The nuclease EXO1 promotes genomic instability by degrading nascent DNA in BRCA-proficient cells

Alexandra Nusawardhana1, Claudia M Nicolae1, George-Lucian Moldovan2

  • 1Department of Molecular and Precision Medicine, The Pennsylvania State University College of Medicine, Hershey, PA, USA.

Nature Communications
|February 25, 2026
PubMed

Insights

Overexpressed EXO1 in tumors degrades nascent DNA, causing genomic instability similar to BRCA mutations. This DNA repair defect occurs frequently in BRCA-proficient cancers, increasing double-strand breaks.

Area of Science:

  • Genetics
  • Molecular Biology
  • Cancer Research

Background:

  • DNA repair genes, like BRCA1 and BRCA2, are tumor suppressors; their inactivation leads to cancer.
  • Defects in homologous recombination repair and nascent DNA degradation by EXO1 and MRE11 are linked to carcinogenesis.
  • Most tumors retain BRCA pathway proficiency.

Purpose of the Study:

  • To investigate the role of EXO1 in BRCA-proficient tumors.
  • To determine if EXO1 overexpression contributes to genomic instability.
  • To identify novel mechanisms of carcinogenesis in common cancers.

Main Methods:

  • Analysis of EXO1 expression levels in tumor samples.
  • In vitro studies to assess EXO1 activity in DNA repair.
  • Assays measuring DNA double-strand breaks and replication fork stability.

Main Results:

  • EXO1 is overexpressed in a significant subset of tumors.
  • Overexpressed EXO1 promotes nascent DNA degradation at ssDNA gaps and reversed forks in BRCA-proficient cells.
  • This degradation, mediated by MRE11 cooperation, leads to increased double-strand breaks and sensitivity to genotoxic agents.

Conclusions:

  • Increased EXO1 activity is a mechanism of genomic instability.
  • This mechanism mimics BRCA pathway inactivation but is more prevalent in tumors.
  • EXO1 overexpression represents a potential therapeutic target in a broader range of cancers.

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