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Molecular and Cellular Biology, August 2003, p. 5706-5715, Vol. 23, No. 16
0270-7306/03/$08.00+0 DOI: 10.1128/MCB.23.16.5706-5715.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
Pathways of DNA Double-Strand Break Repair during the Mammalian Cell Cycle
Kai Rothkamm,1 Ines Krüger,1 Larry H. Thompson,2 and Markus Löbrich1*
Fachrichtung Biophysik, Universität des Saarlandes, D-66421 Homburg/Saar, Germany,1
Biology and Biotechnology Research Program, Lawrence Livermore National Laboratory, Livermore, California 945502
Received 26 December 2002/
Returned for modification 9 May 2003/
Accepted 16 May 2003

ABSTRACT
Little is known about the quantitative contributions of nonhomologous
end joining (NHEJ) and homologous recombination (HR) to DNA
double-strand break (DSB) repair in different cell cycle phases
after physiologically relevant doses of ionizing radiation.
Using immunofluorescence detection of

-H2AX nuclear foci as
a novel approach for monitoring the repair of DSBs, we show
here that NHEJ-defective hamster cells (CHO mutant V3 cells)
have strongly reduced repair in all cell cycle phases after
1 Gy of irradiation. In contrast, HR-defective CHO irs1SF cells
have a minor repair defect in G
1, greater impairment in S, and
a substantial defect in late S/G
2. Furthermore, the radiosensitivity
of irs1SF cells is slight in G
1 but dramatically higher in late
S/G
2, while V3 cells show high sensitivity throughout the cell
cycle. These findings show that NHEJ is important in all cell
cycle phases, while HR is particularly important in late S/G
2,
where both pathways contribute to repair and radioresistance.
In contrast to DSBs produced by ionizing radiation, DSBs produced
by the replication inhibitor aphidicolin are repaired entirely
by HR. irs1SF, but not V3, cells show hypersensitivity to aphidicolin
treatment. These data provide the first evaluation of the cell
cycle-specific contributions of NHEJ and HR to the repair of
radiation-induced versus replication-associated DSBs.

INTRODUCTION
DNA double-strand breaks (DSBs) are considered the most biologically
damaging lesions produced by ionizing radiation (IR) and some
chemicals. They also arise endogenously during DNA replication
or as initiators of programmed processes, such as V(D)J recombination
and meiotic exchange. If left unrepaired, DSBs can result in
permanent cell cycle arrest, induction of apoptosis, or mitotic
cell death caused by loss of genomic material (
37); if repaired
incorrectly, they can lead to carcinogenesis through translocations,
inversions, or deletions (
21,
67). Higher eukaryotic cells primarily
repair DSBs by one of two genetically separable pathways, nonhomologous
end joining (NHEJ) and homologous recombination (HR). NHEJ repairs
broken ends with little or no requirement for sequence homology
and involves the XRCC4-LIG4 complex and the DNA-dependent protein
kinase (DNA-PK) holoenzyme, consisting of the DNA end-binding
heterodimer Ku70-Ku80 and the catalytic subunit DNA-PK
cs (
22,
23,
53). Cell lines defective in any of these genes are generally
highly IR sensitive (

