Abstract

Every cell in our body other than red blood cells has a genome, the stability of which is crucial for life. The DNA is precisely replicated during cell proliferation, and is stably maintained, even after terminal differentiation, as a repository of information that orchestrates the cell’s metabolism. Unfortunately, our world is full of potential threats to genomic stability. DNA may degrade spontaneously, errors may occur during its replication, or metabolic byproducts, such as oxygen radicals or aldehydes, may chemically modify its nucleotide bases (i.e. DNA adducts). Ionizing radiation, ultraviolet light, and chemotherapeutic drugs are all well-known exogenous sources of DNA damage [1, 2]. To ensure cellular fitness, organisms have developed an elaborate molecular network to detect and repair DNA damage [3]. If deleterious effects of DNA damage exceed the cell’s repair capacity, it accumulates in the genome, leading to activation of cell cycle checkpoints (buying time for repair), cell death (apoptosis or necrosis), or, in the failure of checkpoints or cell death, conversion of DNA damage to mutations. This may result in poor cell proliferation, emergence of malignancy, impaired stem cell maintenance, or early-onset aging [1, 2]. Since all cellular activity in a way relies on the genome, the mechanisms that govern genomic stability are fundamentally important in biomedical research in general. Blood cells are no exception. As our knowledge of genomic stability has expanded massively in recent years, a rare hematological disorder, Fanconi anemia (FA), has become a prototypical example among hereditary conditions involving a defect in the DNA damage response (DDR). FA is one of several disorders discovered by the prominent Swiss pediatrician Guido Fanconi [4]. His first report in 1927 described brothers presenting with a pernicious anemia-like condition, congenital anomalies, and hyper-pigmentation of the skin. In the 1960s and 70s, it was established that FA cells display chromosomal instability, which is particularly pronounced following treatment with mitomycin C [5, 6]. The first molecular cloning of an FA gene was achieved by functional complementation using a cDNA expression library in the early 1990s [7]. However, until quite recently, the true molecular defect in FA, which is now considered to affect the response to replication stress, had not been defined. There seem to be a number of reasons why FA attracts widespread attention today. First of these is that novel FA genes continue to be identified year after year. This trend began at the turn of the 21st century, and has continued into this year, with the current number of the FA genes now totaling 15 [8–10]. This is surprising. Second, FA patients with disparate mutations display essentially similar phenotypes, strongly suggesting the presence of a common signal transduction pathway consisting of the FA gene products (i.e. FA pathway) [11, 12]. This prediction was well confirmed by the identification of the FA core complex (i.e. interactions between the FA core components FANCA/B/C/E/F/G/M/L) as an E3 ubiquitin ligase, and DNA damage-induced monoubiquitination of FANCD2 and FANCI, which is absent in cells lacking the core complex members [11, 12]. Of note, posttranslational protein modifications, such as ubiquitination, are currently the focus of intensive research in this field [13, 14]. Third, the discovery that the FANCD1 gene is the breast cancer M. Takata (&) Laboratory of DNA Damage Signaling, Department of Late Effect Studies, Radiation Biology Center, Kyoto University, Kyoto, Japan e-mail: mtakata@house.rbc.kyoto-u.ac.jp

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