The Contribution of Alu Elements to Mutagenic DNA Double-Strand Break Repair
[['DNA double-strand breaks ( DSBs ) are the most dangerous type of DNA damage due to their tendency to lead to chromosomal rearrangements , a hallmark of tumorigenesis , when they are repaired [1] .', 'One way in which chromosomal rearrangements occur in DSB repair is the use of non-allelic recombination between repetitive elements ( reviewed in [2] ) , which comprise a large portion of the human genome [3] .', 'Alu elements have amplified over the past 65 million years and occupy about 11% of the human genome , with well over one million copies [3] .', 'The majority of identified Alu elements diverge 4%-20% from the consensus [3] .', 'Despite this level of sequence divergence , Alu elements represent a major source of sequence homology in the human genome and contribute to genomic instability that arises from mutagenic recombination between these elements [4 , 5] .', 'Furthermore , Alu/Alu recombination is estimated to cause as many as 0 . 5% of all new genetic diseases and is responsible for mutations that contribute to human cancers [4–6] .', 'Recombination between Alu elements can occur through completely identical ( homologous ) Alu sequences , but most events involve Alu elements with approximately 20% mismatch relative to one another ( homeologous ) , which reflects the average sequence divergence of proximal elements .', 'For the purposes of this study , we will refer to any DNA repair event that occurs through either homologous or homeologous recombination between two non-allelic Alu elements and generates a single chimeric , Alu element , as Alu/Alu recombination .', 'We consider only genomic deletions in this study because our reporter system only detects DNA repair products that result in a deletion .', 'A number of different pathways can give rise to these Alu/Alu deletions , including single-strand annealing ( SSA ) repair that may predominate when there are high levels of homology , and mechanisms such as microhomology-mediated end joining ( MMEJ ) where the microhomology happens to be ‘in register’ between the two Alu elements , allowing formation of a single chimeric Alu element [7] .', 'This latter mechanism is more likely when there is significant sequence divergence between the Alu elements and has also been referred to as “micro-SSA” [7] .', 'Repair of a DNA DSB via the SSA pathway occurs between two direct-repeat elements on the same DNA duplex , and results in deletion of the intervening genetic material .', 'It is initiated by nuclease-mediated resection of the DNA ends at the break to generate 3’-single-stranded DNA ( ssDNA ) overhangs that expose the repeat elements for base pairing ( reviewed in [8] ) .', 'Rad52 binds ssDNA and mediates both a search for sequence homology and DNA strand annealing in cis to form a DNA duplex [9] .', 'The annealed DNA intermediate can be processed by endonucleolytic cleavage of the 3’-ssDNA overhangs , DNA polymerase-mediated extension of the new 3’ ends , and ligation of the completely extended product , which results in the deletion of the sequences between the repeat elements [10] .', 'If mismatched DNA bases are present in the annealed duplex , helicases may be recruited to unwind the mismatched duplex in a process termed heteroduplex rejection [11 , 12] .', 'Alternatively , molecules that escape heteroduplex rejection may be replicated prior to repair or subjected to mismatch repair ( MMR ) prior to replication [11] .', 'MMEJ is a form of alternative non-homologous end joining ( also called alt-NHEJ ) [13] .', 'Like SSA , MMEJ requires DNA resection which allows exposed DNA sequences to base pair at microhomologies ( 5–25 nucleotides ) and results in a deletion of the intervening sequence [13] .', 'This error-prone method of repair occurs independent of the canonical NHEJ factors Ku and DNA-PKcs , and genetic analyses in yeast reveal that MMEJ is also Rad52-independent , which distinguishes it from SSA repair [14] .', 'Because the MMEJ repair outcome always results in genomic deletions , MMEJ is thought to significantly contribute to genomic instability [13] .', 'Homeologous Alu elements present ample opportunity for MMEJ repair via short microhomologies that are ‘in register’ between the two elements to create a chimeric Alu element that looks essentially identical to the product of a SSA recombination [7] .', 'In this study , we characterized the impact of sequence divergence on the repair of DNA DSBs between Alu elements by