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Aicardi-Goutières syndrome-associated gene SAMHD1 preserves genome integrity by







                                         preventing R-loop formation at transcription–replication conflict regions











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                                                1 School of Biological Sciences , Seoul National University, Seoul 08826, Korea



                                                2 Biomedical Research Institute, Seoul National University Hospital, Seoul 03080, Korea




                                                3 Transdisciplinary Department of Medicine & Advanced Technology, Seoul National University Hospital,



                                                Seoul 03080, Korea




                                                4 Department of Physics and Astronomy, Seoul National University, Seoul 08826, Korea








                                                                                                                                                                                                                                         R-loops adjacent to replication origins accumulate in fibroblasts of AGS patients bearing SAMHD1 mutations

                                                                                         Background                                                                                                                                      A, Average mapped DRIP-seq read accumulation around replication origins across the gene bodies (n = 727) (left)

                                                                                                                                                                                                                                         or center of the same gene bodies (n = 484) (right) in fibroblasts from control (yellow) and AGS patients with the

                                                                                                                                                                                                                                         indicated gene mutations (blue, SAMHD1; pink, TREX1; green, RNASEH2B; purple, RNASEH2A). For individual

                                                                                                                                                                                                                                         graph, the line indicates the mean DRIP-seq read-count of each genomic region of 24 kb windows centered on
   The comorbid association of autoimmune diseases with cancers has been a                                                                                                                                                               origins or center of gene bodies. B, Box graph indicating quantified average DRIP-seq read-count across 12 kb




   major obstacle to successful anti-cancer treatment. Cancer survival rate                                                                                                                                                              window centered on the replication origins of the gene bodies (n = 727). C, Cumulative distribution frequency of
                                                                                                                                                                                                                                         DRIP-seq mapped read-count around each replication origins of the gene bodies in 12 kb windows centered on


   decreases significantly in patients with preexisting autoimmunity. However, to                                                                                                                                                        replication origins of the gene bodies (n = 727).



   date, the molecular and cellular profiles of such comorbidities are poorly



   understood. We used Aicardi-Goutières syndrome (AGS) as a model                                                                                                                                                                                                                                                                  Results



   autoimmune disease and explored the underlying mechanisms of genome



   instability in AGS-associated-gene-deficient patient cells.                                                                                                                                                                            SAMHD1 prevents transcription-replication conflicts and



                                                                                                                                                                                                                                          cellular accumulation of R-loops









































                                                                                                                                                                                                                                         Depletion of SAMHD1 causes cellular R-loop accumulation

                                                                                                                                                                                                                                         A, Representative images of proximity ligation assay (PLA) between PCNA and RNA polymerase II (RNAPII) in S
                                                                                                                                                                                                                                         phase-synchronized SAMHD1-depleted and control U2OS cells. Cells were subjected to PLA (red) and co-stained


                                                                                                                                                                                                                                         with DAPI (blue). B, Quantification analysis of number of PLA foci per nucleus in A. The mean value for each data
                                                                                                                                                                                                                                         is shown as a red line (n = 50). C, Representative images of immunofluorescence assay of S9.6 nuclear signals in


                                                                                                                                                                                                                                         SAMHD1-depleted and control U2OS cells. Cells were co-stained with anti-S9.6 (orange) and anti-nucleolin
                                                                                                                                                                                                                                         antibodies (green). The nucleus (defined by DAPI image) is outlined. Where indicated, cells were incubated with


                                                                                                                                                                                                                                         or without RNase H in vitro before staining with anti-S9.6 antibodies. D, Quantification of S9.6 signal intensity per
                                                                                                                                                                                                                                         nucleus after nucleolar signal subtraction for the immunofluorescence assay described in C. The mean value for


                                                                                              Objective                                                                                                                                  each data is shown as a red line (n >28).


                                                                                                                                                                                                                                            SAMHD1 regulates R-loop-mediated genome instability





   1. Identification of an endogenous source that causes cancer development in



           SAMHD1-deficiency but not in other AGS-associated gene deficiencies.




   2. The mechanisms by which SAMHD1 preserves genomic integrity against



           intrinsic DNA damage











                                                                                            Approach










   Investigate accumulation of RNA:DNA hybrids (R-loops)                                                                                                                                                                                 Depletion of SAMHD1 induces R-loop-mediated genome instability and cellular DNA damage response.
                                                                                                                                                                                                                                         A, Flow cytometry prolife of control U2OS and SAMHD1-depleted cells, in the absence or presence of ectopic


   adjacent to replication origins in fibroblasts of AGS patients                                                                                                                                                                        RNaseH1-GFP expression at different time points after release from double thymidine block. Cells were subjected
                                                                                                                                                                                                                                         to PI staining followed by FACS analysis. Data represent mean ± SEM, n = 3. B, Representative images of comet

   bearing SAMHD1 mutations                                                                                                                                                                                                              assays performed under alkaline electrophoresis conditions in SAMHD1-depleted and control U2OS cells, in the

                                                                                                                                                                                                                                         absence or presence of ectopic RNaseH1-mCherry expression. C, Quantitative analysis of comet tail moment

                                                                                                                                                                                                                                         lengths for each condition described in B. Statistical significance was assessed using two-tailed Student’s t-test

                                                                                                                                                                                                                                         (n = 50). D, Immunoblots of CHK1 and CHK2 in S phase-synchronized SAMHD1-depleted and control U2OS cells,

                                                                                                                                                                                                                                         in the absence or presence of ectopic RNaseH1-mCherry (RNH1-mCherry) expression. Fold-induction was

                                                                                                                                                                                                                                         normalized to the empty vector-transfected control U2OS cells by quantifying the band intensity of the blots and

                                                                                                                                                                                                                                         calculating the ratios of p-CHK1 and p-CHK2 to total expression levels of CHK1 and CHK2 expression,

                                                                                                                                                                                                                                         respectively.






                                                                                                                                                                                                                                                                                                                             Conclusion












                                                                                                                                                                                                                                                                                                                                     SAMHD1 resolves R-loops induced by



                                                                                                                                                                                                                                                                                                                                            transcription-replication                                                                 conflicts,



                                                                                                                                                                                                                                                                                                                                            thereby contributing to the maintenance



                                                                                                                                                                                                                                                                                                                                            of genome stability.




                                                                                                                                                                                                                                                                                                                                     Our findings provide insight into the



                                                                                                                                                                                                                                                                                                                                            molecular                             understanding                                       of              the




                                                                                                                                                                                                                                                                                                                                            autoimmunity and cancer comorbidity




                                                                                                                                                                                                                                                                                                                                     This study suggests that SAMHD1 and



                                                                                                                                                                                                                                                                                                                                            R-loops                      are             potential                      and               reliable



                                                                                                                                                                                                                                                                                                                                            biomarkers in anti-cancer therapeutics.
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