7-fold) and have marked deficiencies in
DSB repair (
9,
28,
40,
69).
HR, which appears to be less important than NHEJ for repairing IR-induced breaks in higher eukaryotes, utilizes extensive homology to faithfully restore the sequence at the break site by processes that involve proteins of the Rad52 epistasis group (20, 61, 62, 63). In human cells, the main steps in HR are thought to be mediated by the single-strand binding protein RPA (3, 18, 52); the human homologs of Saccharomyces cerevisiae Rad51, Rad52, and Rad54 (4, 56, 66); and the Rad51 paralogs XRCC2, XRCC3, Rad51B, Rad51C, and Rad51D (reviewed in references 61, 62, 63, and 64). Evidence for a role of HR in the radioresistance of higher eukaryotes is derived from cell survival experiments with HR-defective mutants. While the disruption of Rad52 confers no sensitization (44, 73), inactivation of Rad54 causes a modest increase in radiosensitivity (
1.7-fold in mouse embryonic stem cells) that is mainly associated with the late-S/G2 phase (5, 15, 16, 57). The disruption of Rad51 is lethal (30, 54), but mutations in the Rad51 paralogs XRCC2 and XRCC3 confer significant radiosensitivity (11, 32, 58). The relatively high radioresistance of NHEJ-defective mutants in the late-S/G2 portion of the cell cycle further suggests that HR promotes survival when sister chromatids are present (55, 72). A role for HR in DSB repair is also indirectly supported by cytogenetic investigations in which, for example, XRCC2- and XRCC3-defective hamster cells show highly elevated levels of spontaneous and IR-induced chromosomal aberrations (8, 17, 32, 59, 65). Additionally, homology-directed repair of I-SceI-produced site-specific DSBs depends strongly on XRCC2 and XRCC3 in hamster cells (24, 38) and, to a lesser extent, on Rad54 in mouse embryonic stem cells (14). These HR events primarily involve sister chromatids as a template for repair, resulting in gene conversion and not reciprocal exchange (25).
However, investigations with pulsed-field gel electrophoresis (PFGE) or similar approaches that directly quantify DSB repair by determining the molecular weights of broken DNA molecules have not detected a significant role of HR in the repair of radiation-induced DSBs. In these assays, in which IR doses of
20 Gy are used, unsynchronized XRCC2- and XRCC3-defective rodent cells show repair kinetics similar to those of wild-type cells (2, 10, 17, 26, 60). Similar findings have been obtained with HR mutants of DT40 chicken cells (70; K. Rothkamm and M. Löbrich, unpublished data).
The induction and repair of individual IR-induced DSBs in confluent primary human fibroblasts were recently investigated by enumeration of
-H2AX foci (phosphorylated histone H2AX [45]) and by PFGE (49). When a fluorescent antibody specific for
-H2AX was used, the discrete nuclear foci observed 3 min following irradiation numerically corresponded to the number of IR-induced DSBs determined in parallel by PFGE at much higher IR doses. Examination of the DSB repair-deficient cell line 180BR, which carries a defect in DNA ligase IV (40), further showed that the sealing of DSBs coincided temporally with the dephosphorylation of
-H2AX. These results suggest that
-H2AX foci can be used as an end point to measure the repair of radiation-induced DSBs at physiologically relevant doses.
In the present work, we used
-H2AX foci to detect the presence of individual IR-induced DSBs (46) and thereby quantify the contributions of NHEJ and HR to DSB repair, based on mutant phenotypes. We show that NHEJ is important for IR-induced DSB repair in all cell cycle phases, whereas the role of HR is most critical in late S/G2. In contrast to DSBs produced by IR, DSBs generated during replication by aphidicolin treatment are repaired only by HR. These data provide the first cell cycle-specific evaluation of the contributions of NHEJ and HR to DSB repair after a radiation dose (1 Gy) which most wild-type cells can survive.

