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Wiley Open Access, EMBO Molecular Medicine, 5(8), p. 527-549, 2016

DOI: 10.15252/emmm.201505891

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Chronic oxidative stress promotes H2 AX protein degradation and enhances chemosensitivity in breast cancer patients

This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Anti-cancer drugs often increase reactive oxygen species (ROS) and causeDNAdamage. Here, we highlight a new cross talk between chronic oxidative stress and the histone variant H2AX, a key player inDNArepair. We observe that persistent accumulation ofROS, due to a deficient JunD-/Nrf2-antioxidant response, reduces H2AXprotein levels. This effect is mediated by an enhanced interaction of H2AXwith the E3 ubiquitin ligaseRNF168, which is associated with H2AXpoly-ubiquitination and promotes its degradation by the proteasome.ROS-mediated H2AXdecrease plays a crucial role in chemosensitivity. Indeed, cycles of chemotherapy that sustainably increaseROSreduce H2AXprotein levels in Triple-Negative breast cancer (TNBC) patients. H2AXdecrease by such treatment is associated with an impairedNRF2-antioxidant response and is indicative of the therapeutic efficiency and survival ofTNBCpatients. Thus, our data describe a novelROS-mediated regulation of H2AXturnover, which provides new insights into genetic instability and treatment efficacy inTNBCpatients.