Cancer Discovery · 2013 · 25 citations · 39 references
Life SciencesGeneticsMolecular BiologyCancer GeneticsCell DivisionMolecular OncologyCancer CytogeneticsCancer Genomic InstabilityDna Damage SignalingTelomere BiologyTelomere Biology In CancerTelomere DysfunctionAberrant RecombinationCritically Short TelomeresFragile SitesGermline Genetic PolymorphismsStructural Chromosomal AberrationsTelomere InstabilityTelomere Sister Chromatid ExchangeTumor Suppressor P53
Abstract Critically short telomeres activate cellular senescence or apoptosis, as mediated by the tumor suppressor p53, but in the absence of this checkpoint response, telomere dysfunction engenders chromosomal aberrations and cancer. Here, analysis of p53-regulated genes activated in the setting of telomere dysfunction identified Zfp365 (ZNF365 in humans) as a direct p53 target that promotes genome stability. Germline polymorphisms in the ZNF365 locus are associated with increased cancer risk, including those associated with telomere dysfunction. On the mechanistic level, ZNF365 suppresses expression of a subset of common fragile sites, including telomeres. In the absence of ZNF365, defective telomeres engage in aberrant recombination of telomere ends, leading to increased telomere sister chromatid exchange and formation of anaphase DNA bridges, including ultra-fine DNA bridges, and ultimately increased cytokinesis failure and aneuploidy. Thus, the p53–ZNF365 axis contributes to genomic stability in the setting of telomere dysfunction. Significance: The contribution of the p53–ZNF365–telomere axis in the suppression of genomic instability illuminates how alterations in this pathway may confer increased cancer risk for individuals harboring germline alterations in the ZNF365 locus. Cancer Discov; 3(7); 798–811. ©2013 AACR. This article is highlighted in the In This Issue feature, p. 705
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