Sequences with the capacity to adopt alternative
DNA structures have been implicated in
cancer etiology; however, the mechanisms are unclear. For example,
H-DNA-forming sequences within oncogenes have been shown to stimulate genetic instability in mammals. Here, we report that
H-DNA-forming sequences are enriched at translocation breakpoints in human
cancer genomes, further implicating them in
cancer etiology.
H-DNA-induced mutations were suppressed in human cells deficient in the nucleotide excision repair nucleases, ERCC1-XPF and XPG, but were stimulated in cells deficient in FEN1, a replication-related
endonuclease. Further, we found that these nucleases cleaved
H-DNA conformations, and the interactions of modeled
H-DNA with ERCC1-XPF, XPG, and FEN1
proteins were explored at the sub-molecular level. The results suggest mechanisms of genetic instability triggered by
H-DNA through distinct structure-specific, cleavage-based replication-independent and replication-dependent pathways, providing critical evidence for a role of the
DNA structure itself in the etiology of
cancer and other human diseases.