Evidence map›Paper›PMID 41844151›Full record

ArticleMolecular cell2026

Microhomology-mediated end joining acts directly on replication forks to repair single-ended double-strand breaks.

Shibo Li, Yuqin Zhao, Youhang Li, Sameer Bikram Shah, Yanmeng Shi, Tran Nguyen, Zi Wang, Chia-Yu Chang, Anagh Ray, Te-Hsuan Bu and 7 more

Abstract read
In one paragraph

Article in Molecular cell, 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. Review
  2. Article
  3. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Shibo LiCollege of Life Sciences, Tianjin Normal University, Tianjin 300387, China; Department of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Yuqin ZhaoDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA; College of Life Sciences, Capital Normal University, Beijing 100037, China.
Youhang LiDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA; College of Life Sciences, Capital Normal University, Beijing 100037, China.
Sameer Bikram ShahDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Yanmeng ShiDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Tran NguyenDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Zi WangDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Chia-Yu ChangDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Anagh RayDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Te-Hsuan BuDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Salvatore LoguercioScripps Research Translational Institute, La Jolla, CA 92037, USA.
Takayo SasakiSan Diego Biomedical Research Institute, San Diego, CA 92121, USA.
Jonathan H SussmanDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA.
Hailong WangCollege of Life Sciences, Capital Normal University, Beijing 100037, China.
David M GilbertSan Diego Biomedical Research Institute, San Diego, CA 92121, USA.
Mirit I AladjemDevelopmental Therapeutics Branch, Center for Cancer Research, National Cancer Institute, Bethesda, MD 20892, USA.
Xiaohua WuDepartment of Molecular and Cellular Biology, The Scripps Research Institute, La Jolla, CA 92037, USA. Electronic address: xiaohwu@scripps.edu.

Funding

Study the mechanisms underlying common fragile site protectionR01CA187052 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI WU, XIAOHUA · 2015 to 2025
$4.2M
Investigating DNA polymerase O in replication stress and cancer therapyR01CA294646 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI Xiaohua Wu · 2024 to 2026
$3.0M
S-phase checkpoint and rereplication in mammalian cellsR01GM080677 · NIGMS · SCRIPPS RESEARCH INSTITUTE, THE · PI WU, XIAOHUA · 2010 to 2018
$2.9M
Oncogenic pathway-induced fragile sites: a new paradigm for understanding genome instability in cancerR01CA270335 · NCI · SAN DIEGO BIOMEDICAL RESEARCH INSTITUTE · PI David M Gilbert, BATSHEVA KEREM · 2022 to 2026
$2.6M
Investigating DNA double-strand break repair mechanisms in mammalian cellsR35GM141868 · NIGMS · SCRIPPS RESEARCH INSTITUTE, THE · PI WU, XIAOHUA · 2021 to 2025
$2.5M
Study of Break-induced Replication in Mammalian CellsR01CA244912 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI WU, XIAOHUA · 2020 to 2024
$2.5M
Role of the Mre11 complex in the maintenance of genome stabilityR01CA197995 · NCI · SCRIPPS RESEARCH INSTITUTE, THE · PI WU, XIAOHUA · 2015 to 2019
$2.2M
NCI NIH HHS R01 CA187052NCI NIH HHS R01 CA197995NCI NIH HHS R01 CA244912NCI NIH HHS R01 CA270335NCI NIH HHS R01 CA294646NIGMS NIH HHS R01 GM080677NIGMS NIH HHS R35 GM141868
6 · The paper itself

Abstract

Replication stress, intrinsic to oncogenesis, often leads to fork breakage and double-strand break (DSB) formation. Conventionally, break-induced replication (BIR) is considered the primary mechanism for repairing replication-associated single-ended DSBs (seDSBs). Here, we demonstrate that microhomology-mediated end joining (MMEJ) acts directly to repair seDSBs at broken replication forks (fork-MMEJ), preferentially on the leading strands, and functions cooperatively with BIR. While promoted by DNA polymerase theta (Polθ), fork-MMEJ operates independently of MRE11/CtIP-mediated end resection, relies on RPA, and produces asymmetric deletion patterns, distinct from canonical MMEJ (cMMEJ), which is defined at replication-independent double-ended DSBs (deDSBs). ATR, activated as end resection proceeds, serves as a pivotal switch to suppress fork-MMEJ while promoting BIR. The combined inactivation of ATR and Polθ synergistically kills cancer cells under high replication stress with minimal toxicity to normal cells. Together, our study provides fundamental insights into the MMEJ mechanism and offers new strategies for cancer treatment.

Indexed as

DNA Breaks, Double-StrandedDNA End-Joining RepairDNA ReplicationAtaxia Telangiectasia Mutated ProteinsDNA-Binding ProteinsDNA-Directed DNA PolymeraseDNA Polymerase thetaHumansMRE11 Homologue ProteinReplication Protein AAtaxia Telangiectasia Mutated ProteinsATR protein, humanDNA-Binding ProteinsDNA-Directed DNA PolymeraseDNA Polymerase thetaMRE11 Homologue ProteinMRE11 protein, humanReplication Protein AATRBIRend resectionfork-MMEJleading and lagging strandsMMEJPIF1PolθseDSBs

Identifiers

PMID41844151
PMCPMC13345754

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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.