Cancer
DNA damage response
A B S T R A C TThe integrity of the human genome is constantly threatened by genotoxic agents that cause DNA damage. Inefficient or inaccurate repair of DNA lesions triggers genome instability and can lead to cancer development or even cell death. Cells counteract the adverse effects of DNA lesions by activating the DNA damage response (DDR), which entails a coordinated series of events that regulates cell cycle progression and repair of DNA lesions. Efficient DNA repair in living cells is complicated by the packaging of genomic DNA into a condensed, often inaccessible structure called chromatin. Cells utilize post-translational histone modifications and ATP-dependent chromatin remodeling to modulate chromatin structure and increase the accessibility of the repair machinery to lesions embedded in chromatin. Here we review and discuss our current knowledge and recent advances on DNA damage-induced chromatin changes and their implications for the mammalian DNA damage response, genome stability and carcinogenesis. Exploiting our improving understanding of how modulators of chromatin structure orchestrate the DDR may provide new avenues to improve cancer management.ª 2011 Federation of European Biochemical Societies.Published by Elsevier B.V. All rights reserved.
IntroductionMaintaining genomic stability is of vital importance to protect cells against the harmful consequences of DNA damage, which, if not properly dealt with, can lead to genomic instabilty, cancer or cell death (Negrini et al., 2010;Jackson and Bartek, 2009). Exposure to solar ultra-violet (UV) light triggers the formation of tens of thousands of DNA lesions per cell per hour in the form of DNA intra-strand cross-links in genomic DNA (Jackson and Bartek, 2009). These lesions are either cytotoxic and can trigger cell death or accelerated ageing, or they are mutagenic and can lead to the onset of skin cancer (Mitchell et al., 2003). Genomic integrity is also threatened by the formation of chromosomal double-strand DNA breaks (DSBs), which arise after exposure of cells to ionizing radiation or chemotherapeutical agents, or through the collapse of replication forks when replication blocks at DNA intra-strand cross-links induced by solar UV light (Hoeijmakers, 2001). To protect against the adverse effects of these DNA lesions, cells activate a coordinated series of events that regulate cell cycle progression and repair of these lesions (Hoeijmakers, 2001;Polo and Jackson, 2011;Bekker-Jensen and Mailand, 2011;Ciccia and Elledge, 2010). This cellular response to DNA damage is highly relevant to counteract tumor development, which is underscored by the fact that several cancer-prone human disorders, including Xeroderma pigmentosum, Nijmegen