DNA polymerase θ protects leukemia cells from metabolically induced DNA damage Journal Article


Authors: Vekariya, U.; Toma, M.; Nieborowska-Skorska, M.; Le, B. V.; Caron, M. C.; Kukuyan, A. M.; Sullivan-Reed, K.; Podszywalow-Bartnicka, P.; Chitrala, K. N.; Atkins, J.; Drzewiecka, M.; Feng, W.; Chan, J.; Chatla, S.; Golovine, K.; Jelinek, J.; Sliwinski, T.; Ghosh, J.; Matlawska-Wasowska, K.; Chandramouly, G.; Nejati, R.; Wasik, M.; Sykes, S. M.; Piwocka, K.; Hadzijusufovic, E.; Valent, P.; Pomerantz, R. T.; Morton, G.; Childers, W.; Zhao, H.; Paietta, E. M.; Levine, R. L.; Tallman, M. S.; Fernandez, H. F.; Litzow, M. R.; Gupta, G. P.; Masson, J. Y.; Skorski, T.
Article Title: DNA polymerase θ protects leukemia cells from metabolically induced DNA damage
Abstract: Leukemia cells accumulate DNA damage, but altered DNA repair mechanisms protect them from apoptosis. We showed here that formaldehyde generated by serine/1-carbon cycle metabolism contributed to the accumulation of toxic DNA-protein crosslinks (DPCs) in leukemia cells, especially in driver clones harboring oncogenic tyrosine kinases (OTKs: FLT3(internal tandem duplication [ITD]), JAK2(V617F), BCR-ABL1). To counteract this effect, OTKs enhanced the expression of DNA polymerase theta (POLθ) via ERK1/2 serine/threonine kinase-dependent inhibition of c-CBL E3 ligase-mediated ubiquitination of POLθ and its proteasomal degradation. Overexpression of POLθ in OTK-positive cells resulted in the efficient repair of DPC-containing DNA double-strand breaks by POLθ-mediated end-joining. The transforming activities of OTKs and other leukemia-inducing oncogenes, especially of those causing the inhibition of BRCA1/2-mediated homologous recombination with and without concomitant inhibition of DNA-PK–dependent nonhomologous end-joining, was abrogated in Polq−/− murine bone marrow cells. Genetic and pharmacological targeting of POLθ polymerase and helicase activities revealed that both activities are promising targets in leukemia cells. Moreover, OTK inhibitors or DPC-inducing drug etoposide enhanced the antileukemia effect of POLθ inhibitor in vitro and in vivo. In conclusion, we demonstrated that POLθ plays an essential role in protecting leukemia cells from metabolically induced toxic DNA lesions triggered by formaldehyde, and it can be targeted to achieve a therapeutic effect. © 2023 The American Society of Hematology
Keywords: leukemia; genetics; mouse; animal; metabolism; animals; mice; dna damage; brca1 protein; brca2 protein; dna; brca1 protein, human; dna polymerase theta; brca2 protein, human
Journal Title: Blood
Volume: 141
Issue: 19
ISSN: 0006-4971
Publisher: American Society of Hematology  
Date Published: 2023-05-11
Start Page: 2372
End Page: 2389
Language: English
DOI: 10.1182/blood.2022018428
PUBMED: 36580665
PROVIDER: scopus
PMCID: PMC10273171
DOI/URL:
Notes: The MSK Cancer Center Support Grant (P30 CA008748) is acknowledged in the PDF -- Source: Scopus
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  1. Martin Stuart Tallman
    649 Tallman
  2. Ross Levine
    775 Levine