genetic screens in mice for genome integrity maintenance and cancer predisposition

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Genetic screens in mice for genome integrity maintenance and cancer predisposition Gabriel Balmus 1,2 and Rebecca E McIntyre 2 Genome instability is a feature of nearly all cancers and can be exploited for therapy. In addition, a growing number of genome maintenance genes have been associated with developmental disorders. Efforts to understand the role of genome instability in these processes will be greatly facilitated by a more comprehensive understanding of their genetic network. We highlight recent genetic screens in model organisms that have assisted in the discovery of novel regulators of genome stability and focus on the contribution of mice as a model organism to understanding the role of genome instability during embryonic development, tumour formation and cancer therapy. Addresses 1 The Wellcome Trust/Cancer Research UK Gurdon Institute, University of Cambridge, Tennis Court Road, Cambridge CB2 1QN, UK 2 Experimental Cancer Genetics, The Wellcome Trust Sanger Institute, Genome Campus, Hinxton, Cambridge CB10 1SA, UK Corresponding author: McIntyre, Rebecca E ([email protected]) Current Opinion in Genetics & Development 2014, 24:17 This review comes from a themed issue on Cancer genomics Edited by David J Adams and Ultan McDermott For a complete overview see the Issue and the Editorial Available online 13th December 2013 0959-437X/$ see front matter, # 2013 Elsevier Ltd. All rights reserved. http://dx.doi.org/10.1016/j.gde.2013.10.010 Introduction Cells have evolved multiple, elaborate mechanisms to ensure genome integrity, at the heart of which resides a complex network of signaling pathways globally known as the DNA damage response (DDR). The DDR coordi- nately senses DNA damage, halts the cell cycle and promotes DNA repair. If repair is not possible, cellular senescence or apoptosis is activated to ensure that the defects are not inherited by daughter cells [1,2]. Genome instability ranges in complexity from point mutations, gross chromosomal rearrangements or aneuploidy to com- plete chromosome shattering [3,4]. Genome stability is compromised in many heritable developmental disorders, including Li-Fraumeni, ataxia telengiecstasia, xeroderma pigmentosum, Cockayne syn- drome and trichothiodystrophy (for reviews see [47]). The latter three disorders are all characterised by skin photosensitivity, but patients with xeroderma pigmento- sum are highly cancer prone and have an average life expectancy of 20 years and those with trichothiodystro- phy and Cockayne syndrome are not cancer prone but do age prematurely [810]. Despite all three disorders arising from the inability of the nucleotide excision repair path- way to repair DNA damage caused by ultraviolet light, we do not fully understand the differential predisposition to cancer between these disorders. Moreover, the majority of spontaneously arising cancer cells are genomically unstable, but whether this is a consequence of tumour progression or an active process that drives tumour evol- ution (the mutator hypothesis) is a question that has still not been entirely resolved [6,11]. Furthermore, in cancers with somatically acquired genome instability, it is possible to manipulate the processes that regulate gen- ome stability using novel therapies, which results in the selective killing of tumour cells through catastrophic genomic instability [12]. Several of these agents are already showing promise, although cancers may acquire additional molecular alterations in DNA repair pathways leading to therapeutic resistance [6,13]. Thus there are clear disease pathogenesis-driven and therapy-driven requirements for us to build a more comprehensive net- work of the processes that regulate genome maintenance and to understand the interactions between them. The genes and pathways required to maintain genome integrity are highly conserved between species and so mutation of these genes in model organisms can greatly facilitate both our understanding of human diseases such as cancer, and the design of therapeutics to improve health and extend lifespan. Furthermore, the identifi- cation of novel genome instability genes that suppress tumourigenesis is of considerable importance for cancer surveillance programmes and patient care. This review highlights recent studies of model organisms, especially mice, that have aided the identification of specific DNA repair pathways, chromosome transmission and cell cycle control processes with important consequences for gen- ome stability, developmental disorders, tumourigenesis and cancer therapy. Screening model organisms for genome instability Screening for genes that maintain genome integrity in genetically tractable model organisms such as yeast and mice has considerable advantages over in vitro screens. Human cancer cell lines such as osteosarcoma-derived U2OS cells are normally used for in vitro screens [14,15], but cancer cells carry an array of selectively advantageous genetic and epigenetic modifications that allow them to Available online at www.sciencedirect.com ScienceDirect www.sciencedirect.com Current Opinion in Genetics & Development 2014, 24:17

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Page 1: Genetic screens in mice for genome integrity maintenance and cancer predisposition

Genetic screens in mice for genome integrity maintenance andcancer predispositionGabriel Balmus1,2 and Rebecca E McIntyre2

Available online at www.sciencedirect.com

ScienceDirect

Genome instability is a feature of nearly all cancers and can be

exploited for therapy. In addition, a growing number of genome

maintenance genes have been associated with developmental

disorders. Efforts to understand the role of genome instability in

these processes will be greatly facilitated by a more

comprehensive understanding of their genetic network. We

highlight recent genetic screens in model organisms that have

assisted in the discovery of novel regulators of genome stability

and focus on the contribution of mice as a model organism to

understanding the role of genome instability during embryonic

development, tumour formation and cancer therapy.

