Evidence map›Paper›PMID 40021738›Full record

ArticleNature structural & molecular biology2025

Human polymerase θ helicase positions DNA microhomologies for double-strand break repair.

Christopher J Zerio, Yonghong Bai, Brian A Sosa-Alvarado, Timothy Guzi, Gabriel C Lander

Abstract read
In one paragraph

Article in Nature structural & molecular biology, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing 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

9 citing papers in PubMed.

  1. Review
  2. Review
  3. Article
  4. Review
  5. Beyond Short Microhomologies: Mismatch-Compatible Pol θ-Mediated DNA Damage Repair.BioEssays : news and reviews in molecular, cellular and developmental biology · 2026
    Review
  6. Review
  7. Coordinated transfer of DNA between Pol θ and Pol δ resets microhomology choice during double-strand break repair.Proceedings of the National Academy of Sciences of the United States of America · 2025
    Article
  8. Making 3' ends meet.Nature structural & molecular biology · 2025
    Article
  9. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Christopher J ZerioDepartment of Integrative Structural and Computational Biology, Scripps Research, La Jolla, CA, USA.
Yonghong BaiMOMA Therapeutics, Cambridge, MA, USA.
Brian A Sosa-AlvaradoMOMA Therapeutics, Cambridge, MA, USA.
Timothy GuziMOMA Therapeutics, Cambridge, MA, USA.
Gabriel C LanderDepartment of Integrative Structural and Computational Biology, Scripps Research, La Jolla, CA, USA. glander@scripps.edu.ORCID http://orcid.org/0000-0003-4921-1135

Funding

Automated, optimized, intelligent data collection for cryo-EMR01GM143805 · NIGMS · SCRIPPS RESEARCH INSTITUTE, THE · PI LANDER, GABRIEL C · 2021 to 2025
$4.7M
High-speed direct detector for cryo electron microscopyS10OD032467 · OD · SCRIPPS RESEARCH INSTITUTE, THE · PI LANDER, GABRIEL C · 2022 to 2022
$600k
Elucidation of the Mechanism of Microhomology-Mediated End Joining by DNA Polymerase ThetaF32CA288144 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI ZERIO, CHRISTOPHER JOHN · 2024 to 2024
$74k
NCI NIH HHS F32 CA288144NIGMS NIH HHS R01 GM143805NIH HHS S10 OD032467
6 · The paper itself

Abstract

DNA double-strand breaks occur daily in all human cells and must be repaired with high fidelity to minimize genomic instability. Deficiencies in high-fidelity DNA repair by homologous recombination lead to dependence on DNA polymerase θ, which identifies DNA microhomologies in 3' single-stranded DNA overhangs and anneals them to initiate error-prone double-strand break repair. The resulting genomic instability is associated with numerous cancers, thereby making this polymerase an attractive therapeutic target. However, despite the biomedical importance of polymerase θ, the molecular details of how it initiates DNA break repair remain unclear. Here, we present cryo-electron microscopy structures of the polymerase θ helicase domain bound to microhomology-containing DNA, revealing DNA-induced rearrangements of the helicase that enable DNA repair. Our structures show that DNA-bound helicase dimers facilitate a microhomology search that positions 3' single-stranded DNA ends in proximity to align complementary bases and anneal DNA microhomology. We characterize the molecular determinants that enable the helicase domain of polymerase θ to identify and pair DNA microhomologies to initiate mutagenic DNA repair, thereby providing insight into potentially targetable interactions for therapeutic interventions.

Indexed as

DNADNA Breaks, Double-StrandedDNA-Directed DNA PolymeraseDNA HelicasesDNA RepairCryoelectron MicroscopyDNA Polymerase thetaDNA, Single-StrandedHumansModels, MolecularDNADNA-Directed DNA PolymeraseDNA HelicasesDNA Polymerase thetaDNA, Single-Stranded

Identifiers

PMID40021738
PMCPMC12318604

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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.