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Updated: Aug 22, 2025

Visualizing and Quantifying Endonuclease-Based Site-Specific DNA Damage
Published on: August 21, 2021
Contribution of Microhomology to Genome Instability: Connection between DNA Repair and Replication Stress
1Department of Radiation Oncology, University of Virginia, Charlottesville, VA 22903, USA.
Abstract:
Microhomology-mediated end joining (MMEJ) is a highly mutagenic pathway to repair double-strand breaks (DSBs). MMEJ was thought to be a backup pathway of homologous recombination (HR) and canonical nonhomologous end joining (C-NHEJ). However, it attracts more attention in cancer research due to its special function of microhomology in many different aspects of cancer. In particular, it is initiated with DNA end resection and upregulated in homologous recombination-deficient cancers. In this review, I summarize the following: (1) the recent findings and contributions of MMEJ to genome instability, including phenotypes relevant to MMEJ; (2) the interaction between MMEJ and other DNA repair pathways; (3) the proposed mechanistic model of MMEJ in DNA DSB repair and a new connection with microhomology-mediated break-induced replication (MMBIR); and (4) the potential clinical application by targeting MMEJ based on synthetic lethality for cancer therapy.
Insights
Microhomology-mediated end joining (MMEJ) repairs DNA double-strand breaks (DSBs) and is crucial in cancer research. Targeting MMEJ offers potential synthetic lethality strategies for cancer therapy.
Area of Science:
- Molecular Biology
- Genetics
- Cancer Research
Background:
- Microhomology-mediated end joining (MMEJ) is a DNA repair pathway for double-strand breaks (DSBs).
- MMEJ was previously considered a backup to homologous recombination (HR) and canonical nonhomologous end joining (C-NHEJ).
- MMEJ plays a significant role in cancer development and genome instability.
Purpose of the Study:
- To review recent findings on MMEJ's role in genome instability.
- To explore MMEJ's interactions with other DNA repair pathways.
- To discuss MMEJ's mechanistic models, its connection to microhomology-mediated break-induced replication (MMBIR), and its therapeutic potential in cancer.
Main Methods:
- Literature review of MMEJ mechanisms and functions.
- Analysis of MMEJ's involvement in DNA DSB repair.
- Exploration of MMEJ's implications in homologous recombination-deficient cancers.
Main Results:
- MMEJ contributes significantly to genome instability.
- MMEJ interacts with and influences other DNA repair pathways.
- MMEJ is upregulated in homologous recombination-deficient cancers, highlighting its importance.
Conclusions:
- MMEJ is a critical DNA repair pathway with implications for cancer.
- Understanding MMEJ's mechanisms and interactions can reveal new therapeutic targets.
- Targeting MMEJ via synthetic lethality presents a promising strategy for cancer treatment.
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