Evidence map›Paper›PMID 41811450›Full record

ArticleProceedings of the National Academy of Sciences of the United States of America2026

BRCA1-A and LIG4 complexes mediate ecDNA biogenesis and cancer drug resistance.

Oliver W Chung, Shun Yao, Ling Wang, Fu Yang, Lauren Schier, Melissa Aldana, Christian Cerda-Smith, Haley M Hutchinson, Kris C Wood, Weijia Su and 4 more

Abstract read
In one paragraph

Article in Proceedings of the National Academy of Sciences of the United States of America, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

3 citing papers in PubMed.

  1. Article
  2. Review
  3. Extrachromosomal DNA and cancer: function, formation, and clinical implications.Journal of experimental & clinical cancer research : CR · 2026
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

14 authors.

Oliver W Chung *Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.
Shun Yao *Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.
Ling Wang *Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0000-0002-7621-2312
Fu Yang *Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0000-0002-3151-1765
Lauren SchierDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0009-0009-2817-6693
Melissa AldanaDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0000-0003-0361-9282
Christian Cerda-SmithDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0000-0001-8123-5300
Haley M HutchinsonDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0000-0002-8181-6022
Kris C WoodDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0000-0002-5887-2253
Weijia SuDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.
Mustafa KhasrawThe Preston Robert Tisch Brain Tumor Center at Duke, Department of Neurosurgery, Duke University Medical Center, Durham, NC 27710.ORCID 0000-0003-3249-9849
Lee ZouDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.
Dale A RamsdenLineberger Comprehensive Cancer Center, University of North Carolina at Chapel Hill, Chapel Hill, NC 27599.ORCID 0000-0003-1575-4748
Zz Zhao ZhangDepartment of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC 27710.ORCID 0000-0002-3358-8459

Funding

The Role of DNA Synthesis in Nonhomologous End JoiningR01CA097096 · NCI · UNIV OF NORTH CAROLINA CHAPEL HILL · PI DALE A RAMSDEN · 2003 to 2026
$5.5M
Mechanism-based targeting of unique survival signaling in residual tumorsR01CA263593 · NCI · DUKE UNIVERSITY · PI Kris C. Wood · 2022 to 2026
$1.7M
Regulation, function, and impact of developmental retrotransposon activationR01GM141018 · NIGMS · DUKE UNIVERSITY · PI ZHANG, ZHAO · 2021 to 2024
$1.3M
Biogenesis and function of retrotransposon-derived circular DNAR01GM152423 · NIGMS · DUKE UNIVERSITY · PI ZHANG, ZHAO · 2024 to 2025
$864k
Sex differences in DNA damage responseR21CA263394 · NCI · UNIVERSITY OF PITTSBURGH AT PITTSBURGH · PI SCHMITZ, JOHN C · 2022 to 2023
$404k
Identification and Characterization of Novel Cis-Regulatory Elements Controlling PTEN ExpressionF30CA247323 · NCI · DUKE UNIVERSITY · PI CERDA-SMITH, CHRISTIAN GONZALO · 2020 to 2022
$129k
NCI NIH HHS F30 CA247323NCI NIH HHS R01 CA097096NCI NIH HHS R01 CA263593NCI NIH HHS R21 CA263394NIGMS NIH HHS R01 GM141018NIGMS NIH HHS R01 GM152423
6 · The paper itself

Abstract

Extrachromosomal circular DNA (ecDNA) is frequently generated within the nucleus, contributing to genome dynamics and heterogeneity, thereby promoting cancer cell evolution and adaptation. However, the mechanisms underlying ecDNA biogenesis remain poorly understood. Here, using genome-wide CRISPR screening in human cells, we identified the BRCA1-A and the LIG4 complexes as key drivers of ecDNA production. Following DNA segmentation, the upstream BRCA1-A complex protects DNA ends from excessive resection, promoting end-joining for circularization. Conversely, the MRN complex, which mediates end resection and thus antagonizes the BRCA1-A complex, suppresses ecDNA formation. Downstream, LIG4 conservatively mediates ecDNA production by joining the free ends of the DNA fragments. Furthermore, ecDNA from patient tumors harbors junction sites with a LIG4 signature. Notably, disruption of either LIG4 or the BRCA1-A complex in cancer cells impairs ecDNA-mediated adaptation, hindering the development of resistance to both chemotherapy and targeted therapies. Together, our study reveals the roles of the LIG4 and BRCA1-A complexes in ecDNA biogenesis, and uncovers therapeutic targets to block ecDNA-mediated adaptation for cancer treatment.

Indexed as

BRCA1 ProteinDNA, CircularDNA Ligase ATPDrug Resistance, NeoplasmCell Line, TumorExtrachromosomal DNAHumansBRCA1 ProteinBRCA1 protein, humanDNA, CircularDNA Ligase ATPExtrachromosomal DNALIG4 protein, humanBRCA1-AcancerecDNAligase 4

Identifiers

PMID41811450
PMCPMC12993981

What OpenQuestion holds

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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.