Fingerman, Dylan F, O'Leary, David R, Hansen, Ava R, Tran, Thi, Harris, Brooke R, DeWeerd, Rachel A, Hayer, Katharina E, Fan, Jiayi, Chen, Emily, Tennakoon, Mithila, Meroni, Alice, Szeto, Julia H, Devenport, Jessica, LaVigne, Danielle, Weitzman, Matthew D, Shalem, Ophir, Bednarski, Jeffrey, Vindigni, Alessandro, Zhao, Xiaolan, and Green, Abby M
Mutational patterns caused by APOBEC3 cytidine deaminase activity are evident throughout human cancer genomes. In particular, the APOBEC3A family member is a potent genotoxin that causes substantial DNA damage in experimental systems and human tumors. However, the mechanisms that ensure genome stability in cells with active APOBEC3A are unknown. Through an unbiased genome-wide screen, we define the Structural Maintenance of Chromosomes 5/6 (SMC5/6) complex as essential for cell viability when APOBEC3A is active. We observe an absence of APOBEC3A mutagenesis in human tumors with SMC5/6 dysfunction, consistent with synthetic lethality. Cancer cells depleted of SMC5/6 incur substantial genome damage from APOBEC3A activity during DNA replication. Further, APOBEC3A activity results in replication tract lengthening which is dependent on PrimPol, consistent with re-initiation of DNA synthesis downstream of APOBEC3A-induced lesions. Loss of SMC5/6 abrogates elongated replication tracts and increases DNA breaks upon APOBEC3A activity. Our findings indicate that replication fork lengthening reflects a DNA damage response to APOBEC3A activity that promotes genome stability in an SMC5/6-dependent manner. Therefore, SMC5/6 presents a potential therapeutic vulnerability in tumors with active APOBEC3A. Synopsis: APOBEC3A is a prominent source of mutagenesis across many cancer types. This study defines a novel role of the SMC5/6 complex in maintaining genomic stability and viability of cancer cells in which APOBEC3A is active, revealing a potential therapeutic vulnerability. In the absence of functional SMC5/6, APOBEC3A activity results in genotoxic cell death SMC5/6 dysfunction augments APOBEC3A-mediated DNA damage during replication PrimPol generates single-strand DNA gaps upon APOBEC3A activity at replication forks SMC5/6 may play a critical role in maintaining genome stability during APOBEC3A activity by stabilization of replication forks containing single-strand DNA gaps Maintaining genome stability in the presence of active APOBEC3A involves SMC5/6-dependent stabilization of forks with single-strand gaps, suggesting a potential vulnerability of cancer cells. [ABSTRACT FROM AUTHOR]