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XPC deficiency increases risk of hematologic malignancies through mutator phenotype and characteristic mutational signature

Andrey A. Yurchenko, Ismael Padioleau, Bakhyt T. Matkarimov, Jean Soulier, Alain Sarasin and Sergey Nikolaev ()
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Andrey A. Yurchenko: INSERM U981, Gustave Roussy Cancer Campus, Université Paris Saclay
Ismael Padioleau: INSERM U981, Gustave Roussy Cancer Campus, Université Paris Saclay
Bakhyt T. Matkarimov: Nazarbayev University
Jean Soulier: University of Paris, INSERM U944 and CNRS UMR7212, Institut de Recherche Saint-Louis, F-75010
Alain Sarasin: CNRS UMR9019 Genome Integrity and Cancers, Institut Gustave Roussy, Université Paris-Saclay
Sergey Nikolaev: INSERM U981, Gustave Roussy Cancer Campus, Université Paris Saclay

Nature Communications, 2020, vol. 11, issue 1, 1-11

Abstract: Abstract Recent studies demonstrated a dramatically increased risk of leukemia in patients with a rare genetic disorder, Xeroderma Pigmentosum group C (XP-C), characterized by constitutive deficiency of global genome nucleotide excision repair (GG-NER). The genetic mechanisms of non-skin cancers in XP-C patients remain unexplored. In this study, we analyze a unique collection of internal XP-C tumor genomes including 6 leukemias and 2 sarcomas. We observe a specific mutational pattern and an average of 25-fold increase of mutation rates in XP-C versus sporadic leukemia which we presume leads to its elevated incidence and early appearance. We describe a strong mutational asymmetry with respect to transcription and the direction of replication in XP-C tumors suggesting association of mutagenesis with bulky purine DNA lesions of probably endogenous origin. These findings suggest existence of a balance between formation and repair of bulky DNA lesions by GG-NER in human body cells which is disrupted in XP-C patients.

Date: 2020
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DOI: 10.1038/s41467-020-19633-9

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