Event: 493

Key Event Title


Increased, Insufficient repair or mis-repair of pro-mutagenic DNA adducts

Short name


Increased, Insufficient repair or mis-repair of pro-mutagenic DNA adducts

Biological Context


Level of Biological Organization

Cell term


Cell term

Organ term


Key Event Components


Process Object Action
DNA repair Nuclear deoxyribonucleic acid functional change

Key Event Overview

AOPs Including This Key Event


AOP Name Role of event in AOP
Mutagenic MOA for Cancer 2 KeyEvent



Taxonomic Applicability


Life Stages


Sex Applicability


Key Event Description


The AFB1-induced pro-mutagenic DNA adducts, N7-AFB1-G and /or AFB1-FAPy, are recognized by DNA repair proteins or systems, which then initiate their repair processes (Bedard and Massey, 2006).

Although there are no data specific to AFB1 for this key event of insufficient/mis-repair of DNA, it is a process known to occur and known to result in mutations. The system that recognizes the damage depends in part upon which stage of the cell cycle is in progress when the pro-mutagenic DNA adducts are recognized. Initial steps can include recruitment of a series of proteins specific to that repair system and can also include blocking of progress of the DNA replication fork. This latter step ensures that DNA replication waits for repair to occur before proceeding, preventing replication of the damaged DNA, thus avoiding a mutation when the repair might otherwise faithfully copy the error.

Mis-repair: For many of the DNA repair systems the repair process is quite faithful; that is, damage is correctly repaired with the correct or original base substituted for the adducted base. This is not always the case, however, and erroneous repair is one source of mutations, when an incorrect base inserted opposite a correct or an adducted base (mis-repair).

Insufficient repair: An alternative route to mutation can occur when on-going DNA replication is not stopped, and DNA replication occurs across an adducted (typically non-informational lesion) base that has not undergone any repair (insufficient repair). This situation can result in the incorporation of an incorrect base into the nascent DNA strand.

Insufficient repair or mis-repair results in an incorrect base incorporated into the nascent DNA strand, an error which is then eventually replicated, resulting in a so-called “fixed” change in the primary DNA sequence; that is, a mutation. This mutation may be silent (no impact on protein product structure and/or function) or expressed (non-functional or differently functional protein product). Depending on the location or gene of the expressed mutation, it may have a substantial or slight biological impact, or can have no impact. For example, if the mutation is located in codon 249 of the p53 gene and is expressed, there is potential for substantial biological impact, including steps on a pathway to carcinogenesis. There is less likelihood of a substantial biological impact when a mutation results in no change in the coded amino acid due to lack of stringency in the genetic code. Likewise a change in amino acid sequence may not result in any change in the activity or function of the protein product.

Level of Biological Organization

Repair of DNA adducts occurs at the sub-cellular level, as the target is nuclear DNA. For AFB1, the cross-species critical target is repair of hepatocyte nuclear DNA, as the eventual AFB1-induced tumor is hepatocellular carcinoma (HCC), which is initiated in hepatocytes.

Evidence Supporting Essentiality


Evidence supporting the insufficient repair or mis-repair of pro-mutagenic DNA adducts is strong, but mainly indirect. This evidence comes from different biological systems and datasets, mostly mammalian, and is based in large part on the biological understanding of a DNA-reactive mode of action requiring a change in primary DNA sequence (mutation). Such a change occurs when DNA lesions are not repaired prior to cell replication (Preston and Williams, 2005; Jarabek et al, 2009; Pottenger et al., 2014). AFB1 forms two types of pro-mutagenic adducts: N7-AFB1-G and AFB1-FAPy DNA adducts, and resulting mutations are predominantly G:C to T:A transversions. These changes are the expected result of such adducts not being repaired or undergoing mis-repair (Bedard and Massey, 2006; Lin et al., 2014a,b).

