Reactive oxygen species continuously assault the structure of DNA resulting in oxidation and fragmentation of the nucleobases. Both oxidative DNA damage itself and its repair mediate the progression of many prevalent human maladies. The major pathway tasked with removal of oxidative DNA damage, and hence maintaining genomic integrity, is base excision repair (BER). The aphorism that structure often dictates function has proven true, as numerous recent structural biology studies have aided in clarifying the molecular mechanisms used by key BER enzymes during the repair of damaged DNA. This review focuses on the mechanistic details of the individual BER enzymes and the association of these enzymes during the development and progression of human diseases, including cancer and neurological diseases. Expanding on these structural and biochemical studies to further clarify still elusive BER mechanisms, and focusing our efforts toward gaining an improved appreciation of how these enzymes form co-complexes to facilitate DNA repair is a crucial next step toward understanding how BER contributes to human maladies and how it can be manipulated to alter patient outcomes.
KeywordsBase excision repair; Oxidative DNA damage; DNA repair; Review
INTRODUCTION
Oxidative DNA damageReactive oxygen species (ROS) are generated as a by-product of normal mitochondrial activity, these include superoxide, hydrogen peroxide, and the hydroxyl radical. The metabolic processes that generate ROS are essential for the cell, however a tradeoff is involved, and if not properly controlled the ROS concentration can exceed the antioxidant scavenging ability of the cell. Under this cellular condition, termed oxidative stress, ROS can cause extensive damage to cellular macromolecules. The structure of DNA is especially vulnerable to damage, and it has been estimated that DNA damage occurs at a rate of 10 4 Send correspondence to: Bret D. Freudenthal, 4015 WHW, Laboratory of Genome Maintenance and Structural Biology, Department of Biochemistry Molecular Biology, and Department of Cancer Biology, University of Kansas Medical Center Kansas, 66160, bfreudenthal@kumc.edu.
HHS Public AccessAuthor manuscript Front Biosci (Landmark Ed). Author manuscript; available in PMC 2017 August 23.
Published in final edited form as:Front Biosci (Landmark Ed). ; 22: 1493-1522.
Author Manuscript Author ManuscriptAuthor ManuscriptAuthor Manuscript lesions/cell/day in humans, with oxidative DNA damage being particularly prevalent (1). Specifically, the structures of all four DNA nucleobases are susceptible to oxidative damage from ROS, with more than 100 different types of base damage being identified as products of oxidative stress (2). This base damage includes fragmented or ring-opened forms and oxidized aromatic derivatives. Several base lesions are highlighted in Figure 1 and discussed in more detail below. Generally, when the nucleobase structure is altered as the result of oxidative damage, its base-pairing properties are also altered, often leading to either...