Alu/Alu recombination and a subset of NHEJ events using an Alu/Alu recombination reporter cassette .', 'For the first time , we have extensively quantified the impact of homeologous ( similar but not identical ) sequences on the rate of intrachromosomal Alu/Alu recombination .', 'Using our Alu/Alu recombination reporter system , we observed a striking decrease in the rate of intrachromosomal Alu/Alu recombination when the sequence divergence between the Alu elements used for the repair increased .', 'Additionally , as sequence divergence increased , there was a significant increase in NHEJ repair in the vicinity of the Alu elements that did not result in Alu/Alu recombination .', 'These heterogeneous NHEJ repair events appear to be stimulated by the overall Alu homeology , and therefore represent a new alternative influence on the NHEJ pathway that we have termed homeology-influenced NHEJ ( HI-NHEJ ) .', 'These results will aid in predicting which regions of the human genome may be particularly susceptible to Alu-mediated deletions and will give greater insight into genomic recombination hot spots that lead to human disease .'], ['We have designed a novel Alu/Alu recombination reporter cassette to quantitatively assess deletions caused by Alu elements .', 'The basic construct consists of an human elongation factor 1α ( EF1α ) promoter upstream of two Alu sequences separated by approximately 1100 bp of sequence encoding a neomycin resistance ( neoR ) gene , a polyadenylation signal ( pA ) , and an I-SceI endonuclease cleavage site to generate a DNA DSB between the two Alu elements ( Fig . 1A ) .', 'Maintaining the cells under neomycin selection eliminated almost all background Alu/Alu recombination that occurred prior to experimental treatment .', 'A puromycin resistance ( puroR ) gene downstream of the Alu sequences is not initially expressed because it is separated from the EF1α promoter by the two Alu sequences , the neoR gene , and a polyadenylation signal ( Fig . 1A and B ) .', 'We designated this construct Alu/Alu recombination puromycin ( AARP ) .', 'If DNA repair results in a deletion of the sequence between the two Alu elements , the cells lose neoR , and the puroR gene comes into proximity of the EF1α promoter to confer puroR ( Fig . 1C ) .', 'Each component of the AARP reporter cassette is flanked with unique restriction enzyme sites to allow for rapid interchange of components in order to explore potential modulators of Alu/Alu recombination as well as different reporter genes ( Fig . 1C and S1 Fig ) .', 'In addition to recovering Alu/Alu recombination events , the AARP reporter system also can detect a subset of non-homologous end joining ( NHEJ ) events that result in ~1 . 0–1 . 9 kb deletions of the sequence near the I-SceI cleavage site but do not recreate a single Alu element ( Fig . 2A ) .', 'For simplicity , we will refer to these variable-length deletions as NHEJ events .', 'To generate stable cell lines carrying only a single copy of our Alu/Alu recombination reporter cassette and to avoid variability from random genomic integration of our vector , we used the Flp-In system ( Life Technologies , Grand Island , NY ) to direct integration into a FRT site at a single , chromosome-specific location ( S1 Fig , Materials and Methods ) .', 'We stably integrated AARP into the genome of HEK293FRT cells ( HEK293-based Flp-In cells; Life Technologies ) , and isolated individual hygromycin and neomycin resistant clones .', 'This approach allowed us to integrate vector variants into the same site to directly compare the effects of various parallel variations of our reporter cassette on Alu/Alu recombination , in an isogenic manner .', 'To confirm AARP was integrated as a single copy , we used droplet digital polymerase chain reaction ( ddPCR ) , a powerful tool for precisely evaluating the copy number of genomic targets [15–17] .', 'Using ddPCR and the RPP30 housekeeping gene as a copy-number standard , we confirmed that our AARP reporter cassette inserted as a single genomic copy into our parental HEK293FRT cell line using ( S2 Fig ) .', 'Three independent FRT-integrated cell clones for each Alu variant were selected and transiently transfected with an I-SceI endonuclease expression vector to induce formation of DNA DSBs between the two Alu elements .', 'Fourteen days later , puromycin resistant ( puror ) colonies were counted to assess the level of recombination .', 'Each of the three independent cell clones testing Alu/Alu recombination between homologous Alu elements ( 0%-AARP HEK293FRT cells ) gave comparable numbers of puror colonies after I-SceI expression , with an average of 1000 colonies per T75 culture flask ( Fig . 