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Updated: Nov 1, 2025

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
A systematic CRISPR screen defines mutational mechanisms underpinning signatures caused by replication errors and
Xueqing Zou1,2,3, Gene Ching Chiek Koh1,2,3, Arjun Scott Nanda1,2
1Academic Department of Medical Genetics, School of Clinical Medicine, University of Cambridge, Cambridge, UK.
Abstract:
Mutational signatures are imprints of pathophysiological processes arising through tumorigenesis. We generated isogenic CRISPR-Cas9 knockouts (Δ) of 43 genes in human induced pluripotent stem cells, cultured them in the absence of added DNA damage, and performed whole-genome sequencing of 173 subclones. ΔOGG1, ΔUNG, ΔEXO1, ΔRNF168, ΔMLH1, ΔMSH2, ΔMSH6, ΔPMS1, and ΔPMS2 produced marked mutational signatures indicative of being critical mitigators of endogenous DNA modifications. Detailed analyses revealed mutational mechanistic insights, including how 8-oxo-dG elimination is sequence-context-specific while uracil clearance is sequence-context-independent. Mismatch repair (MMR) deficiency signatures are engendered by oxidative damage (C>A transversions), differential misincorporation by replicative polymerases (T>C and C>T transitions), and we propose a 'reverse template slippage' model for T>A transversions. ΔMLH1, ΔMSH6, and ΔMSH2 signatures were similar to each other but distinct from ΔPMS2. Finally, we developed a classifier, MMRDetect, where application to 7,695 WGS cancers showed enhanced detection of MMR-deficient tumors, with implications for responsiveness to immunotherapies.
Insights
Researchers identified key genes that mitigate DNA damage during cancer development. Gene knockouts revealed distinct mutational signatures, aiding in the development of a new classifier for detecting DNA repair deficiencies in tumors.
Area of Science:
- Genomics
- Cancer Biology
- Molecular Genetics
Background:
- Mutational signatures provide insights into the molecular mechanisms driving tumorigenesis.
- Understanding endogenous DNA damage repair is crucial for cancer research.
Purpose of the Study:
- To investigate the role of specific genes in mitigating endogenous DNA damage.
- To characterize the mutational signatures resulting from the deficiency of these genes.
- To develop a tool for detecting DNA repair deficiencies in cancer.
Main Methods:
- Generated CRISPR-Cas9 knockouts of 43 genes in human induced pluripotent stem cells.
- Performed whole-genome sequencing on 173 subclones.
- Developed and applied a classifier (MMRDetect) to whole-genome sequencing data from 7,695 cancers.
Main Results:
- Specific gene knockouts (e.g., OGG1, MLH1, MSH2) produced distinct mutational signatures.
- Revealed mechanistic insights into DNA repair pathways, including sequence-context specificity of 8-oxo-dG elimination.
- Identified distinct signatures for different mismatch repair gene deficiencies.
- MMRDetect classifier enhanced the detection of mismatch repair-deficient tumors.
Conclusions:
- Key genes play critical roles in mitigating endogenous DNA damage.
- Mutational signatures can elucidate complex DNA repair mechanisms.
- The MMRDetect classifier improves the identification of mismatch repair-deficient cancers, with potential implications for immunotherapy response.
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