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Updated: Oct 23, 2025

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
Elevated glucose increases genomic instability by inhibiting nucleotide excision repair
Alexandra K Ciminera1,2, Sarah C Shuck1, John Termini3
1Department of Molecular Medicine, Beckman Research Institute at City of Hope, Duarte, CA, USA.
Elevated glucose impairs DNA repair by inhibiting the nucleotide excision repair (NER) pathway, leading to genomic instability. This mechanism may increase cancer risk in metabolic diseases.
Area of Science:
- Biochemistry
- Molecular Biology
- Genetics
Background:
- Elevated glucose is linked to genomic instability.
- Understanding the molecular mechanisms is crucial for metabolic disease and cancer research.
Purpose of the Study:
- To investigate how high glucose levels promote genomic instability.
- To elucidate the role of DNA repair pathways in hyperglycemia-induced DNA damage.
Main Methods:
- Gene expression studies
- Protein measurements
- Mass spectroscopic analyses
- Functional assays
- Cellular models (NER-competent and NER-deficient)
Main Results:
- Elevated glucose inhibits nucleotide excision repair (NER) and promotes DNA strand breaks.
- Increased levels of the DNA glycation adduct N-(1-carboxyethyl)-2'-deoxyguanosine (CEdG) were observed.
- Hyperglycemia attenuates hypoxia-inducible factor-1α-mediated transcription of NER genes via enhanced prolyl hydroxylase (PHD) activity.
- PHD inhibition restores NER gene transcription and CEdG repair.
Conclusions:
- Hyperglycemia promotes genomic instability by inhibiting DNA repair pathways, potentially increasing cancer risk.
- The findings highlight a link between metabolic disease, DNA damage, and cancer.
- Dysregulation of NER and PHD activity in response to glucose may have broader implications for cellular pathophysiology.
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