed to localize and protect replication forks. Persistence of monoubiquitinated PCNA at the replication fork was the mechanism of cell death in the absence of USP1. Taken together, USP1 exhibits DNA-mediated activation at the replication fork, protects the fork, and promotes survival in BRCA1-deficient cells. Inhibition of USP1 may be a useful treatment for a subset of PARP-inhibitor-resistant BRCA1-deficient tumors with acquired replication fork stabilization.
Insights
USP1 deubiquitinase is upregulated in BRCA1-deficient tumors. Inhibiting USP1 destabilizes replication forks, decreasing cancer cell viability, offering a new therapeutic strategy for PARP-inhibitor-resistant tumors.
Area of Science:
- Molecular Biology
- Cancer Biology
- Genetics
Background:
- BRCA1-deficient tumors exhibit homologous-recombination repair defects and replication fork instability, leading to PARP inhibitor sensitivity.
- Upregulation of USP1 (a deubiquitinase) is observed in tumors with BRCA1 mutations.
Purpose of the Study:
- To investigate the role of USP1 in BRCA1-deficient cells and its potential as a therapeutic target.
- To elucidate the mechanism by which USP1 influences replication fork stability and cell viability.
Main Methods:
- Knockdown and inhibition of USP1 in BRCA1-deficient cells.
- Assessment of replication fork stability and cell viability.
- Analysis of USP1's interaction with and activation by fork DNA.
- Investigation of PCNA ubiquitination at replication forks.
Main Results:
- USP1 knockdown or inhibition led to replication fork destabilization and reduced viability in BRCA1-deficient cells, indicating a synthetic lethal interaction.
- USP1 binds to and is activated by fork DNA, protecting replication forks.
- Absence of USP1 resulted in persistent monoubiquitinated PCNA at replication forks, causing cell death.
Conclusions:
- USP1 is activated by DNA at the replication fork, where it protects fork stability and promotes survival in BRCA1-deficient cells.
- USP1 inhibition represents a potential therapeutic strategy for PARP-inhibitor-resistant BRCA1-deficient tumors.
- Targeting USP1 may overcome acquired resistance to PARP inhibitors by re-sensitizing tumors through replication fork destabilization.
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