1D ) .', 'In the absence of I-SceI expression , puror colonies were detected at very low numbers , which indicates that almost all of the experimental puror colonies arose from repair of I-SceI-generated DNA DSBs .', 'In order to make this Alu/Alu recombination reporter available for use in puror cells , we replaced the puroR gene with a blasticidin resistance ( blastR ) gene and green fluorescent protein ( eGFP+ ) to create Alu/Alu recombination blasticidin ( AARB ) and Alu/Alu recombination eGFP ( AARG ) , respectively .', 'These reporters produced similar results to AARP in HEK293FRT cells ( Fig . 1E and 1F ) .', 'We also performed Alu/Alu recombination experiments in the following Flp/In cell lines: baby hamster kidney ( BHKFRT ) , mouse embryonic fibroblast ( NIH-3T3FRT ) , and Chinese hamster ovary ( CHOFRT ) ( Life Technologies ) .', 'As expected , cells transfected with an I-SceI endonuclease expression vector resulted in significant numbers of puror or blasticidin resistant ( blastr ) colonies , which indicates recombination ( S3 Fig ) .', 'To confirm that the puror or blastr colonies arose from the expected recombination within our Alu/Alu recombination reporter cassette , we performed PCR and sequence analysis of I-SceI-induced DNA repair products from isolated puror AARP or blastr AARB colonies was performed ( Materials and Methods , S2 Table ) .', 'Sequence analysis confirmed that puror AARP or blastr AARB colonies generated the expected Alu/Alu recombination product ( Fig . 1C ) between the Alu elements in the Alu/Alu recombination reporter cassette .', 'Because Alu elements of various levels of divergence exist throughout the human genome [3] , we sought a quantitative assessment of the effect of sequence divergence on the rate of Alu/Alu recombination .', 'AARP constructs containing evenly spaced sequence divergence at 0 . 7% , 3% , 5% , 10% , 15% , 20% , and 30% between the two Alu elements were created and integrated as single-copy reporters in HEK293FRT cells as described in Materials and Methods ( Fig . 2A and S4 Fig ) .', 'To induce DNA repair events , AARP HEK293FRT cells were transfected with an I-SceI endonuclease expression vector .', 'The introduction of as little as 0 . 7% sequence divergence between the AARP Alu elements resulted in a significant reduction in puror colonies relative to homologous Alu elements ( Fig . 2B , S1 Table and S4 Table ) , which indicates that even small degrees of sequence divergence can reduce the efficiency of homology-directed DSB repair .', 'Further reduction in puror colonies was observed in a sequence-divergence-dependent manner for diverged-AARP constructs up to 10% .', 'We observed a significant increase in puror colonies when the sequence divergence between the Alu elements in AARP was increased to 15% , 20% , and 30% .', 'However , experiments with two different scrambled-sequence AARP constructs ( 75% divergence ) resulted in a significant reduction in overall colony number relative to 15%-30% sequence divergence ( Fig . 2B , Table 1 , and S5 Fig ) .', 'This observation led us to hypothesize that the increase in puror colonies with 15%-30% sequence divergence between Alu elements relative to 5%-10% is due to a shift in the type of DNA repair responsible for resolution of the DNA DSB ( see below ) .', 'To identify the nature of the deletions caused by our I-SceI-induced DSBs , we collected genomic DNA from multiple isolated puror colonies , and subjected it to PCR and sequence analysis ( Fig . 2A and S6 Fig ) .', 'When homologous Alu elements were tested ( 0%-AARP ) , repair occurred exclusively through Alu/Alu recombination .', 'However , because of the sequence identity of the Alu elements , the exact recombination junction within the Alu element could not be discerned .', 'With homeologous Alu elements , we were able to map the recombination junction of the Alu/Alu recombination products as well as identify NHEJ repair products that did not result in a single chimeric Alu element .', 'We observed a major drop in the Alu/Alu recombination rate as the divergence between Alu elements in AARP cells increased from 0% to 30% .', 'As hypothesized , the increase in puror colonies as sequence divergence between Alu elements increased from 10% to 15% , 20% , or 30% correlated with a shift in DNA repair from Alu/Alu recombination to variable-length NHEJ ( indicated by recovery of partial Alu sequences rather than intact Alu sequences ) .', 'Repair via NHEJ was responsible for the vast majority of products that involve two Alu elements with ≥15% sequence divergence ( Fig . 