Data from diverse cell types and systems demonstrate that AFB1-induced DNA adducts are repaired by a variety of DNA repair processes, including SOS repair, nucleotide excision repair (NER), homologous recombination (HR), and post-replication repair (Bedard and Massey, 2006). The work by Guo et al. (2005), conducted in transgenic yeast modified to express human CYP1A2, is particularly useful as several DNA repair systems were evaluated for efficacy towards the AFB1-induced DNA adducts. Mutations were more likely to be induced in strains deficient in certain repair systems. Mutations were also induced in strains with active secondary repair pathways; these include pathways for error-prone post-replication repair and those relying on apurinic endonucleases. However, NER appears to be most important for repair of AFB1-induced adducts in mammalian systems (Bedard and Massey, 2006).

The codon 249 of the p53 gene has been identified as a particular target of AFB1-induced adduction and subsequent mutation. Using DNA polymerase fingerprint analysis, Puiseux et al. (1991) showed a specificity of AFB1 epoxide binding for this codon. This specificity was not found with benzo[a]pyrene (B[a]P), although B[a]P also forms bulky, intercalating epoxides, similar to AFB1 exo-epoxide, which result in bulky N7-B[a]P-G adducts.

Essentiality of this key event of insufficient or mis-repair is supported in part by datasets demonstrating that a reduction in AFB1 adduct burden (e.g., 65-70% reduction) results in a significantly reduced or even eliminated altered hepatic foci (AHF) and liver tumor burden in experimental animals (Roebuck et al., 1991; Elegbede and Gould, 2002; Yates et al., 2006; Johnson et al., 2014). Data from studies in human populations show that treatment with known modulators of AFB1 metabolism (e.g., with oltipraz or chlorophyllin) resulted in reduced urinary levels of N7-AFB1-G, derived from AFB1-induced DNA adducts (Egner et al., 2006). These treatments are also observed to decrease levels of a human biomarker of exposure, AFB1-induced albumin adducts (Kensler et al., 1998). A similar dataset in rats pre-treated with the triterpenoid, ODDC-Im, provides an even more convincing picture, wherein a chronic bioassay demonstrated a ~60% reduction in AFB1 DNA adducts, complete elimination of liver tumors, and nearly complete elimination of altered hepatic foci (Johnson et al., 2014).

Some studies suggest that eukaryotic NER expression is induced by exposure to phytochemicals (Gross-Steinmeyer et al. 2010), and alteration of DNA repair has been suggested as a pathway of chemoprevention for AFB1 carcinogenesis (Gross-Steinmeyer and Eaton, 2012).

How It Is Measured or Detected


One approach would be quantitation of chemical-specific DNA adducts, such as the N7-AFB1-G and AFB1-FAPy DNA adducts, before and after DNA repair occurs combined with DNA sequence data to determine whether the decrease in adducts were correctly repaired or not. While this would be a very satisfying dataset, it is not a very practical approach. Measurement of mutations following AFB1 treatment of yeast with a variety of DNA repair deficiencies has been used to elucidate the role of DNA repair (Guo et al., 2005) by comparing mutant frequency (MF) in wild type vs. DNA repair deficient strains. In this instance MF serves as a marker for the insufficient or mis-repair of the AFB1 DNA adducts. The exquisitely sensitive analytical techniques available for structural quantification of these chemical-specific DNA adducts require specialized analytical chemistry techniques conducted on DNA isolated from tissues or cells and subjected to neutral thermal or enzyme or acid hydrolysis; this releases the adducted bases, which are then further analyzed with specialized approaches (Himmelstein et al., 2009). Demonstration of adduct dose-responses and temporal relationships are possible with administration of a variety of doses, including repeated doses.

Domain of Applicability


Measurements of repair of AFB1-induced DNA adduct have focused mainly on in vitro systems with bacteria, yeast, and mammalian cells, including cell lines derived from rats and non-human primates (Oleykowski et al., 1993; Leadon et al., 1981; Levy et al.,1992; Sarasin et al., 1977; Guo et al., 2005; Gross-Steinmeyer and Eaton, 2012). Relevant recent studies evaluated mutation induction by AFB1 in Caenorhabditis elegans (Leung et al., 2010; Meir et al., 2014), It is likely that all species which are capable of DNA repair following binding of AFB1 exo-epoxide to DNA are subject to insufficient or mis-repair. These species include bacteria, yeast, birds, mammals, and fish.



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