Laboratory of Genome Integrity, National Institutes of Health, Bethesda, United States; Institute for Biomedical Sciences, George Washington University, Washington, United States
Wei Wu
Laboratory of Genome Integrity, National Institutes of Health, Bethesda, United States
Dali Zong
Laboratory of Genome Integrity, National Institutes of Health, Bethesda, United States
Yilun Sun
Developmental Therapeutics Branch, National Institutes of Health, Bethesda, United States
Nancy Wong
Laboratory of Genome Integrity, National Institutes of Health, Bethesda, United States
Sam John
Laboratory of Genome Integrity, National Institutes of Health, Bethesda, United States
Darawalee Wangsa
Genetics Branch National Cancer Institute, National Institutes of Health, Bethesda, United States
Thomas Ried
Genetics Branch National Cancer Institute, National Institutes of Health, Bethesda, United States
Samuel F Bunting
Department of Molecular Biology and Biochemistry, Rutgers University, Piscataway, United States
Yves Pommier
Developmental Therapeutics Branch, National Institutes of Health, Bethesda, United States
Topoisomerase II (TOP2) relieves topological stress in DNA by introducing double-strand breaks (DSBs) via a transient, covalently linked TOP2 DNA-protein intermediate, termed TOP2 cleavage complex (TOP2cc). TOP2ccs are normally rapidly reversible, but can be stabilized by TOP2 poisons, such as the chemotherapeutic agent etoposide (ETO). TOP2 poisons have shown significant variability in their therapeutic effectiveness across different cancers for reasons that remain to be determined. One potential explanation for the differential cellular response to these drugs is in the manner by which cells process TOP2ccs. Cells are thought to remove TOP2ccs primarily by proteolytic degradation followed by DNA DSB repair. Here, we show that proteasome-mediated repair of TOP2cc is highly error-prone. Pre-treating primary splenic mouse B-cells with proteasome inhibitors prevented the proteolytic processing of trapped TOP2ccs, suppressed the DNA damage response (DDR) and completely protected cells from ETO-induced genome instability, thereby preserving cellular viability. When degradation of TOP2cc was suppressed, the TOP2 enzyme uncoupled itself from the DNA following ETO washout, in an error-free manner. This suggests a potential mechanism of developing resistance to topoisomerase poisons by ensuring rapid TOP2cc reversal.