Addresses1 The Wellcome Trust/Cancer Research UK Gurdon Institute, University

of Cambridge, Tennis Court Road, Cambridge CB2 1QN, UK2 Experimental Cancer Genetics, The Wellcome Trust Sanger Institute,

Genome Campus, Hinxton, Cambridge CB10 1SA, UK

Corresponding author: McIntyre, Rebecca E ([email protected])

Current Opinion in Genetics & Development 2014, 24:1–7

This review comes from a themed issue on Cancer genomics

Edited by David J Adams and Ultan McDermott

For a complete overview see the Issue and the Editorial

Available online 13th December 2013

0959-437X/$ – see front matter, # 2013 Elsevier Ltd. All rights

reserved.

http://dx.doi.org/10.1016/j.gde.2013.10.010

IntroductionCells have evolved multiple, elaborate mechanisms to

ensure genome integrity, at the heart of which resides a

complex network of signaling pathways globally known as

the DNA damage response (DDR). The DDR coordi-

nately senses DNA damage, halts the cell cycle and

promotes DNA repair. If repair is not possible, cellular

senescence or apoptosis is activated to ensure that the

defects are not inherited by daughter cells [1,2]. Genome

instability ranges in complexity from point mutations,

gross chromosomal rearrangements or aneuploidy to com-

plete chromosome shattering [3,4].

Genome stability is compromised in many heritable

developmental disorders, including Li-Fraumeni, ataxia

telengiecstasia, xeroderma pigmentosum, Cockayne syn-

drome and trichothiodystrophy (for reviews see [4–7]).

The latter three disorders are all characterised by skin

photosensitivity, but patients with xeroderma pigmento-

sum are highly cancer prone and have an average life

www.sciencedirect.com

expectancy of 20 years and those with trichothiodystro-

phy and Cockayne syndrome are not cancer prone but do

age prematurely [8–10]. Despite all three disorders arising

from the inability of the nucleotide excision repair path-

way to repair DNA damage caused by ultraviolet light, we

do not fully understand the differential predisposition to

cancer between these disorders. Moreover, the majority

of spontaneously arising cancer cells are genomically

unstable, but whether this is a consequence of tumour

progression or an active process that drives tumour evol-

ution (the mutator hypothesis) is a question that has still

not been entirely resolved [6,11]. Furthermore, in cancers

with somatically acquired genome instability, it is

possible to manipulate the processes that regulate gen-

ome stability using novel therapies, which results in the

selective killing of tumour cells through catastrophic

genomic instability [12]. Several of these agents are

already showing promise, although cancers may acquire

additional molecular alterations in DNA repair pathways

leading to therapeutic resistance [6,13]. Thus there are

clear disease pathogenesis-driven and therapy-driven

requirements for us to build a more comprehensive net-

work of the processes that regulate genome maintenance

and to understand the interactions between them.

The genes and pathways required to maintain genome

integrity are highly conserved between species and so

mutation of these genes in model organisms can greatly

facilitate both our understanding of human diseases such

as cancer, and the design of therapeutics to improve

health and extend lifespan. Furthermore, the identifi-

cation of novel genome instability genes that suppress

tumourigenesis is of considerable importance for cancer

surveillance programmes and patient care. This review

highlights recent studies of model organisms, especially

mice, that have aided the identification of specific DNA

repair pathways, chromosome transmission and cell cycle

control processes with important consequences for gen-

ome stability, developmental disorders, tumourigenesis

and cancer therapy.

Screening model organisms for genomeinstabilityScreening for genes that maintain genome integrity in

genetically tractable model organisms such as yeast and

mice has considerable advantages over in vitro screens.

Human cancer cell lines such as osteosarcoma-derived

U2OS cells are normally used for in vitro screens [14,15],

but cancer cells carry an array of selectively advantageous

genetic and epigenetic modifications that allow them to

Current Opinion in Genetics & Development 2014, 24:1–7

Page 2: Genetic screens in mice for genome integrity maintenance and cancer predisposition

2 Cancer genomics

Table 1

Mouse models of genomic instability and related human diseases. The table lists genomically unstable mouse mutants that have been

identified through large-scale forward-genetic and reverse-genetic screens. Mice were screened for micronucleus (MN) induction as a

marker of genomic instability [27��,67]. Micronuclei may be fragments of DNA or whole chromosomes and elevated levels of micronuclei

can reflect defects in DNA repair, chromosome transmission or cell-cycle progression. Genomically unstable mutant mice display a wide

spectrum of phenotypes that can inform on the pathogenetic mechanism of human disorders such as cancer

Genetically modified allele MN

Fold-change

Mechanism of genome instability Disease model and comments

Aldh2tm1a(EUCOMM)Wtsi/Hmgu 1.8 Aldehyde dehydrogenase 2 is a mitochondrial protein

required for catabolism of acetaldehydes that damage

DNA.

ALDH2-deficiency and cancer

predisposition [58,68].

Cenpjtm1a(EUCOMM)Wtsi 1.5 Centromere protein J is a centrosomal protein required for

proper chromosome transmission to daughter cells.