MATERIALS AND METHODS
Cell growth and irradiation.
Chinese hamster ovary cells (K1, AA8, xrs-6, V3, V3-147, V3-155,
irs1SF, and CXR3) were grown in minimum essential medium supplemented
with 10% fetal bovine serum and antibiotics. All incubations
were performed at 37°C in a humidified atmosphere of 5%
CO
2 and 95% air. X-irradiation was performed at 95 kV, 25 mA,
and a dose rate of approximately 6 Gy/min, as determined by
chemical dosimetry. For the colony formation assay, cells in
culture dishes in medium were irradiated at room temperature
and plated in two different dilutions in triplicate. Colonies
were stained after 7 (K1, AA8, xrs-6, V3, V3-147, and V3-155)
or 10 (irs1SF and CXR3) days. For immunofluorescence measurements,
cells were irradiated on coverslips immersed in culture medium
at room temperature. To chemically inhibit DSB repair by inactivating
DNA-PK
cs (see 30-min time points in Fig.
2B), we incubated cells
from 30 min before until 30 min after irradiation in the presence
of 200 µM phosphatidylinositol 3-kinase inhibitor 2-(4-morpholinyl)-8-phenyl-4H-1-benzopyran-4-one
(LY294002) (
68). For PFGE measurements, cells were irradiated
in flasks filled with ice-cold phosphate-buffered saline (PBS;
137 mM NaCl, 2.7 mM KCl, 8 mM Na
2HPO
4, 1.5 mM KH
2PO
4 [pH 7.45]),
which was replaced with prewarmed medium for repair incubation.
Control samples were sham irradiated in all experiments.
Cell synchronization and flow cytometry.
Cells were seeded at a density of 8
x 10
4 per cm
2 and grown
for 3 to 4 days to obtain G
1-phase cells; 4
x 10
4 G
1-phase cells
per cm
2 were grown for 16 h in medium containing 1 µg
of aphidicolin/ml. Under these conditions, cells accumulate
at the G
1/S border. Then, the aphidicolin-containing medium
was removed, and the cells were incubated for 6 h (6.5 h for
irs1SF cells) in fresh medium to obtain G
2-phase cells. Measurements
of cell cycle distributions were obtained by using a FACScan
flow cytometer (Becton Dickinson). Cells were harvested, resuspended
in PBS, fixed with 70% ethanol at -20°C, and stained with
propidium iodide-RNase A. Two-parameter (bromodeoxyuridine [BrdU]
plus propidium iodide) flow cytometry measurements were obtained
by using a BrdU flow kit with fluorescein isothiocyanate-conjugated
anti-BrdU antibody (Becton Dickinson). Fluorescence data were
plotted by using CellQuest software (Becton Dickinson).
Immunofluorescence microscopy.
Cells were fixed in 2% paraformaldehyde for 15 min, washed three times in PBS for 10 min each time, permeabilized for 5 min on ice in 0.2% Triton X-100, and blocked three times in PBS with 1% bovine serum albumin for 10 min each time at room temperature. The coverslips were incubated with anti-
-H2AX antibody (Trevigen) for 1 h, washed three times in PBS-1% bovine serum albumin for 10 min each time, and incubated with Alexa Fluor 488-conjugated goat anti-rabbit secondary antibody (Molecular Probes) for 1 h at room temperature. Cells were washed four times in PBS for 10 min each time and mounted by using Vectashield mounting medium with 4,6-diamidino-2-phenylindole (Vector Laboratories). Fluorescence images were captured by using a Zeiss Axioskop 2mot epifluorescence microscope equipped with a charge-coupled device camera and ISIS software (Metasystems). Optical sections through the nuclei were captured at 0.3-µm intervals, and the images were obtained by projection of the individual sections. For quantitative analysis, foci were counted by eye during the microscopic and imaging process by using a x100 objective. The error bars in the figures represent the standard error of the mean (SEM) for 40 to 80 cells per sample. BrdU labeling and immunofluorescence detection of BrdU-positive cells were performed by using cell proliferation labeling reagent and monoclonal anti-BrdU antibody (Amersham Pharmacia Biotech), which was detected with Alexa Fluor 594-conjugated goat anti-mouse secondary antibody (Molecular Probes). Cells were treated first with anti-
-H2AX antibody and then with anti-BrdU antibody.
PFGE.
DSB repair studies were performed as previously described (27, 34, 47). Briefly, cells were harvested, embedded in agarose plugs (6 x 105 cells per plug), and lysed. Electrophoresis was carried out with a CHEF-DR system and agarose gels. The gels were run at 14°C with linearly increasing pulse times from 50 to 5,000 s over 65 h at a field strength of 1.5 V/cm. The gels were stained with ethidium bromide, and the fraction of DNA below the well was quantified with commercially available software. Experiments measuring the fraction of DNA below the well as a function of dose were performed in parallel with repair experiments, and the results served as a calibration to obtain relative numbers of remaining DSBs from the fraction of DNA below the well in the samples used in the repair experiments.

RESULTS
Primarily NHEJ determines DSB repair in the G1 phase.
In the present study, we investigated the repair of DSBs in
synchronized populations of CHO cells defective either in NHEJ
or in HR by analyzing

-H2AX focus formation in situ and DSBs
in vitro. Parental AA8 cells, XRCC3-defective irs1SF cells (
32),
and DNA-PK
cs-defective V3 cells (
23) were grown to confluence
to obtain at least 90% G
1-phase cells (Fig.
1A). Analysis by
PFGE of the time course for DSB repair after 80 Gy of irradiation
shows that V3 cells have a pronounced repair defect, consistent
with previous measurements (
48). However, irs1SF cells repair
DSBs with kinetics similar to those of AA8 cells (Fig.
1B and C).
After a repair period of 24 h, nearly all DSBs are rejoined
in both AA8 and irs1SF cells. Notably, no DNA degradation and
only slight changes in cell cycle distribution (see irs1SF cell
data) occur following 80 Gy of irradiation and repair times
of up to 24 h (Fig.
1A).

