Evidence map›Paper›PMID 30622252›Full record

ArticleNature communications2019

ATM orchestrates the DNA-damage response to counter toxic non-homologous end-joining at broken replication forks.

Gabriel Balmus, Domenic Pilger, Julia Coates, Mukerrem Demir, Matylda Sczaniecka-Clift, Ana C Barros, Michael Woods, Beiyuan Fu, Fengtang Yang, Elisabeth Chen and 14 more

Open access · goldAbstract read
In one paragraph

Article in Nature communications, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 129 papers.

0numbers the graph read from it
0cells of the map it votes in
129citing papers in PubMed
9.4field-weighted citation impact, top 1% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

129 citing papers in PubMed, 180 citations in OpenAlex.

  1. Trial
  2. A Phase II Trial of Niraparib in Patients with Advanced Pancreatic Cancer Harboring Pathogenic Variants in ATM, BRCA1, BRCA2, PALB2, and CHEK2.Clinical cancer research : an official journal of the American Association for Cancer Research · 2026
    Trial
  3. Cambridge Neoadjuvant Cancer of the Prostate (CANCAP03): A Window Study into the Effects of Olaparib ± Degarelix in Primary Prostate Cancer.Clinical cancer research : an official journal of the American Association for Cancer Research · 2025
    Trial
  4. Review
  5. Article
  6. Review
  7. Article
  8. Article
  9. Article
  10. BRCA1-A and LIG4 complexes mediate ecDNA biogenesis and cancer drug resistance.Proceedings of the National Academy of Sciences of the United States of America · 2026
    Article
  11. Article
  12. Article
  13. Review
  14. Article
  15. Article
  16. Article
  17. Review
  18. Article
  19. Article
  20. Article

69 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

24 authors at 5 institutions in 3 countries.

Gabriel BalmusThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.ORCID http://orcid.org/0000-0003-2872-4468
Domenic PilgerThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.ORCID http://orcid.org/0000-0001-7339-0685
Julia CoatesThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.
Mukerrem DemirThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.
Matylda Sczaniecka-CliftThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.
Ana C BarrosWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.
Michael WoodsWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.
Beiyuan FuWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.
Fengtang YangWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.ORCID http://orcid.org/0000-0002-3573-2354
Elisabeth ChenWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.ORCID http://orcid.org/0000-0003-2129-7985
Matthias OstermaierInstitute of Molecular Biology (IMB), 55128, Mainz, Germany.
Tatjana StankovicInstitute of Cancer and Genomic Sciences, College of Medical and Dental Sciences, University of Birmingham, Edgbaston, Birmingham, B15 2TT, UK.
Hannes PonstinglWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.ORCID http://orcid.org/0000-0001-7573-1703
Mareike HerzogThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.
Kosuke YusaWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.
Francisco Munoz MartinezThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.
Stephen T DurantDNA Damage Response Biology, Bioscience Oncology IMED Biotech Unit, AstraZeneca, Cambridge, CB4 0WG, UK.ORCID http://orcid.org/0000-0003-4209-7499
Yaron GalantyThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK.ORCID http://orcid.org/0000-0001-7167-9004
Petra BeliInstitute of Molecular Biology (IMB), 55128, Mainz, Germany.ORCID http://orcid.org/0000-0001-9507-9820
David J AdamsWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.
Allan BradleyWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.
Emmanouil MetzakopianWellcome Trust Sanger Institute, Hinxton, Cambridge, CB10 1SA, UK.
Josep V FormentThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK. josep.forment@astrazeneca.com.ORCID http://orcid.org/0000-0002-7797-2583
Stephen P JacksonThe Wellcome Trust and Cancer Research UK Gurdon Institute and Department of Biochemistry, University of Cambridge, Tennis Court Road, Cambridge, CB2 1QN, UK. s.jackson@gurdon.cam.ac.uk.ORCID http://orcid.org/0000-0001-9317-7937
University of Cambridge · GBWellcome Sanger Institute · GBAstraZeneca (United Kingdom) · GBInstitute of Molecular Biology · DEUniversity of Birmingham · GB

Funding

Cancer Research UK 11224Cancer Research UK 18796Wellcome Trust
6 · The paper itself

Abstract

Mutations in the ATM tumor suppressor gene confer hypersensitivity to DNA-damaging chemotherapeutic agents. To explore genetic resistance mechanisms, we performed genome-wide CRISPR-Cas9 screens in cells treated with the DNA topoisomerase I inhibitor topotecan. Thus, we here establish that inactivating terminal components of the non-homologous end-joining (NHEJ) machinery or of the BRCA1-A complex specifically confer topotecan resistance to ATM-deficient cells. We show that hypersensitivity of ATM-mutant cells to topotecan or the poly-(ADP-ribose) polymerase (PARP) inhibitor olaparib reflects delayed engagement of homologous recombination at DNA-replication-fork associated single-ended double-strand breaks (DSBs), allowing some to be subject to toxic NHEJ. Preventing DSB ligation by NHEJ, or enhancing homologous recombination by BRCA1-A complex disruption, suppresses this toxicity, highlighting a crucial role for ATM in preventing toxic LIG4-mediated chromosome fusions. Notably, suppressor mutations in ATM-mutant backgrounds are different to those in BRCA1-mutant scenarios, suggesting new opportunities for patient stratification and additional therapeutic vulnerabilities for clinical exploitation.

Indexed as

AnimalsAntineoplastic AgentsAtaxia Telangiectasia Mutated ProteinsBRCA1 ProteinCell Line, TumorCell SurvivalCRISPR-Cas SystemsDNA Breaks, Double-StrandedDNA End-Joining RepairDNA Ligase ATPDNA ReplicationDrug Resistance, NeoplasmFemaleHumansMiceMice, Inbred NODAntineoplastic AgentsAtaxia Telangiectasia Mutated ProteinsATM protein, humanAtm protein, mouseBRCA1 ProteinDNA Ligase ATPLIG4 protein, humanolaparibPhthalazinesPiperazinesTopotecan

Identifiers

PMID30622252
PMCPMC6325118
OpenAlexW2952634370

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.