2C , S7 Fig , and S8 Fig ) .', 'The dramatic decrease in puror colonies as sequence divergence between the Alu elements increased from 30% to 75% ( scrambled sequences ) indicated that there is a sequence homology-driven component to the NHEJ DSB repair that makes use of homeologous Alu sequences to stimulate repair in the vicinity of the Alu elements ( Fig . 2C , S7 Fig , S8 Fig , and Table 1 ) .', 'Several studies have shown that Alu/Alu recombination junctions naturally show a preference within the 5’ half of the Alu element [18–20] .', 'To determine if Alu/Alu recombination junctions in our system similarly cluster to a particular region of the participating Alu elements , we mapped the recombination junctions of169 Alu/Alu recombination events from diverged AARP HEK293FRT cells ( Fig . 3A ) .', 'The Alu/Alu recombination product ( chimeric Alu element ) was divided into three 100 bp segments and the number of observed Alu/Alu recombination events in each interval was compared to the expected count if the recombination events occurred at random throughout the participating Alu elements ( Fig . 3B ) .', 'We observed a statistically significant increase in the number of recombination junctions occurring within the first 100 bp of the Alu element when compared to the remaining portion of the Alu .', 'This is consistent with previous reports of genomic Alu elements involved in Alu/Alu recombination that suggest the presence of preferential recombination in the 5’ end of Alu [18 , 21] .', 'We next wanted to assess the distribution of the Alu/Alu recombination junctions in the 3%-AARP , 5%-AARP , and 10%-AARP HEK293FRT cells separately .', 'While the junctions in 3%-AARP cells appear evenly distributed ( Fig . 3C ) , there is a clear bias toward the first 100 bp of the Alu element in 5%-AARP and 10%-AARP cells ( Fig . 3D and 3E ) .', 'To determine if the preference for the formation of a recombination junction within the Alu element was mediated by the length of the region of perfect homology , we modified the 5%-AARP constructs to include two longer stretches of homology , 40 bp , either at each end ( S9A Fig ) or in the middle of the Alu element ( S9B Fig ) and a construct with 100 bp of homology in the middle of the Alu element ( S9C Fig ) .', 'Surprisingly , introduction of increased lengths of perfect sequence homology did not shift the Alu/Alu recombination junction preference from the first 100 bp of the Alu element ( S9 Fig ) .', 'Thus , although the overall sequence homology between Alu elements clearly contributes to the rate of Alu/Alu recombination , the actual resolution of the repair junction does not appear to be directed to regions of longer homology .', 'To determine breakpoint locations of NHEJ-mediated deletions , we analyzed DNA repair junctions isolated from AARP HEK293FRT puror colonies by PCR and sequencing .', 'We found 36% of the NHEJ repair junctions were deletions between different locations in both Alu elements in the AARP reporter cassette ( S7 Fig and S8 Fig ) .', 'Of the NHEJ deletion events involving two Alu elements , 84% used microhomology between the two Alu elements during repair .', 'Of the NHEJ repair events that did not involve both Alu elements at the repair junction , the majority used at least one Alu element and used microhomology elsewhere in the AARP reporter cassette 75% of the time .', 'To further classify the NHEJ deletion products , we analyzed the size of the deletion caused by each NHEJ repair event in AARP HEK293FRT cells .', 'We found Alu-mediated NHEJ deletions ranged from 897 bp to 1881 bp ( S7 Fig and S8 Fig ) .', 'However , due to the nature of our AARP reporter system , we were not able to detect small NHEJ deletions that do not allow puroR gene expression .', 'Additionally , we were unable to detect deletion events that remove more than 1881 bp of sequence because they result in deletion of either the EF1α promoter or the puroR gene .', 'Unlike the homeologous Alu elements tested in our AARP HEK293FRT cells described thus far , Alu elements found in the human genome do not have evenly distributed sequence divergence relative to one another .', 'We next tested two genomic Alu elements that have been previously shown to participate in recurrent Alu-mediated deletion events in the MLL gene [22] .', 'We cloned these Alu elements into the AARP reporter cassette to make a construct with 18% divergence between the Alu elements ( Sz-Sx18%-AARP ) ( Fig . 