-H2AX focus formation was investigated with G
1-arrested control
and 1-Gy-irradiated cultures (Fig.
2). Without irradiation,
the numbers of foci per cell were as follows: AA8, 0.2; irs1SF,
0.4; and V3, 1.0. Although IR-induced foci are visible after
15 min of incubation, quantitation in CHO cells is reliable
only at later times, when the foci become more distinct (Fig.
2A) (foci in primary human fibroblasts can be quantified 15
min and even 3 min after irradiation; see Discussion). Because
DSB repair occurs during the time period necessary for focus
formation, we wished to inhibit repair in order to obtain information
on the initial numbers of IR-induced foci. Therefore, cells
were incubated in the presence of the phosphatidylinositol 3-kinase
inhibitor LY294002 (
68), which inactivates DNA-PK
cs. With this
approach, all cell lines investigated show the same number of
foci per cell (
n = 30) 30 min after irradiation, demonstrating
equal efficiencies in

-H2AX focus formation (Fig.
2B). The kinetics
of the disappearance of foci show a pronounced repair defect
for V3 cells compared with parental AA8 and irs1SF cells. Significantly,
for all three cell lines, the kinetics of the disappearance
of foci resemble the kinetics of DSB repair determined from
PFGE analysis after 80 Gy of irradiation (Fig.
2B). This similarity
provides further evidence that each

-H2AX focus directly reflects
the presence of a DSB. V3 cells complemented with a yeast artificial
chromosome containing either the human (V3-147) (
6) or the mouse
(V3-155) (
39) DNA-PK
cs gene show a repair capacity similar to
that of parental AA8 cells. Moreover, the loss of foci after
1 Gy of irradiation, as contrasted with DSBs at a higher dose,
appears incomplete in irs1SF cells 24 h after treatment.
Because V3 and irs1SF cells are radiosensitive in asynchronous populations (17, 59, 72), we wished to compare asynchronous cells to G1-phase populations. Cell survival experiments confirm that both NHEJ and HR contribute to the radioresistance of asynchronous cells (Fig. 3A). While V3 and xrs-6 cells show
6-fold sensitivity (derived from a comparison of the doses that result in 20% survival), irs1SF cells are
3-fold sensitive. irs1SF cells complemented with human XRCC3 cDNA (CXR3 cells) show only partial correction of radiosensitivity, in agreement with previous results (59). Notably, V3 cells show a pronounced biphasic survival curve, suggesting the presence of a resistant subpopulation. V3 cells complemented with the human or mouse DNA-PKcs gene show substantial correction of radiosensitivity. When cell survival in the G1 phase is assessed (Fig. 3B), V3 (but not xrs-6) cells show increased sensitivity compared with an asynchronous population. Significantly, compared to AA8 cells, irs1SF cells in the G1 phase are substantially less sensitive (
1.5-fold) than those in the exponential phase. Because surviving cells likely proceed from G1 into other cell cycle phases while repair occurs, this 1.5-fold sensitivity does not necessarily imply that cells use HR during the G1 phase. Taken together, the relatively proficient repair in irs1SF cells that were arrested in G1 up to 24 h after IR exposure, as well as the observation that irs1SF cells are much more resistant in the G1 phase than in other phases, suggests that XRCC3-dependent HR plays only a modest role in DSB repair and survival of cells irradiated in G1.
HR determines the repair of replication-associated DSBs induced by aphidicolin.
To investigate the influence of cell cycle position on the choice
of DSB repair pathways, we synchronized the cells by treatment
with aphidicolin, an inhibitor of replication polymerases. Confluent
cells were subcultured and incubated for 16 h in the presence
of 1 µg of aphidicolin/ml, allowing them to proceed to
the beginning of the S phase (Fig.
4A). After the removal of
aphidicolin, the cells synchronously proceed into S and G
2 (Fig.
5A). We analyzed aphidicolin-induced

