Abstract

Gut microbiota has been linked to a number of human diseases including colon cancer. However, the mechanism through which gut bacteria influence colon cancer development and progression remains unclear. Perturbation of the homeostasis between the host immune system and microbiota leads to inflammation and activation of macrophages which produce large amounts of nitric oxide that acts as a genotoxic effector molecule to suppress bacterial growth. However, nitric oxide also has genotoxic effects to host cells by producing mutations that can predispose to colon cancer development. The major DNA lesions caused by nitric oxide are 8oxoG and deamination of deoxycytosine bases. Cellular glycosylases that belong to the base excision repair pathway have been demonstrated to repair these mutations. Recent evidence suggests that the mismatch repair pathway (MMR) might also repair nitric oxide-induced DNA damage. Since deficiency in MMR predisposes to colon cancer, we hypothesized that MMR-deficient colon epithelial cells are incapable of repairing nitric-oxide induced genetic lesions that can promote colon cancer. Indeed, we found that the MMR pathway repairs nitric oxide-induced DNA mutations in cell lines. To test whether nitric oxide promotes colon cancer, we genetically ablated the inducible nitric oxide synthase (iNOS) or inhibited iNOS activity in the APCMin/+Msh2−/− mouse model of colon cancer. However, despite the fact that nitric oxide production was strongly reduced in the colon using both approaches, colon cancer incidence was not affected. These data show that nitric oxide and iNOS do not promote colon cancer in APCMin/+Msh2−/− mice.

Highlights

  • The mismatch repair (MMR) pathway maintains genomic stability, and loss of mismatch repair pathway (MMR) function is associated with hereditary nonpolyposis colorectal cancer (HNPCC, i.e. Lynch Syndrome) in mice and humans [1,2]

  • DNA glycosylases are involved in the repair of the mutations caused by nitric oxide, it is currently not clear whether the MMR pathway plays a role in the repair process

  • We determined what concentration of S-nitro-N-acetyl-D L-penicillamine (SNAP) generates an amount of nitric oxide that is similar to the physiological levels of nitric oxide produced by macrophages that are stimulated by IFN-c and LPS (Figure 1A)

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Summary

Introduction

The mismatch repair (MMR) pathway maintains genomic stability, and loss of MMR function is associated with hereditary nonpolyposis colorectal cancer (HNPCC, i.e. Lynch Syndrome) in mice and humans [1,2]. The MMR pathway is an evolutionarily conserved DNA repair pathway that recognizes and repairs DNA mismatches that are either generated by incorporation of the wrong nucleotide during DNA replication or through other genetic events that lead to mispaired DNA [3]. Failure to repair mispaired DNA due to deficiencies in Msh or Msh (i.e. proteins essential for MMR) leads to accumulation of mutations throughout the genome. This may lead to loss of function in tumor suppressor genes or activation of oncogenes [4]. Based on the role of MMR in suppressing mutations generated by replication errors in all cell types, it remains a mystery as to why MMR-deficiency predisposes to CRC more so than to other cancers

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