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Updated: Jun 24, 2025

Proofreading and DNA Repair Assay Using Single Nucleotide Extension and MALDI-TOF Mass Spectrometry Analysis
Published on: June 19, 2018
DNA mismatch and damage patterns revealed by single-molecule sequencing
Mei Hong Liu1,2, Benjamin M Costa1,2, Emilia C Bianchini1,2
1Center for Human Genetics and Genomics, New York University Grossman School of Medicine, New York, NY, USA.
Abstract:
Mutations accumulate in the genome of every cell of the body throughout life, causing cancer and other diseases1,2. Most mutations begin as nucleotide mismatches or damage in one of the two strands of the DNA before becoming double-strand mutations if unrepaired or misrepaired3,4. However, current DNA-sequencing technologies cannot accurately resolve these initial single-strand events. Here we develop a single-molecule, long-read sequencing method (Hairpin Duplex Enhanced Fidelity sequencing (HiDEF-seq)) that achieves single-molecule fidelity for base substitutions when present in either one or both DNA strands. HiDEF-seq also detects cytosine deamination-a common type of DNA damage-with single-molecule fidelity. We profiled 134 samples from diverse tissues, including from individuals with cancer predisposition syndromes, and derive from them single-strand mismatch and damage signatures. We find correspondences between these single-strand signatures and known double-strand mutational signatures, which resolves the identity of the initiating lesions. Tumours deficient in both mismatch repair and replicative polymerase proofreading show distinct single-strand mismatch patterns compared to samples that are deficient in only polymerase proofreading. We also define a single-strand damage signature for APOBEC3A. In the mitochondrial genome, our findings support a mutagenic mechanism occurring primarily during replication. As double-strand DNA mutations are only the end point of the mutation process, our approach to detect the initiating single-strand events at single-molecule resolution will enable studies of how mutations arise in a variety of contexts, especially in cancer and ageing.
Insights
Scientists developed a new DNA sequencing method, HiDEF-seq, to detect early DNA damage at the single-molecule level. This breakthrough helps identify the origins of mutations that cause cancer and aging.
Area of Science:
- Genomics
- Molecular Biology
- Cancer Research
Background:
- Genomic mutations accumulate throughout life, leading to cancer and other diseases.
- Most mutations initiate as single-strand DNA events, but current sequencing methods struggle to resolve them.
- Understanding these initial events is crucial for deciphering mutation origins.
Purpose of the Study:
- To develop a novel sequencing technology capable of detecting single-strand DNA damage and mismatches with high fidelity.
- To characterize single-strand mutation signatures and link them to known double-strand mutational signatures.
- To investigate mutation mechanisms in various contexts, including cancer and aging.
Main Methods:
- Development of Hairpin Duplex Enhanced Fidelity sequencing (HiDEF-seq), a single-molecule, long-read sequencing method.
- Profiling of 134 diverse tissue samples, including those from individuals with cancer predisposition syndromes.
- Analysis of single-strand mismatch and damage signatures, including cytosine deamination and APOBEC3A activity.
Main Results:
- HiDEF-seq achieves single-molecule fidelity for base substitutions and cytosine deamination.
- Established correspondences between single-strand and double-strand mutational signatures, resolving initiating lesions.
- Identified distinct single-strand mismatch patterns in tumors with different repair deficiencies and defined an APOBEC3A damage signature.
- Provided insights into mutagenic mechanisms in the mitochondrial genome.
Conclusions:
- HiDEF-seq enables the detection of initial single-strand DNA events at unprecedented resolution.
- This technology can elucidate the origins of mutations in cancer, aging, and other disease contexts.
- Resolving single-strand events is key to understanding the complete mutation process beyond double-strand mutations.
Related Concept Videos
Mismatch Repair
Overview of DNA Repair
Chemically...
Base Excision Repair
The first step of...
Sanger Sequencing
Fixing Double-strand Breaks
Homologous Recombination

