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Blood, 15 August 2008, Vol. 112, No. 4, pp. 1413-1423.
Prepublished online as a Blood First Edition Paper on June 4, 2008; DOI 10.1182/blood-2007-07-104257.
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Submitted July 30, 2007
Accepted May 17, 2008
Up-regulation of WRN and DNA ligase III in chronic myeloid leukemia: consequences for the repair of DNA double strand breaks
Annahita Sallmyr, Alan E Tomkinson, and Feyruz V Rassool*
Radiation Oncology, University of Maryland School of Medicine, Baltimore, MD, United States
* Corresponding author; email: frassool{at}som.umaryland.edu.
Expression of oncogenic BCR-ABL in CML results in increased reactive oxygen species (ROS) that in turn cause increased DNA damage, including DNA double strand breaks (DSBs). We have previously shown increased error-prone repair of DSBs by non homologous end-joining (NHEJ), in CML cells. Recent reports have identified alternative NHEJ pathways that are highly error-prone prompting us to examine the role of the alternative NHEJ pathways in BCR-ABL-positive CML. Importantly, we show that key proteins in the major NHEJ pathway, Artemis and DNA ligase IV, are down-regulated whereas DNA ligase III , and the protein deleted in Werner's syndrome, WRN, are up-regulated. DNA ligase III and WRN form a novel complex that is recruited to DSBs in CML cells. Furthermore, "knockdown" of either DNA ligase III or WRN leads to increased accumulation of unrepaired DSB, demonstrating that they contribute to the repair of DSBs. These results indicate that altered DSB repair in CML cells is caused by the increased activity of an alternative NHEJ repair pathway, involving DNA ligase III and WRN. We suggest that, while the repair of ROS-induced DSBs by this pathway contributes to the survival of CML cells, the resultant genomic instability drives disease progression.

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