-H2AX focus formation at
3 and 6 h after drug removal (Fig.
4B). Significantly, the number
of foci in irs1SF cells was substantially higher than that in
V3 or AA8 cells at both times (Fig.
4C). The rate of survival
of irs1SF cells was significantly lower than that of V3 or AA8
cells, consistent with the increased number of foci in irs1SF
(Fig.
4D). These findings strongly suggest that aphidicolin
sensitivity is caused by defective DSB repair occurring through
HR. Apparently, NHEJ is not involved in the repair of aphidicolin-induced
DSBs, consistent with the idea that "one-sided" DSBs are generated
at sites of replication inhibition (
12).
Both NHEJ and HR contribute to IR-induced DSB repair in the late-S/G2 phase.
We next addressed the contributions of NHEJ and HR in repairing
IR-induced DSBs in S and G
2. At 3 and 6 h after the removal
of aphidicolin, when the cultures contained mid-S- and late-S/G
2-phase
cells, respectively (Fig.
5A), 1 Gy of irradiation was delivered.
Enumeration of

-H2AX foci at 2 and 4 h after irradiation in
mid-S phase (3 h after aphidicolin removal) revealed that V3
cells were substantially deficient in DSB repair, while irs1SF
cells showed a smaller defect (Fig.
5C). These results contrast
with those for aphidicolin-induced DSB repair. Thus, HR is used
for replication-associated DSB repair but is not, per se, the
predominant DSB repair pathway during the S phase. Cells irradiated
6 h after aphidicolin removal were also examined. While nonirradiated
cells start to enter mitosis

7 h after aphidicolin removal (data
not shown), 1 Gy of irradiation delays entry into mitosis for
at least 2 h (i.e., 8 h after aphidicolin removal). At 4 h after
irradiation, most of the AA8 and V3 cells and half of the irs1SF
cells have traversed into G
1 (Fig.
5A). While V3 cells now show
a repair deficiency comparable to that of cells in the "AP +
3 h" condition, irs1SF cells in late S/G
2 are much more compromised
than those in mid-S (Fig.
5D). Thus, the relative importance
of HR in repairing IR-induced DSBs increases from G
1 through
S and into late S/G
2. Both HR and NHEJ contribute significantly
to IR-related DSB repair in late S/G
2. These results contrast
with those for aphidicolin-induced DSB repair, which depends
only on HR. The large number of foci in cells that were irradiated
in late S/G
2 and reached G
1 4 h later (Fig.
5A [bottom row]
and Fig.
5D) implies that cells pass through mitosis with many
DSBs (

10). Indeed, cells in mitosis 2 to 4 h after
irradiation in late S/G
2 always displayed

-H2AX foci at the
ends of chromosome fragments (Fig.
5E).
The observation that V3 cells show normal repair of aphidicolin-induced DSBs but deficient repair of DSBs induced by IR in mid-S phase demonstrates the different requirements for NHEJ in replication-associated versus radiation-induced DSB repair. However, determining the cell cycle-specific contributions of HR and NHEJ to IR-induced DSB repair (Fig. 5) is limited by the DSBs produced by aphidicolin and the possibility that artificial arrest at the G1/S border interferes with normal physiological processes. This limitation is particularly relevant for irs1SF cells, which show, compared with AA8 and V3 cells, defective DSB repair and compromised survival after aphidicolin treatment. Therefore, we investigated the cell cycle dependence of DSB repair in asynchronous populations. Cells were pulse-labeled with BrdU for 30 min (Fig. 6) and irradiated with 1 Gy either immediately or 2 h after BrdU labeling. Following repair times of 2 or 4 h, BrdU-positive cells were analyzed for
-H2AX focus formation (Fig. 6B and C). BrdU-positive cells are evenly distributed throughout the S phase at the time of irradiation when irradiation occurs immediately after BrdU labeling; alternatively, they have progressed to late S/G2 when irradiation occurs 2 h after labeling (Fig. 6A). Results from such an analysis show that DSBs induced in the S phase by radiation are primarily repaired by NHEJ (Fig. 6D), while HR and NHEJ both contribute substantially when DSBs are introduced during late S/G2 (Fig. 6E). These data are in agreement with the results shown in Fig. 5.
It is noteworthy that nonirradiated BrdU-positive irs1SF cells
analyzed 2 or 4 h after BrdU labeling show higher levels of

