Abstract

The molecular mechanisms underlying the development and progression of bladder cancer (BC) are complex and have not been fully elucidated. Alterations in base excision repair (BER) capacity, one of several DNA repair mechanisms assigned to preserving genome integrity, have been reported to influence cancer susceptibility, recurrence, and progression, as well as responses to chemotherapy and radiotherapy. We report herein that non-muscle invasive BC (NMIBC) tissues exhibit increased uracil incision, abasic endonuclease and gap-filling activities, as well as total BER capacity in comparison to normal bladder tissue from the same patient (p < 0.05). No significant difference was detected in 8-oxoG incision activity between cancer and normal tissues. NMIBC tissues have elevated protein levels of uracil DNA glycosylase, 8-oxoguanine DNA glycosylase, AP endonuclease 1 and DNA polymerase β protein. Moreover, the fold increase in total BER and the individual BER enzyme activities were greater in high-grade tissues than in low-grade NMIBC tissues. These findings suggest that enhanced BER activity may play a role in the etiology of NMIBC and that BER proteins could serve as biomarkers in disease prognosis, progression or response to genotoxic therapeutics, such as Bacillus Calmette–Guérin.

Highlights

  • The molecular mechanisms underlying the development and progression of bladder cancer (BC) are complex and have not been fully elucidated

  • Each activity increased in a protein concentration-dependent manner, and at each concentration examined, the activity was higher in non-muscle invasive BC (NMIBC) tissue than in the corresponding normal tissue (Supplementary Fig. S1a–S5a)

  • A representative gel for uracil-initiated total base excision repair (BER) activity using whole tissue extracts prepared from NMIBC and the corresponding normal tissue is shown in Fig. 1a; the lower band represents the 1nt-32P-dCMP insertion product (26mer) and the upper band represents the 51mer final ligated repair product

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Summary

Introduction

The molecular mechanisms underlying the development and progression of bladder cancer (BC) are complex and have not been fully elucidated. Alterations in base excision repair (BER) capacity, one of several DNA repair mechanisms assigned to preserving genome integrity, have been reported to influence cancer susceptibility, recurrence, and progression, as well as responses to chemotherapy and radiotherapy. We report that non-muscle invasive BC (NMIBC) tissues exhibit increased uracil incision, abasic endonuclease and gap-filling activities, as well as total BER capacity in comparison to normal bladder tissue from the same patient (p < 0.05). The fold increase in total BER and the individual BER enzyme activities were greater in high-grade tissues than in low-grade NMIBC tissues These findings suggest that enhanced BER activity may play a role in the etiology of NMIBC and that BER proteins could serve as biomarkers in disease prognosis, progression or response to genotoxic therapeutics, such as Bacillus Calmette–Guérin. Following termini clean-up by either POLβ or the 5′-flap structure-specific endonuclease 1 (FEN1), the remaining nick is sealed by a DNA ligase 3 (LIG3) and X-ray repair cross-complementing protein 1 (XRCC1) complex or L­ IG16

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