Evidence map›Paper›PMID 38688279›Full record

ArticleMolecular cell2024

Unprocessed genomic uracil as a source of DNA replication stress in cancer cells.

Sneha Saxena, Christopher S Nabel, Turner W Seay, Parasvi S Patel, Ajinkya S Kawale, Caroline R Crosby, Helene Tigro, Eugene Oh, Matthew G Vander Heiden, Aaron N Hata and 2 more

Abstract read
In one paragraph

Article in Molecular cell, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
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

25 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Article
  5. Article
  6. Dynamic Assemblies in Genome Maintenance.Advances in experimental medicine and biology · 2026
    Review
  7. Review
  8. Article
  9. Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Emerging drivers of DNA repeat expansions.Biochemical Society transactions · 2025
    Review
  15. Article
  16. Review
  17. Article
  18. Article
  19. Article
  20. Article
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

12 authors.

Sneha SaxenaMass General Cancer Center, Harvard Medical School, Charlestown, MA, USA.
Christopher S NabelMass General Cancer Center, Harvard Medical School, Charlestown, MA, USA; Koch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Turner W SeayDepartment of Biomedical Sciences, Florida State University, Tallahassee, FL, USA.
Parasvi S PatelMass General Cancer Center, Harvard Medical School, Charlestown, MA, USA.
Ajinkya S KawaleMass General Cancer Center, Harvard Medical School, Charlestown, MA, USA.
Caroline R CrosbyKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA.
Helene TigroDepartment of Biomedical Sciences, Florida State University, Tallahassee, FL, USA.
Eugene OhMass General Cancer Center, Harvard Medical School, Charlestown, MA, USA.
Matthew G Vander HeidenKoch Institute for Integrative Cancer Research, Massachusetts Institute of Technology, Cambridge, MA, USA; Department of Medical Oncology, Dana Farber Cancer Institute, Boston, MA, USA.
Aaron N HataMass General Cancer Center, Harvard Medical School, Charlestown, MA, USA; Department of Medicine, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA.
Zucai SuoDepartment of Biomedical Sciences, Florida State University, Tallahassee, FL, USA.
Lee ZouMass General Cancer Center, Harvard Medical School, Charlestown, MA, USA; Department of Pathology, Massachusetts General Hospital, Harvard Medical School, Boston, MA, USA; Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC, USA. Electronic address: lee.zou@duke.edu.

Funding

VIRUS PRODUCTION COREP30CA014051 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI Paula T Hammond · 1985 to 2026
$93.9M
Physician Scientist Training in Cancer ResearchT32CA009172 · NCI · DANA-FARBER CANCER INSTITUTE · PI Jennifer R Brown, James A. DeCaprio · 1985 to 2026
$17.1M
Understanding the role of metabolism in cancerR35CA242379 · NCI · MASSACHUSETTS INSTITUTE OF TECHNOLOGY · PI VANDER HEIDEN, MATTHEW G. · 2019 to 2025
$5.8M
Understanding and targeting the DNA replication stress in cancer cellsR35CA263934 · NCI · MASSACHUSETTS GENERAL HOSPITAL · PI Lee Zou · 2021 to 2026
$5.2M
Mechanisms of replication fork protection and recoveryR01CA248526 · NCI · WASHINGTON UNIVERSITY · PI Alessandro Vindigni, Lee Zou · 2020 to 2026
$3.6M
Control of histone ubiquitylation during the cell cycleR35GM146933 · NIGMS · MASSACHUSETTS GENERAL HOSPITAL · PI Eugene Oh · 2022 to 2026
$2.1M
Investigation of DNA base excision repairR01GM122093 · NIGMS · FLORIDA STATE UNIVERSITY · PI SUO, ZUCAI · 2018 to 2021
$1.2M
NCI NIH HHS P30 CA014051NCI NIH HHS R01 CA248526NCI NIH HHS R35 CA242379NCI NIH HHS R35 CA263934NCI NIH HHS T32 CA009172NIGMS NIH HHS R01 GM122093NIGMS NIH HHS R35 GM146933
6 · The paper itself

Abstract

Alterations of bases in DNA constitute a major source of genomic instability. It is believed that base alterations trigger base excision repair (BER), generating DNA repair intermediates interfering with DNA replication. Here, we show that genomic uracil, a common type of base alteration, induces DNA replication stress (RS) without being processed by BER. In the absence of uracil DNA glycosylase (UNG), genomic uracil accumulates to high levels, DNA replication forks slow down, and PrimPol-mediated repriming is enhanced, generating single-stranded gaps in nascent DNA. ATR inhibition in UNG-deficient cells blocks the repair of uracil-induced gaps, increasing replication fork collapse and cell death. Notably, a subset of cancer cells upregulates UNG2 to suppress genomic uracil and limit RS, and these cancer cells are hypersensitive to co-treatment with ATR inhibitors and drugs increasing genomic uracil. These results reveal unprocessed genomic uracil as an unexpected source of RS and a targetable vulnerability of cancer cells.

Indexed as

DNA RepairDNA ReplicationGenomic InstabilityUracilUracil-DNA GlycosidaseAtaxia Telangiectasia Mutated ProteinsCell Line, TumorDNA DamageHumansNeoplasmsAtaxia Telangiectasia Mutated ProteinsATR protein, humanUracilUracil-DNA GlycosidaseATRBERcancer therapygapslung cancerpermetrexedPrimPolreplication forkreplication stressssDNA gapssynthetic lethalityUNGuracil

Identifiers

PMID38688279
PMCPMC11162326

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Registered trials

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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.