-H2AX foci than comparable AA8 or V3 cells. At 2 h after BrdU
treatment, the numbers of foci per cell were as follows: irs1SF,
1.3; AA8, 0.4; and V3, 0.5. At 4 h after BrdU treatment, these
values were as follows: irs1SF, 1.4; AA8, 0.4; and V3, 0.6.
These results are in contrast to those for nonirradiated cells
arrested in G
1 (Fig.
2B) but are consistent with the higher
level of foci in aphidicolin-treated irs1SF cells compared with
V3 cells (Fig.
4C). Perhaps related to this finding is the significantly
higher S-phase fraction of exponentially growing irs1SF cells
compared with AA8 and V3 cells that is observed after BrdU labeling
(Fig.
6B; irs1SF, 36% BrdU-positive cells; AA8, 29%; and V3,
20%) and by flow cytometry (Fig.
1A [top row]; irs1SF, 44% S-phase
DNA; AA8, 24%; and V3, 20%), as well as the reduced rate of
growth of irs1SF cells (
59). These observations are consistent
with a role of HR in repairing DSBs that arise spontaneously
during replication (
19,
54), leading to more DSBs in irs1SF
cells after replication and to a higher S-phase fraction associated
with retarded S-phase traversal and slower growth.
To evaluate whether the contributions of HR and NHEJ to the repair of IR-induced DSBs are reflected in radiosensitivity measurements, we determined the survival rates for late-S/G2-phase cells by irradiating and plating the cells 6 h after removing aphidicolin. In contrast to the radiosensitivity seen with asynchronous and G1-phase cell populations, the HR and NHEJ mutants show similar sensitivities (
6-fold for xrs-6 and irs1SF cells but
3-fold for V3 cells) (Fig. 3C). Compared to the G1-phase results (Fig. 3B), these findings represent for the NHEJ mutants similar (xrs-6 cells) or somewhat reduced (V3 cells) sensitivity, versus a dramatically increased sensitivity for the HR mutants (6-fold in late S/G2 versus 1.5-fold in G1). These observations agree with the DSB repair data in supporting the idea that NHEJ is important for survival after IR in all phases of the cell cycle, while HR primarily contributes to radioresistance in the late-S/G2 phase. However, HR does contribute to the resistance of cells irradiated in the G1/early-S phase.

DISCUSSION
-H2AX foci provide a measure of DSB repair after physiologically relevant IR doses.
Here we used

-H2AX focus formation to quantify the repair of
IR-induced DSBs. Initial studies showed a close relationship
between the number of

-H2AX foci and the number of expected
DSBs after treatment with IR (
46). Recently, a direct correlation
was observed between the number of foci and the number of DSBs
produced by decay of
125I incorporated into cellular DNA (
51),
suggesting that each focus represents an individual break and
that each DSB forms a focus. However, the relationship between
DSB repair and the disappearance of

-H2AX foci is less clear.
Our PFGE data in Fig.
1C show that

40% of the 80-Gy-induced
DSBs in V3 cells are not repaired at 4 to 24 h after irradiation;
these data are similar to the

-H2AX focus measurements in G
1-phase
V3 cells (Fig.
2B). Importantly, G
1-phase HR-defective irs1SF
cells had almost normal DSB repair kinetics for both

-H2AX and
PFGE end points. Further evidence that

-H2AX foci are a valid
measure not only of DSB formation but also of repair comes from
other recent studies. In our laboratory, the induction and repair
of IR-induced DSBs in primary human fibroblasts in the G
1 phase
were studied by examining

-H2AX focus formation in parallel
with PFGE assays (
49). Initial yields of DSBs induced by doses
between 10 and 80 Gy were determined with a specialized PFGE
assay (
33,
43) and compared to the number of foci detected 3
min after irradiation with 2 Gy or less. We observed essentially
the same number of DSBs, 35 per Gy per cell, measured at a high
dose, as we did of the number of foci per gray per cell, measured
at

