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Distinct ATRX functions cooperate with 9-1-1 and CST complexes to safeguard replication and telomere integrity
Sandra Segura-Bayona1, Marija Maric1, Tohru Takaki1
1DSB Repair Metabolism Laboratory, The Francis Crick Institute, London, UK.
Nature Structural & Molecular Biology
|July 1, 2026
Summary
ATRX mutations cause genetic disorders and cancer. This study reveals ATRX dependencies on CST and 9-1-1 complexes, highlighting its crucial roles in preventing toxic single-stranded DNA accumulation for genome and telomere stability.
Area of Science:
- Genetics
- Molecular Biology
- Cell Biology
Background:
- Mutations in the ATRX chromatin remodeler are linked to developmental disorders and cancer.
- The precise mechanisms by which ATRX maintains genome and telomere stability are not fully understood.
Purpose of the Study:
- To elucidate the functional dependencies of ATRX-deficient cells on specific protein complexes.
- To investigate the role of ATRX in suppressing DNA damage during replication stress.
- To determine the separable functions of ATRX in telomere maintenance and replication.
Main Methods:
- Investigated synthetic lethality in ATRX-deficient cells using genetic screens.
- Analyzed telomere integrity and genome-wide single-stranded DNA (ssDNA) accumulation.
- Assessed the impact of ATRX mutations on DNA replication stress response.
- Utilized biochemical assays to examine ATRX ATPase activity and protein interactions.
Main Results:
- ATRX-deficient cells exhibit synthetic lethality with the CTC1-STN1-TEN1 (CST) complex due to telomeric G-rich ssDNA accumulation.
- ATRX-deficient cells show synthetic lethality with the RAD9A-HUS1-RAD1 (9-1-1) clamp, linked to genome-wide ssDNA lesions that impair DNA replication.
- ATRX suppresses replication-associated DNA damage by inhibiting FAM111A protease activity.
- ATRX's telomere maintenance and replication roles are genetically separable, dependent on its ATPase activity and PIP-box, respectively.
- These genome stability functions are largely independent of the ATRX-DAXX interaction.
Conclusions:
- ATRX functions are context-dependent in suppressing toxic ssDNA lesions.
- ATRX is critical for both global DNA replication and telomere integrity.
- Understanding ATRX dependencies offers insights into therapeutic strategies for ATRX-mutated cancers and genetic disorders.
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