Abstract

The therapeutic thiopurines, including the immunosuppressant azathioprine (Aza) cause the accumulation of the UVA photosensitizer 6-thioguanine (6-TG) in the DNA of the patients' cells. DNA 6-TG and UVA are synergistically cytotoxic and their interaction causes oxidative damage. The MUTYH DNA glycosylase participates in the base excision repair of oxidized DNA bases. Using Mutyh-nullmouse fibroblasts (MEFs) we examined whether MUTYH provides protection against the lethal effects of combined DNA 6-TG/UVA. Surprisingly, Mutyh-null MEFs were more resistant than wild-type MEFs, despite accumulating higher levels of DNA 8-oxo-7,8-dihydroguanine (8-oxoG).Their enhanced 6-TG/UVA resistance reflected the absence of the MUTYH protein and MEFs expressing enzymatically-dead human variants were as sensitive as wild-type cells. Consistent with their enhanced resistance, Mutyh-null cells sustained fewer DNA strand breaks and lower levels of chromosomal damage after 6-TG/UVA. Although 6-TG/UVA treatment caused early checkpoint activation irrespective of the MUTYH status, Mutyh-null cells failed to arrest in S-phase at late time points. MUTYH-dependent toxicity was also apparent in vivo. Mutyh-/- mice survived better than wild-type during a 12-month chronicexposure to Aza/UVA treatments that significantly increased levels of skin DNA 8-oxoG. Two squamous cell skin carcinomas arose in Aza/UVA treated Mutyh-/- mice whereas similarly treated wild-type animals remained tumor-free.

Highlights

  • Reactive oxygen species (ROS) are generated in living cells as by-products of incomplete mitochondrial electron transfer, during the inflammatory response and following exposure to radiation or chemicals

  • One of the most abundant ROSinduced DNA lesions, 8-oxo-7,8-dihydroguanine (8-oxoG) is mutagenic because it mispairs with adenine during DNA replication. 8-oxoG-induced G:C to T:A transversions [1] are prevented by base excision repair (BER) involving the concerted action of the MUTYH and OGG-1 DNA glycosylases [for reviews see refs. 2-4]

  • The major novel finding we report here is that the absence of the MUTYH protein confers a surprising resistance to killing by combined 6-TG/UVA exposures

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Summary

Introduction

Reactive oxygen species (ROS) are generated in living cells as by-products of incomplete mitochondrial electron transfer, during the inflammatory response and following exposure to radiation or chemicals. ROS production in excess of the cellular antioxidant capacity results in a state of oxidative stress in which DNA is vulnerable to damage. One of the most abundant ROSinduced DNA lesions, 8-oxo-7,8-dihydroguanine (8-oxoG) is mutagenic because it mispairs with adenine during DNA replication. 8-oxoG-induced G:C to T:A transversions [1] are prevented by base excision repair (BER) involving the concerted action of the MUTYH and OGG-1 DNA glycosylases [for reviews see refs. Following MUTYH-dependent removal of adenine www.impactjournals.com/oncotarget from 8-oxoG:A mispairs and excision of the abasic site, the gap is filled by DNA polymerase λ which preferentially incorporates dCMP opposite the persisting 8-oxoG [5]. Mismatch repair (MMR), a major replication error-correcting pathway [7], can prevent mutations arising at mismatches containing oxidized bases [8,9]

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