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Updated: Dec 5, 2025

Using Next Generation Sequencing to Identify Mutations Associated with Repair of a CAS9-induced Double Strand Break Near the CD4 Promoter
Published on: March 31, 2022
The molecular basis and disease relevance of non-homologous DNA end joining
Bailin Zhao1,2,3,4,5, Eli Rothenberg6, Dale A Ramsden7
1Department of Pathology, University of Southern California Keck School of Medicine, Los Angeles, CA, USA.
Abstract:
Non-homologous DNA end joining (NHEJ) is the predominant repair mechanism of any type of DNA double-strand break (DSB) during most of the cell cycle and is essential for the development of antigen receptors. Defects in NHEJ result in sensitivity to ionizing radiation and loss of lymphocytes. The most critical step of NHEJ is synapsis, or the juxtaposition of the two DNA ends of a DSB, because all subsequent steps rely on it. Recent findings show that, like the end processing step, synapsis can be achieved through several mechanisms. In this Review, we first discuss repair pathway choice between NHEJ and other DSB repair pathways. We then integrate recent insights into the mechanisms of NHEJ synapsis with updates on other steps of NHEJ, such as DNA end processing and ligation. Finally, we discuss NHEJ-related human diseases, including inherited disorders and neoplasia, which arise from rare failures at different NHEJ steps.
Insights
Non-homologous DNA end joining (NHEJ) repairs DNA double-strand breaks and is vital for immune system development. This review details NHEJ synapsis mechanisms, repair pathway choices, and links to human diseases.
Area of Science:
- Molecular Biology
- Genetics
- Immunology
Background:
- Non-homologous DNA end joining (NHEJ) is the primary pathway for repairing DNA double-strand breaks (DSBs).
- NHEJ is crucial for V(D)J recombination, essential for adaptive immunity.
- Defective NHEJ leads to genomic instability, radiosensitivity, and immune deficiencies.
Purpose of the Study:
- To review recent advances in understanding NHEJ mechanisms, focusing on synapsis.
- To integrate current knowledge on DNA end processing, synapsis, and ligation in NHEJ.
- To discuss the implications of NHEJ dysfunction in human diseases.
Main Methods:
- Literature review of recent findings on NHEJ.
- Integration of data on DNA repair pathway choice.
- Analysis of mechanisms underlying NHEJ synapsis, end processing, and ligation.
Main Results:
- Synapsis, the juxtaposition of DNA ends, is a critical and multifaceted step in NHEJ.
- Multiple mechanisms contribute to NHEJ synapsis, similar to DNA end processing.
- Failures in various NHEJ steps can lead to human genetic disorders and cancer.
Conclusions:
- Understanding NHEJ mechanisms, particularly synapsis, is key to comprehending its role in genome stability and immunity.
- Dysregulation of NHEJ contributes to human diseases, highlighting its therapeutic relevance.
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