A disease-associated XPA allele interferes with TFIIH binding and primarily affects transcription-coupled nucleotide
Diana van den Heuvel1, Mihyun Kim2,3, Annelotte P Wondergem1
1Department of Human Genetics, Leiden University Medical Center, 2333 ZC Leiden, The Netherlands.
Abstract:
XPA is a central scaffold protein that coordinates the assembly of repair complexes in the global genome (GG-NER) and transcription-coupled nucleotide excision repair (TC-NER) subpathways. Inactivating mutations in XPA cause xeroderma pigmentosum (XP), which is characterized by extreme UV sensitivity and a highly elevated skin cancer risk. Here, we describe two Dutch siblings in their late forties carrying a homozygous H244R substitution in the C-terminus of XPA. They present with mild cutaneous manifestations of XP without skin cancer but suffer from marked neurological features, including cerebellar ataxia. We show that the mutant XPA protein has a severely weakened interaction with the transcription factor IIH (TFIIH) complex leading to an impaired association of the mutant XPA and the downstream endonuclease ERCC1-XPF with NER complexes. Despite these defects, the patient-derived fibroblasts and reconstituted knockout cells carrying the XPA-H244R substitution show intermediate UV sensitivity and considerable levels of residual GG-NER (~50%), in line with the intrinsic properties and activities of the purified protein. By contrast, XPA-H244R cells are exquisitely sensitive to transcription-blocking DNA damage, show no detectable recovery of transcription after UV irradiation, and display a severe deficiency in TC-NER-associated unscheduled DNA synthesis. Our characterization of a new case of XPA deficiency that interferes with TFIIH binding and primarily affects the transcription-coupled subpathway of nucleotide excision repair, provides an explanation of the dominant neurological features in these patients, and reveals a specific role for the C-terminus of XPA in TC-NER.
Insights
Xeroderma pigmentosum (XP) is caused by XPA mutations. A new H244R mutation impairs TFIIH binding, affecting transcription-coupled repair more than global genome repair, explaining neurological symptoms.
Area of Science:
- Molecular Biology
- Genetics
- Biochemistry
Background:
- Xeroderma pigmentosum (XP) is a genetic disorder characterized by extreme UV sensitivity and elevated skin cancer risk due to mutations in DNA repair genes.
- XPA (xeroderma pigmentosum A) is a crucial scaffold protein coordinating DNA repair pathways: global genome nucleotide excision repair (GG-NER) and transcription-coupled nucleotide excision repair (TC-NER).
Purpose of the Study:
- To investigate the molecular mechanisms and clinical consequences of a novel homozygous H244R substitution in the XPA gene.
- To elucidate the specific impact of the XPA-H244R mutation on GG-NER and TC-NER subpathways and its correlation with patient phenotypes.
Main Methods:
- Analysis of patient-derived fibroblasts and reconstituted knockout cells with the XPA-H244R mutation.
- Assessment of protein-protein interactions, specifically XPA's binding to the transcription factor IIH (TFIIH) complex.
- Quantification of DNA repair efficiency (GG-NER and TC-NER) and unscheduled DNA synthesis following UV irradiation.
Main Results:
- The XPA-H244R mutation severely weakens the interaction between XPA and TFIIH, impairing downstream NER complex assembly.
- Cells with XPA-H244R exhibit intermediate UV sensitivity with ~50% residual GG-NER but are highly sensitive to transcription-blocking DNA damage.
- TC-NER is severely deficient in XPA-H244R cells, with no detectable transcription recovery post-UV and absent TC-NER-associated unscheduled DNA synthesis.
Conclusions:
- The XPA-H244R mutation primarily disrupts the TC-NER pathway due to impaired TFIIH binding, while GG-NER remains partially functional.
- This pathway-specific defect explains the dominant neurological features observed in patients with this mutation.
- The C-terminus of XPA plays a critical role in TC-NER, highlighting its distinct function from GG-NER.
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