4A ) .', 'We tested the Alu-mediated deletion rate of Sz-Sx18%-AARP in HEK293FRT cells alongside 20%-AARP and 0%-AARP ( Fig . 4B ) .', 'We observed a ~4-fold decrease in both Sz-Sx18%-AARP and 20%-AARP puror colonies compared to 0%-AARP , which indicates that Alu-mediated deletions are affected by sequence divergence , but not significantly affected by the distribution of the divergence .', 'Although the majority ( 88% ) of repair was due to NHEJ ( S10 Fig ) , we did observe several ( 12% ) Alu/Alu recombination events ( S11 Fig , black bars ) .', 'To determine if other genomic Alu elements behaved similarly to the MLL Alu sequences , we introduced other genomic Alu elements into the AARP reporter cassette ( Sz15%-Ya5-AARP , Sx21%-Ya5-AARP , and Sz-Jb30%-AARP ) and measured the rate of Alu-mediated deletions ( S5 Fig ) .', 'We observed an Alu-mediated deletion rate consistent with MLL Alu elements ( Sz-Sx18%-AARP ) and 20%-AARP HEK293FRT cells ( ~4-fold decrease ) .', 'However , unlike with the MLL Alu elements , we did not observe any Alu/Alu recombination events between the Alu elements in Sz15%-Ya5-AARP , Sx21%-Ya5-AARP , or Sz-Jb30%-AARP HEK293FRT cells ( S10 Fig ) .', 'Taken together , these data indicate that sequence divergence distribution does not make a major contribution to the rate of Alu-mediated deletions .', 'We next asked whether the MLL Alu elements tested in our study and others [7] displayed the same recombination preference within the first 100 bp as our other diverged Alu element pairs tested .', 'Consistent with our evenly distributed diverged Alu constructs , the MLL Alu elements ( Sz-Sx18%-AARP ) display a recombination hotspot in the 5’ end of the Alu element ( S11 Fig ) .', 'These results agree with previous analyses of 100 reported Alu/Alu recombination events ( Fig . 4C ) [2 , 18 , 23–32] which also show a strong bias for recombination junctions within the first 100 bp of the Alu element .', 'Rad52 , the ssDNA binding protein involved in stabilization of DNA duplexes , is generally considered to be required for SSA repair , whereas NHEJ and MMEJ repair is Rad52-independent [9 , 10] .', 'In order to confirm the role of SSA in our assays , we used siRNA against Rad52 to determine the effect of this knockdown on Alu-mediated deletions using our AARP reporter cassette in HEK293FRT cells ( Fig . 5 ) .', 'Knockdown of Rad52 by siRNA ( Fig . 5A and B ) resulted in a striking decrease in Alu/Alu recombination between homologous ( 0%-AARP ) Alu elements ( Fig . 5C ) .', 'PCR and sequence analysis of DNA repair events from isolated AARP HEK293FRT puror colonies from Rad52 knockdown experiments revealed that some ( 29% ) were the result of NHEJ repair between the identical Alu elements ( Fig . 5D ) , which is consistent with SSA being the primary mechanism of DSB resolution between homologous Alu elements .', 'In contrast , puror colony numbers remained at similar levels in control and Rad52 siRNA treated 5%- , 10%- , and 15%-AARP HEK293FRT cells ( Fig . 5C ) , which demonstrates that SSA is not the major pathway used for repair of homeologous Alu elements .', 'Additionally , the similar ratio of Alu/Alu recombination to NHEJ repair for each diverged AARP reporter cassette in control and Rad52 siRNA treated cells ( Fig . 5D ) consistent with the ability of MMEJ repair to form ‘in register’ Alu/Alu recombination events .', 'We hypothesized that the mismatch repair ( MMR ) pathway might influence the resolution of DNA DSB repair between homeologous Alu elements .', 'In order to address the role of an essential MMR protein , Mlh1 , in repair of a DSB flanked by homologous or homeologous Alu sequences , we introduced AARP reporters into the FRT site of HCT116FRT cells ( denoted HCT116D cells in [33] ) .', 'HCT116 cells ( and the HCT116FRT derivative ) are deficient for Mlh1 [34 , 35] , a member of the MutLα heterodimer in mammalian cells that interacts with the single-base mismatch sensor , MutSα , and proliferating cell nuclear antigen ( PCNA ) to cause DNA nicks during the MMR process [36 , 37] .', 'We observed a reduction in AARP-HCT116FRT puror colonies upon introduction of Alu element sequence divergence ( S12 Fig ) , which indicates functional heteroduplex rejection in these cells .', 'We saw no increase of puror colonies with AARP HCT116FRT cells 15%-30% sequence divergence range as