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Microhomology-mediated end joining acts directly on replication forks to repair single-ended double-strand breaks - PubMed

6 hours ago
  • #DNA repair
  • #Cancer therapy
  • #Replication stress
  • Microhomology-mediated end joining (MMEJ) repairs single-ended double-strand breaks (seDSBs) at replication forks, termed fork-MMEJ.
  • Fork-MMEJ operates preferentially on leading strands, functions independently of MRE11/CtIP-mediated end resection, and relies on RPA.
  • Fork-MMEJ produces asymmetric deletion patterns, distinct from canonical MMEJ (cMMEJ) at replication-independent double-ended DSBs (deDSBs).
  • ATR activation suppresses fork-MMEJ and promotes break-induced replication (BIR) as end resection proceeds.
  • Combined inactivation of ATR and Polθ synergistically kills cancer cells under high replication stress with minimal toxicity to normal cells.
  • The study provides insights into MMEJ mechanisms and suggests new strategies for cancer treatment.