DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC Patients

Aneuploidy is a consequence of chromosomal instability (CIN) that affects prognosis. Gene expression levels associated with aneuploidy provide insight into the molecular mechanisms underlying CIN. Based on the gene signature whose expression was consistent with functional aneuploidy, the CIN70 score...

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Main Authors: Ioan T. Bold, Ann-Kathrin Specht, Conrad F. Droste, Alexandra Zielinski, Felix Meyer, Till S. Clauditz, Adrian Münscher, Stefan Werner, Kai Rothkamm, Cordula Petersen, Kerstin Borgmann
Format: Article
Language:English
Published: MDPI AG 2021-03-01
Series:Cancers
Subjects:
Online Access:https://www.mdpi.com/2072-6694/13/6/1194
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author Ioan T. Bold
Ann-Kathrin Specht
Conrad F. Droste
Alexandra Zielinski
Felix Meyer
Till S. Clauditz
Adrian Münscher
Stefan Werner
Kai Rothkamm
Cordula Petersen
Kerstin Borgmann
author_facet Ioan T. Bold
Ann-Kathrin Specht
Conrad F. Droste
Alexandra Zielinski
Felix Meyer
Till S. Clauditz
Adrian Münscher
Stefan Werner
Kai Rothkamm
Cordula Petersen
Kerstin Borgmann
author_sort Ioan T. Bold
collection DOAJ
description Aneuploidy is a consequence of chromosomal instability (CIN) that affects prognosis. Gene expression levels associated with aneuploidy provide insight into the molecular mechanisms underlying CIN. Based on the gene signature whose expression was consistent with functional aneuploidy, the CIN70 score was established. We observed an association of CIN70 score and survival in 519 HNSCC patients in the TCGA dataset; the 15% patients with the lowest CIN70 score showed better survival (<i>p</i> = 0.11), but association was statistically non-significant. This correlated with the expression of 39 proteins of the major repair complexes. A positive association with survival was observed for MSH2, XRCC1, MRE11A, BRCA1, BRCA2, LIG1, DNA2, POLD1, MCM2, RAD54B, claspin, a negative for ERCC1, all related with replication. We hypothesized that expression of these factors leads to protection of replication through efficient repair and determines survival and resistance to therapy. Protein expression differences in HNSCC cell lines did not correlate with cellular sensitivity after treatment. Rather, it was observed that the stability of the DNA replication fork determined resistance, which was dependent on the ATR/CHK1-mediated S-phase signaling cascade. This suggests that it is not the expression of individual DNA repair proteins that causes therapy resistance, but rather a balanced expression and coordinated activation of corresponding signaling cascades.
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spelling doaj.art-a59242ed03604c2f858d115d3ee3de5d2023-11-21T09:51:40ZengMDPI AGCancers2072-66942021-03-01136119410.3390/cancers13061194DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC PatientsIoan T. Bold0Ann-Kathrin Specht1Conrad F. Droste2Alexandra Zielinski3Felix Meyer4Till S. Clauditz5Adrian Münscher6Stefan Werner7Kai Rothkamm8Cordula Petersen9Kerstin Borgmann10Laboratory of Radiobiology & Experimental Radiooncology, Center of Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLaboratory of Radiobiology & Experimental Radiooncology, Center of Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyUniversity Cancer Center Hamburg (UCCH), University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLaboratory of Radiobiology & Experimental Radiooncology, Center of Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLaboratory of Radiobiology & Experimental Radiooncology, Center of Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Pathology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Otorhinolaryngology and Head and Neck Surgery, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Tumorbiology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLaboratory of Radiobiology & Experimental Radiooncology, Center of Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyDepartment of Radiotherapy and Radiation Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyLaboratory of Radiobiology & Experimental Radiooncology, Center of Oncology, University Medical Center Hamburg-Eppendorf, 20246 Hamburg, GermanyAneuploidy is a consequence of chromosomal instability (CIN) that affects prognosis. Gene expression levels associated with aneuploidy provide insight into the molecular mechanisms underlying CIN. Based on the gene signature whose expression was consistent with functional aneuploidy, the CIN70 score was established. We observed an association of CIN70 score and survival in 519 HNSCC patients in the TCGA dataset; the 15% patients with the lowest CIN70 score showed better survival (<i>p</i> = 0.11), but association was statistically non-significant. This correlated with the expression of 39 proteins of the major repair complexes. A positive association with survival was observed for MSH2, XRCC1, MRE11A, BRCA1, BRCA2, LIG1, DNA2, POLD1, MCM2, RAD54B, claspin, a negative for ERCC1, all related with replication. We hypothesized that expression of these factors leads to protection of replication through efficient repair and determines survival and resistance to therapy. Protein expression differences in HNSCC cell lines did not correlate with cellular sensitivity after treatment. Rather, it was observed that the stability of the DNA replication fork determined resistance, which was dependent on the ATR/CHK1-mediated S-phase signaling cascade. This suggests that it is not the expression of individual DNA repair proteins that causes therapy resistance, but rather a balanced expression and coordinated activation of corresponding signaling cascades.https://www.mdpi.com/2072-6694/13/6/1194chromosomal instability (CIN)CIN70 scorereplication stressChk1 inhibitionHNSCCradiotherapy
spellingShingle Ioan T. Bold
Ann-Kathrin Specht
Conrad F. Droste
Alexandra Zielinski
Felix Meyer
Till S. Clauditz
Adrian Münscher
Stefan Werner
Kai Rothkamm
Cordula Petersen
Kerstin Borgmann
DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC Patients
Cancers
chromosomal instability (CIN)
CIN70 score
replication stress
Chk1 inhibition
HNSCC
radiotherapy
title DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC Patients
title_full DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC Patients
title_fullStr DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC Patients
title_full_unstemmed DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC Patients
title_short DNA Damage Response during Replication Correlates with CIN70 Score and Determines Survival in HNSCC Patients
title_sort dna damage response during replication correlates with cin70 score and determines survival in hnscc patients
topic chromosomal instability (CIN)
CIN70 score
replication stress
Chk1 inhibition
HNSCC
radiotherapy
url https://www.mdpi.com/2072-6694/13/6/1194
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