2 Gy. The value of 30 initial DSBs per Gy per CHO cell reported
in this study (Fig.
2B) is consistent with 35 initial DSBs per
Gy per human fibroblast, as flow cytometry analysis showed that
primary human fibroblasts contain approximately 20% more DNA
than CHO cells (data not shown). In the same study of Rothkamm
and Löbrich (
49), the kinetics of the disappearance of
foci closely resembled the kinetics of DSB repair, for both
repair-proficient and DNA ligase IV-defective primary human
fibroblasts.
HR and NHEJ differentially contribute to IR-induced DSB repair during the cell cycle.
By using
-H2AX focus analysis as an approach for DSB repair measurements, Rothkamm and Löbrich conducted the first study of DSB repair in mammalian cells by using physiologically relevant radiation doses (49). A second major advantage of the
-H2AX approach is its applicability to repair measurements in the S phase, where PFGE is compromised due to electrophoresis artifacts resulting from structural abnormalities of replicating DNA. Our results show that NHEJ is the predominant repair pathway not only in the G1 phase but also, surprisingly, is more important than XRCC3-dependent HR for the repair of DSBs introduced by IR during most of the S phase (Fig. 5C and 6D). However, both HR and NHEJ contribute significantly to the repair of DSBs produced by IR during the late-S/G2 phase (Fig. 5D and 6E). This finding is the first direct demonstration of a contribution of HR to the repair of IR-induced DSBs. The results of the
-H2AX experiments are consistent with survival measurements, which show that HR-defective cells are most sensitive in late S/G2 and only modestly sensitive in G1. In contrast, NHEJ-deficient cells show pronounced sensitivity throughout the cell cycle but are slightly more resistant in late S/G2 than in G1 (Fig. 3). These observations can be summarized in a model (Fig. 7) in which NHEJ contributes substantially to DSB repair and radioresistance in all cell cycle phases, while HR contributes modestly in G1 and progressively more as cells move through the cycle into G2.
The absolute percent contribution of each pathway cannot be
determined from these experiments because irs1SF cells are incompletely
defective in HR. Although homology-directed repair of I-SceI-produced
DSBs strongly depends on XRCC3 (
7,
38), the level of spontaneous
chromosomal aberrations is considerably lower in
xrcc3 than
in conditionally deficient
rad51 DT40 chicken cells (
54,
58).
Additionally, a basal level of HR is essential for the viability
of mouse and chicken cells (
30,
54). These results suggest that
Rad51 has a more important role than XRCC3 for the repair of
spontaneous DSBs. It is therefore possible that IR-induced DSBs
also are repaired by an HR process that depends only partly
on XRCC3. Because spontaneous DSBs likely arise during replication,
while restriction enzymes can produce DSBs in all cell cycle
phases, we cannot exclude the possibility that the XRCC3 requirement
of HR varies throughout the cell cycle. Thus, the full quantitative
contribution of HR to DSB repair throughout the cell cycle could
be considerably greater than that suggested by the phenotype
of irs1SF cells. Moreover, some end joining still occurs in
the absence of DNA-PK (
62,
63).
It is unlikely that the contribution of HR to DSB repair and survival of cells irradiated in G1 results from recombination occurring between homologous chromosomes in G1. In mouse embryonic stem cells, the homolog-dependent repair of enzymatically induced DSBs occurs at a low frequency,
3 x 10-6 (41). Moreover, the karyotype of CHO cells is highly rearranged, a fact which might further reduce the likelihood of pairing and recombination between homologous alleles. We suggest that the increased sensitivity of xrcc3 mutant cells to irradiation in the G1 phase can be explained by DSB repair occurring during the S phase. For example, DSBs that arise in G1 and that become replicated might be repaired by a two-step process in which NHEJ rejoins one chromatid, thereby providing a substrate by which HR could repair the other chromatid. Thus, NHEJ and HR could cooperate to increase the efficiency of repair.
Our observations showing that HR is involved in the repair of radiation-induced DSBs when the sister chromatid is available as an information donor are consistent with cell survival and chromosome aberration measurements obtained with DT40 chicken cells (57, 58). Studies with CHO cells in which DSBs were generated enzymatically in chromosomally integrated HR substrates showed that repair occurs predominantly by gene conversion with the sister chromatid as a template (25). This HR process is greatly reduced (by 25- to 250-fold) in irs1SF cells (7, 38). Also, irs1SF cells show high levels of spontaneous (59) and IR-induced chromosomal aberrations, a defect that could be corrected by complementing the cells with human chromosome 14, which contains the XRCC3 gene (13).
Earlier studies with synchronized populations of NHEJ-deficient cells reported an increased efficiency of IR-induced DSB repair in late S/G2 compared with G1, suggesting the operation of an HR pathway in late S/G2 (29, 36). However, measurements with HR-defective cells repeatedly failed to display a DSB repair defect in physical assays (2, 10, 17, 26, 60, 70). Because those studies were performed at IR doses of >20 Gy, it is likely that the burden of DSBs (>600 per cell) prohibited the detection of the contribution of HR. Although those studies were performed with asynchronous cultures, in analogous experiments, we did not observe a repair defect in irs1SF cells synchronized in late S/G2 with aphidicolin (I. Krüger et al., unpublished data). These findings suggest that HR is saturated at high IR doses, with the vast majority of DSBs being repaired by NHEJ in late S/G2. The data presented here clearly show the necessity of using physiologically relevant IR doses to measure the contribution of HR.
HR repairs DNA replication-associated DSBs.
We have shown that aphidicolin treatment produces
-H2AX foci, which disappear more slowly in irs1SF cells than in wild-type and V3 cells after drug removal. Because cell survival after aphidicolin treatment is also reduced the most in irs1SF cells, it appears that aphidicolin-induced DSBs are primarily repaired by HR. DSBs arising from replication fork blockage after UV irradiation result in
-H2AX focus formation (31, 71), and PFGE measurements show that aphidicolin induces DSBs specifically during the S phase (50). However, the genetic requirements for the repair of replication-associated DSBs are still poorly defined. While some authors have reported a pronounced sensitivity of NHEJ-deficient cells (50), others have observed a cytotoxic effect of replication inhibitors primarily in cells defective in HR (1, 35). Some of these discrepancies may well be related to the use of different replication inhibitors, but there is clearly a need to study the interplay between replication and repair by using an assay that directly quantifies DSBs and their repair at biologically relevant doses. Our data argue that aphidicolin-induced replication-associated DSBs are exclusively repaired by HR, whereas IR-induced DSBs in the S phase are primarily repaired by NHEJ, with a lesser contribution of HR. Since most endogenous DSBs are thought to be replication associated and since HR is much less likely than NHEJ to cause genomic rearrangements (42), these findings may have important implications for evaluating radiation risk compared to risk from endogenous DNA damage.

