Evidence map›Paper›PMID 36265486›Full record

ArticleMolecular cell2022

TERRA and RAD51AP1 promote alternative lengthening of telomeres through an R- to D-loop switch.

Tribhuwan Yadav, Jia-Min Zhang, Jian Ouyang, Wendy Leung, Antoine Simoneau, Lee Zou

Open access · greenAbstract read
In one paragraph

Article in Molecular cell, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 76 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
76citing papers in PubMed, 1 pooled it
8.4field-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

76 citing papers in PubMed, 1 synthesis or guideline pooled it, 100 citations in OpenAlex.

  1. Pooled it
  2. Kinetic Control of Condensate Function: How the Formation Dynamics of APBs Influence ALT Cancer Telomere Length Heterogeneity.BioEssays : news and reviews in molecular, cellular and developmental biology · 2026
    Review
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  4. Article
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  6. Review
  7. Article
  8. Article
  9. Article
  10. Article
  11. Review
  12. Article
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  14. Article
  15. RAD51AP1 is a versatile RAD51 modulator.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Mechanisms and genomic implications of break-induced replication.Nature structural & molecular biology · 2025
    Review

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

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

6 authors at 2 institutions in 1 country.

Tribhuwan YadavMassachusetts General Hospital Cancer Center, Harvard Medical School, Charlestown, MA 02129, USA.
Jia-Min ZhangMassachusetts General Hospital Cancer Center, Harvard Medical School, Charlestown, MA 02129, USA.
Jian OuyangMassachusetts General Hospital Cancer Center, Harvard Medical School, Charlestown, MA 02129, USA.
Wendy LeungMassachusetts General Hospital Cancer Center, Harvard Medical School, Charlestown, MA 02129, USA.
Antoine SimoneauMassachusetts General Hospital Cancer Center, Harvard Medical School, Charlestown, MA 02129, USA.
Lee ZouMassachusetts General Hospital Cancer Center, Harvard Medical School, Charlestown, MA 02129, USA; Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA 02114, USA. Electronic address: zou.lee@mgh.harvard.edu.
Harvard University · USMassachusetts General Hospital · US

Funding

Understanding and targeting the DNA replication stress in cancer cellsR35CA263934 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Lee Zou · 2021 to 2026
$5.2M
Impacts of APOBECs on DNA replication, ATR checkpoint, and cancer therapyR01CA218856 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI ZOU, LEE · 2018 to 2021
$1.5M
NCI NIH HHS R01 CA218856NCI NIH HHS R35 CA263934
6 · The paper itself

Abstract

Alternative lengthening of telomeres (ALT), a telomerase-independent process maintaining telomeres, is mediated by break-induced replication (BIR). RAD52 promotes ALT by facilitating D-loop formation, but ALT also occurs through a RAD52-independent BIR pathway. Here, we show that the telomere non-coding RNA TERRA forms dynamic telomeric R-loops and contributes to ALT activity in RAD52 knockout cells. TERRA forms R-loops in vitro and at telomeres in a RAD51AP1-dependent manner. The formation of R-loops by TERRA increases G-quadruplexes (G4s) at telomeres. G4 stabilization enhances ALT even when TERRA is depleted, suggesting that G4s act downstream of R-loops to promote BIR. In vitro, the telomeric R-loops assembled by TERRA and RAD51AP1 generate G4s, which persist after R-loop resolution and allow formation of telomeric D-loops without RAD52. Thus, the dynamic telomeric R-loops formed by TERRA and RAD51AP1 enable the RAD52-independent ALT pathway, and G4s orchestrate an R- to D-loop switch at telomeres to stimulate BIR.

Indexed as

RNA, Long NoncodingTelomeraseDNA RepairR-Loop StructuresTelomereTelomere HomeostasisRNA, Long NoncodingTelomeraseALTalternative lengthening of telomeresBIRbreak-induced replicationD-loopDNA-RNA hybridsG4G-quadruplexesRAD51AP1RAD52R-loopRNaseH1telomereTERRA

Identifiers

PMID36265486
PMCPMC9637728
OpenAlexW4306852054

What OpenQuestion holds

Textmetadata
LicenceTDM
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.