was seen in the HEK293FRT cells ( S13 Fig ) .', 'These results suggest Mlh1 in HEK293FRT cells has a role in increasing the Alu-mediated deletion rate in the 15%-30% sequence divergence range , which occurs mainly through NHEJ repair .', 'In comparison with HEK293FRT cells , a greater proportion of repair events recovered from HCT116FRT cells were the result of Alu/Alu recombination in most diverged AARP reporters tested ( S14 Fig ) , providing further evidence that Mlh1 contributes to variable-length NHEJ in HEK293FRT cells .', 'We observed preferential Alu/Alu recombination within the 5’ 100 bp in HCT116FRT cells , as with HEK293FRT cells , although not to statistical significance p<0 . 05 ( S15 Fig ) .'], ['We have developed a novel vector system that , for the first time , allows a highly flexible measurement of intra-chromosomal Alu/Alu recombination events .', 'Our system detects deletions caused by direct recombination between the Alu elements as well as variable-length NHEJ events .', 'Our AAR cassette is integrated into a single genomic locus using the Flp/IN system , which allows us to measure the effect of different cis factors on Alu/Alu recombination in a defined chromatin environment ( Fig . 1 and S1 Fig ) .', 'Alu/Alu recombination events are an extremely common form of rearrangement in the human genome [6 , 38] , which makes it important to understand whether specific traits of Alu elements contribute to their recombination potential .', 'This is particularly relevant to specific genes in which Alu/Alu recombination events contribute a major fraction of the genetic defects observed at that locus [6 , 24 , 39] .', 'Reports of two previous systems have measured Alu/Alu recombination directly [7 , 40] .', 'The Gebow et al . reporter system relied on the presence of two identical Alu elements in two separate introns of a reporter gene .', 'Recombination between the Alu elements removed an exon sequence resulting in a change of splicing that activated the reporter gene .', 'This system had several drawbacks , as it utilized hprt as the reporter gene which did not allow easy selection in multiple cell types .', 'The construct included both an Alu/Alu homology region for recombination and a smaller homology between the two hprt exon regions .', 'Also , its dependence on random integration limited the quantitative comparison between different construct variants .', 'A second system from the Jasin laboratory consisted of an Alu/Alu recombination assay that measured recombination between Alu elements inserted on different chromosomes using a reporter-gene approach [7] .', 'Although this system allowed for interesting measurements , colony numbers were relatively small and it is uncertain whether interchromosomal recombination described by [7] used the same DNA repair processes as intrachromosomal recombination , the more common mechanism of Alu/Alu recombination [41 , 42] .', 'In this report , we investigated for the first time the magnitude of the influence that sequence divergence between Alu elements ( a major , authentic source of homology in the genome ) has on DNA DSB repair .', 'This study will allow predictions of the influence of sequence divergence on both the rate and nature DNA repair events in the vicinity of Alu elements .', 'It was not surprising to see that even low levels of sequence divergence between Alu elements ( up to 10% ) resulted in lower levels of Alu/Alu recombination .', 'Presumably , this inhibitory effect is the result of heteroduplex rejection of the intermediate that forms during Alu/Alu recombination ( Fig 2A and 6 ) [11 , 12 , 43] .', 'Unexpectedly , highly diverged Alu substrates ( 15%-30% ) resulted in higher levels of puromycin-activating deletions when compared to 10% Alu element sequence divergence or scrambled controls in HEK293FRT cells ( Fig . 2B and S5 Fig ) .', 'This observation also applied to genomic Alu elements with randomly spread divergences ranging from 15%-30% as substrates ( S5 Fig ) .', 'Contrary to what has been reported in plants and yeast where increasing divergence between repeat sequences results in a steady decrease in mutagenic deletions , our results indicate an enhancement of mutagenic deletions in the range of 15%-30% sequence divergence [44 , 45] .', 'DNA repair junction analysis from our highly-diverged AARP HEK293FRT cells ( at least 15% sequence divergence ) revealed a shift away from Alu/Alu recombination towards NHEJ repair in the vicinity of the Alu elements such that 92 . 