MDS/AML-associated DDX41 helicase facilitates homologous recombination repair by potentially resolving R-loops

Aanchal Aggarwal1, Shizhuo Yang1, Lacey Winstone1

  • 1Department of Biochemistry, Microbiology and Immunology, University of Saskatchewan, Health Sciences Building, 107 Wiggins Road, Saskatoon, Saskatchewan S7N 5E5, Canada.

Nucleic Acids Research
|March 12, 2026
PubMed

Insights

DDX41 mutations linked to MDS/AML impair DNA repair by failing to resolve R-loops. This genomic instability suggests DDX41

Area of Science:

  • Molecular Biology
  • Genetics
  • Cancer Research

Background:

  • DDX41 mutations are linked to myeloid neoplasms like myelodysplastic syndrome (MDS) and acute myeloid leukemia (AML).
  • The specific R525H missense mutant is prevalent in 67% of affected patients, but its pathogenic mechanism remains unclear.
  • Understanding DDX41's role is crucial for elucidating the molecular basis of these hematological malignancies.

Purpose of the Study:

  • To investigate the molecular pathogenesis of DDX41 mutations in myeloid neoplasms.
  • To determine the function of DDX41 in maintaining genomic stability and DNA repair.
  • To explore the role of the R525H mutant in cellular response to DNA damage.

Main Methods:

  • Utilized DDX41 knockout (KO) cell lines to assess sensitivity to DNA damaging agents (bleomycin, camptothecin, UV).
  • Quantified DNA double-strand breaks (DSBs), R-loop formation, and DNA repair pathway markers (γH2AX, RPA, RAD51, S9.6).
  • Performed in vitro assays with wild-type (WT) and mutant R525H DDX41 proteins to assess DNA:RNA hybrid resolution.

Main Results:

  • DDX41-KO cells exhibited increased sensitivity to DNA damage, elevated DSBs, and heightened R-loop accumulation.
  • Wild-type DDX41 resolved DNA:RNA hybrids in vitro, whereas the R525H mutant failed to do so.
  • DDX41 deficiency and R525H expression impaired homologous recombination (HR) repair, indicated by altered RPA and RAD51 foci.

Conclusions:

  • DDX41 plays a critical role in resolving R-loops, thereby maintaining genomic stability and facilitating HR-based DNA repair.
  • The R525H mutation disrupts DDX41's unwinding activity, leading to R-loop accumulation and defective DNA repair.
  • Dysregulation of the DDX41-mediated R-loop resolution pathway contributes to the pathogenesis of MDS and AML.

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