ACKNOWLEDGMENTS
We thank P. Jeggo for kindly providing AA8, V3, and DNA-PK
cs-complemented
V3 cells and R. Greinert for providing K1 cells; xrs-6 cells
(European Collection of Cell Cultures) are commercially available.
Financial support was provided by the Deutsche Forschungsgemeinschaft (grants Lo 677/1-1 and Lo 677/1-2), the Radiation Protection Programme of the European Community (grant FIGH-CT-1999-00012), and the Bundesministerium für Bildung und Forschung via the Forschungszentrum Karlsruhe (grant 02S8132). A portion of this work was prepared under the auspices of the U.S. Department of Energy by Lawrence Livermore National Laboratory under contract no. W-7405-ENG-48 and was funded by the Low-Dose Radiation Research Program, Biological and Environmental Research, U.S. Department of Energy (grant SCW0389/0008).

FOOTNOTES
* Corresponding author. Mailing address: Fachrichtung Biophysik, Universität des Saarlandes, D-66421 Homburg/Saar, Germany. Phone: 49-6841-1626202. Fax: 49-6841-1626160. E-mail:
markus.loebrich{at}uniklinik-saarland.de.


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Molecular and Cellular Biology, August 2003, p. 5706-5715, Vol. 23, No. 16
0270-7306/03/$08.00+0 DOI: 10.1128/MCB.23.16.5706-5715.2003
Copyright © 2003, American Society for Microbiology. All Rights Reserved.
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