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.

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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