5% of recovered events were the result of an NHEJ deletion ( S7 Fig and S8 Fig ) .', 'These data suggest that Alu elements may contribute to several competing DNA repair pathways and that the degree of Alu sequence divergence may be a critical factor in prioritizing repair pathway choice .', 'Diverged Alu elements on either side of a DSB may still be able to form Alu heteroduplexes in the same manner as a typical SSA intermediate ( Fig . 6 ) .', 'The recombination rate is highly sensitive to low levels of sequence divergence ( ≤10% ) , which suggests that heteroduplex rejection [11 , 12 , 43] is limiting completion of the recombination process .', 'With greater degrees of mismatch within the Alu heteroduplex , we propose that heteroduplex rejection is less effective relative to a mismatch-related DNA cleavage event and that , rather than rejection , the Alu heteroduplexes that are formed may be preferentially subject to DNA cleavage .', 'The likely involvement of the mismatch repair pathway is indicated by studies in mlh1-deficient HCT116FRT cells ( Fig . 6 , S12 Fig , and S13 Fig ) [36 , 37] .', 'We propose that this Alu heteroduplex cleavage within the Alu element is further processed to undergo a microhomology-mediated form of NHEJ ( MMEJ ) [7 , 13 , 46 , 47] .', 'Thus , Alu elements appear to be capable of re-directing the location of NHEJ junctions in their vicinity by the formation of unstable Alu heteroduplexes in a process we call homeology-influenced NHEJ ( HI-NHEJ ) ( Fig . 6 ) .', 'HI-NHEJ potentially influences the types of genetic instability in the human genome .', 'A number of studies have suggested the possibility that NHEJ events that lead to copy-number variation ( CNV ) formation may occur at a higher frequency in the vicinity of Alu elements relative to other regions [48 , 49] .', 'Some studies also report an enrichment of CNV breakpoint junctions within Alu elements [50–53] , which implicates Alu microhomology-mediated repair process in the formation of these CNVs [54 , 55] .', 'PCR and sequence analysis of DNA repair products from AARP HEK293FRT cells with modest levels of sequence divergence ( ≤10% ) shows 88% of the Alu/Alu recombination events contained a single-crossover region of homology within the Alu element .', 'As others have suggested [7] , these types of events are likely to be formed by MMEJ where the microhomologies are ‘in register’ between the Alu elements resulting in an Alu/Alu recombination product that is indistinguishable from an SSA product ( S16A Fig ) .', 'The remainder ( 12% ) of the events did not result in a simple recombination junction , but rather represented more complex chimeras that contained patches from each Alu element ( S16B Fig and S17 Fig ) .', 'Formation of these complex chimeras seems inconsistent with an MMEJ repair mechanism and may reflect various resolutions of SSA repair .', 'We believe that this is similar to the mechanism seen for resolving the heteroduplex formed by two homeologous sequences in yeast [11] , where both strands are equivalent targets for mismatch repair processes , which often results in short patches of repair on both strands that sometimes create chimeras with patches of each repeat sequence .', 'This model is consistent with our observations in Rad52 knockdown AARP HEK293FRT cells ( Fig . 5 ) .', 'In this experiment all Alu/Alu recombination junctions characterized are the result of a single-crossover event within the Alu element ( S18 Fig ) rather than the formation of a complex chimeric Alu element , which suggests that DNA repair resolution as a complex chimeric Alu element is dependent on Rad52-mediated heteroduplex formation ( S16B Fig and S17 Fig ) .', 'The observation that Alu/Alu recombination occurs preferentially near the 5’ region of Alu elements has been seen previously in naturally occurring examples [5 , 18] .', 'Although several theories have been suggested , including a ‘chi-like’ hotspot for recombination [18] or increased accessibility to recombination proteins around the transcription factor binding sites for the RNA polymerase III promoter [6] , there is no strongly supported mechanism for this preference .', 'However , it is reassuring that our assay reproduces the types and localization patterns of Alu/Alu recombination events seen in disease-causing mutations and evolutionary CNVs .', 'Our data do not support a previous suggestion that the preference may simply represent longer regions of perfect sequence homology between Alu elements due to some sequence conservation near the promoter .', 'There are several predicted consequences from our studies regarding patterns of genomic instability due to Alu elements ( Fig . 