Evidence map›Paper›PMID 34379776›Full record

ArticleNucleic acids research2021

Cancer cells are highly susceptible to accumulation of templated insertions linked to MMBIR.

Beth Osia, Thamer Alsulaiman, Tyler Jackson, Juraj Kramara, Suely Oliveira, Anna Malkova

Open access · goldAbstract read
In one paragraph

Article in Nucleic acids research, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 18 papers.

0numbers the graph read from it
0cells of the map it votes in
18citing papers in PubMed
1.7field-weighted citation impact, top 17% 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

18 citing papers in PubMed, 23 citations in OpenAlex.

  1. DNA Replication Errors Drive Genome-Wide Small Inverted Triplication Dynamics.Advanced science (Weinheim, Baden-Wurttemberg, Germany) · 2026
    Article
  2. Article
  3. Beyond Short Microhomologies: Mismatch-Compatible Pol θ-Mediated DNA Damage Repair.BioEssays : news and reviews in molecular, cellular and developmental biology · 2026
    Review
  4. Mechanisms and genomic implications of break-induced replication.Nature structural & molecular biology · 2025
    Review
  5. Article
  6. Article
  7. POLD3 as Controller of Replicative DNA Repair.International journal of molecular sciences · 2024
    Review
  8. Article
  9. Review
  10. Article
  11. Templated insertions-DNA repair gets acrobatic.Environmental and molecular mutagenesis · 2024
    Review
  12. Article
  13. Article
  14. Article
  15. Article
  16. Break-induced replication: unraveling each step.Trends in genetics : TIG · 2022
    Review
  17. Review
  18. Repair of DNA Breaks by Break-Induced Replication.Annual review of biochemistry · 2021
    Review
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

6 authors at 1 institution in 1 country.

Beth OsiaDepartment of Biology, University of Iowa, Iowa City, IA 52245, USA.
Thamer AlsulaimanDepartment of Computer Science, University of Iowa, Iowa City, IA 52245, USA.
Tyler JacksonDepartment of Biology, University of Iowa, Iowa City, IA 52245, USA.
Juraj KramaraDepartment of Biology, University of Iowa, Iowa City, IA 52245, USA.
Suely OliveiraDepartment of Computer Science, University of Iowa, Iowa City, IA 52245, USA.
Anna MalkovaDepartment of Biology, University of Iowa, Iowa City, IA 52245, USA.ORCID 0000-0002-3880-1781
University of Iowa · US

Funding

Viral VectorP30CA086862 · NCI · UNIVERSITY OF IOWA · PI Christopher K Laubenthal · 2000 to 2026
$70.0M
Double strand break repair maelstrom: causes, mechanisms and genome destabilizing consequencesR35GM127006 · NIGMS · UNIVERSITY OF TEXAS HLTH SCIENCE CENTER · PI Anna L Malkova · 2018 to 2026
$3.8M
The Role of Human RAD52 Protein in Genome StabilityR01CA232425 · NCI · UNIVERSITY OF IOWA · PI Maria Spies · 2019 to 2026
$3.1M
NCI NIH HHS P30 CA086862NCI NIH HHS R01 CA232425NIGMS NIH HHS R35 GM127006
6 · The paper itself

Abstract

Microhomology-mediated break-induced replication (MMBIR) is a DNA repair pathway initiated by polymerase template switching at microhomology, which can produce templated insertions that initiate chromosomal rearrangements leading to neurological and metabolic diseases, and promote complex genomic rearrangements (CGRs) found in cancer. Yet, how often templated insertions accumulate from processes like MMBIR in genomes is poorly understood due to difficulty in directly identifying these events by whole genome sequencing (WGS). Here, by using our newly developed MMBSearch software, we directly detect such templated insertions (MMB-TIs) in human genomes and report substantial differences in frequency and complexity of MMB-TI events between normal and cancer cells. Through analysis of 71 cancer genomes from The Cancer Genome Atlas (TCGA), we observed that MMB-TIs readily accumulate de novo across several cancer types, with particularly high accumulation in some breast and lung cancers. By contrast, MMB-TIs appear only as germline variants in normal human fibroblast cells, and do not accumulate as de novo somatic mutations. Finally, we performed WGS on a lung adenocarcinoma patient case and confirmed MMB-TI-initiated chromosome fusions that disrupted potential tumor suppressors and induced chromothripsis-like CGRs. Based on our findings we propose that MMB-TIs represent a trigger for widespread genomic instability and tumor evolution.

Indexed as

DNA RepairAdenocarcinoma of LungFibroblastsGenes, Tumor SuppressorGenome, HumanGenomic InstabilityHumansLung NeoplasmsMutagenesis, InsertionalNeoplasmsSkinSoftware

Identifiers

PMID34379776
PMCPMC8421209
OpenAlexW3190465670

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.