6 ) .', 'The first is that , depending on the level of sequence divergence between any two direct repeat Alu elements in genomic proximity , competition is likely between HI-NHEJ and other DNA repair processes ( SSA , ‘SSA-like events’ , canonical NHEJ ) .', 'At low levels of Alu element sequence divergence ( ≤10% ) , one might expect a low rate of Alu/Alu recombination and HI-NHEJ repair because these Alu heteroduplexes are likely to be successfully rejected .', 'However , most genomic Alu elements have already accumulated relatively high levels of sequence divergence and are therefore likely to be favorable substrates for HI-NHEJ repair based on our results .', 'Heteroduplex rejection between these divergent Alu elements may be less efficient , allowing nuclease cleavage within the Alu heteroduplex ( likely by DNA mismatch repai
['Introduction', 'Results', 'Discussion', 'Materials and Methods']
['Alu elements make up the largest family of human mobile elements , numbering 1 . 1 million copies and comprising 11% of the human genome .', 'As a consequence of evolution and genetic drift , Alu elements of various sequence divergence exist throughout the human genome .', 'Alu/Alu recombination has been shown to cause approximately 0 . 5% of new human genetic diseases and contribute to extensive genomic structural variation .', 'To begin understanding the molecular mechanisms leading to these rearrangements in mammalian cells , we constructed Alu/Alu recombination reporter cell lines containing Alu elements ranging in sequence divergence from 0%-30% that allow detection of both Alu/Alu recombination and large non-homologous end joining ( NHEJ ) deletions that range from 1 . 0 to 1 . 9 kb in size .', 'Introduction of as little as 0 . 7% sequence divergence between Alu elements resulted in a significant reduction in recombination , which indicates even small degrees of sequence divergence reduce the efficiency of homology-directed DNA double-strand break ( DSB ) repair .', 'Further reduction in recombination was observed in a sequence divergence-dependent manner for diverged Alu/Alu recombination constructs with up to 10% sequence divergence .', 'With greater levels of sequence divergence ( 15%-30% ) , we observed a significant increase in DSB repair due to a shift from Alu/Alu recombination to variable-length NHEJ which removes sequence between the two Alu elements .', 'This increase in NHEJ deletions depends on the presence of Alu sequence homeology ( similar but not identical sequences ) .', 'Analysis of recombination products revealed that Alu/Alu recombination junctions occur more frequently in the first 100 bp of the Alu element within our reporter assay , just as they do in genomic Alu/Alu recombination events .', 'This is the first extensive study characterizing the influence of Alu element sequence divergence on DNA repair , which will inform predictions regarding the effect of Alu element sequence divergence on both the rate and nature of DNA repair events .']
['DNA double-strand breaks ( DSBs ) are a highly mutagenic form of DNA damage that can be repaired through one of several pathways with varied degrees of sequence preservation .', 'Faithful repair of DSBs often occurs through gene conversion in which a sister chromatid is used as a repair template .', 'Unfaithful repair of DSBs can occur through non-allelic homologous or homeologous recombination , which leads to chromosomal abnormalities such as deletions , duplications , and translocations and has been shown to cause several human genetic diseases .', 'Substrates for these homologous and homeologous events include Alu elements , which are approximately 300 bp elements that comprise ~11% of the human genome .', 'We use a new reporter assay to show that repair of DSBs results in Alu-mediated deletions that resolve through several distinct repair pathways .', 'Either single-strand annealing ( SSA ) repair or microhomology-mediated end joining occurs ‘in register’ between two Alu elements when Alu sequence divergence is low .', 'However , with more diverged Alu elements , like those typically found in the human genome , repair of DSBs appears to use the Alu/Alu homeology to direct non-homologous end joining in the general vicinity of the Alu elements .', 'Mutagenic NHEJ repair involving divergent Alu elements may represent a common repair event in primate genomes .']
[]