Seckel Syndrome. Mice and

patients are not predisposed to

cancer [37�,38].

Mcm4Chaos3 19 Mini-chromosome maintenance deficient 4 homolog (S.

cerevisiae) is part of a complex required for the initiation of

DNA replication.

Familial glucocorticoid deficiency.

Mutant mice are predisposed to

cancer but patient predisposition is

not yet known [28,45,46�,47].

Mcm4D573H 15

Mcph1tm1a(EUCOMM)Wtsi 5 Microcephalin 1 regulates the DNA damage responsive S-

phase and G2/M-phase cell cycle checkpoint and

represses transcription of the human telomerase reverse

transcriptase gene [69,70].

Primary microcephaly

(Mcph1tm1.1Zqw [71]), hearing loss.

Somatic defects, but not germline

defects, are associated with

malignancy [72–74].

Mysm1tm1a(KOMP)Wtsi 2 Myb-like, SWIRM and MPN domains 1-deficiency is

associated with high levels of reactive oxygen species,

which damage DNA, in haematopoietic progenitors [75].

Haematological abnormalities,

human disease not known [75].

Slx4tm1a(EUCOMM)Wtsi 2.5 Structure-specific endonuclease subunit homolog (S.

cerevisiae) is required for DNA double-strand break repair.

Fanconi anaemia cancer

predisposition syndrome [33,34].

Trex1tm1(KOMP)Wtsi 2 30 repair exonuclease 1 is required for nucleic acid

metabolism in the cytosol and nucleus. Clearance of

cytosolic pathogen nucleic acid is part of the innate

immune-response.

Autoimmune diseases, for example

Aicardi-Goutieres syndrome, not

predisposed to malignancy [76,77].

surpass the cellular surveillance apparatus and this ‘back-

ground’ can complicate the interpretation of results. Invitro screens that assess loss-of-function using small inter-

fering RNAs (siRNAs) or short-hairpin RNAs (shRNAs)

may also be complicated by non-specific effects, both at

the mRNA and protein level, and by variable penetrance

of phenotypes due to transfection artifacts. Although

better design of shRNA and siRNAs in recent years

has reduced off-target effects [16,17], there are still issues

with several widely used libraries raising a cautionary note

for such screens. For example, in a recent screen for

regulators of homologous recombination, off-target

depletion of RAD51 was shown to be a common source

of false positives with the Dharmacon human siGEN-

OME siRNA library [15]. The limitations of in vitroscreens highlight the need for in vivo validation of genes

that regulate genome stability in model organisms such as

yeast, zebrafish and mice.

The genotoxicity of environmental and chemical factors

has been monitored in organisms as diverse as bacteria,

zebra mussels, non-human primates and even in humans

following accidental radiation exposure [18–22]. Using

similar methods of detection, large-scale, unbiased

screens of genetically modified model organisms, typi-

cally yeast, have revealed many novel genes that regulate

Current Opinion in Genetics & Development 2014, 24:1–7

the cellular responses to different types of exogenous and

endogenous genotoxic assault [23–26,27��]. Disruption of

many of these genes in mice causes genome instability

and several result in phenotypes that are characteristic of

genome instability disorders in humans (Table 1 and

Figure 1). In addition, it is possible to test whether

genetically modified mice are spontaneously tumour

prone or whether a genotoxic insult such as irradiation

can accelerate tumourigenesis (see Table 1) [28]. These

types of genetic screens have been greatly facilitated by

mutation resources for yeast, and more recently for zebra-

fish and mice [23–25,29,30].

Bioinformatics approaches can be useful for increasing

the sensitivity of genome-wide functional genomics

screens by combining datasets and searching for similar

phenotypes. Web-based tools such as Phenomeblast

(http://code.google.com/p/phenomeblast/) enable the

integration, analysis and exploration of phenotypes across

species. Similarly, data from genome-wide screens of the

same species can also be combined to increase power. For

example, data from screens for gross chromosomal re-

arrangements in yeast were combined to search for shared

sensitivity to DNA damaging agents or shared interaction

networks [31�]. The analyses revealed unanticipated roles

for several genes, including a role for the proteasomal

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Page 3: Genetic screens in mice for genome integrity maintenance and cancer predisposition

Genetic screens in mice for genome stability Balmus and McIntyre 3

Figure 1

+shRNA+siRNA+cDNA

Human cell lines

Genetic screens for regulators of genome stability

Comparative phenomics

GM Yeast

GM Zebrafish

GM Mice

Neural stem and progenitor cells: microcephaly, intellectual impairment, neurodegeneration.

Haematopoietic stem cells: bone marrow failure.Myeloid progenitor cells:anaemia, predisposition to acute myelogenous leukaemia. Lymphoid progenitor cells: immune deficiency syndromes, predisposition to lymphoma.

Neural crest cells and osteoblasts: craniofacial and skeletal abnormalities, ossification defects, dwarfism.

Skin stem cells: pigmentation defects, light sensitivity, predisposition to skin cancer.

Cell types that are highly sensitive to developmental genomic instability and commonly affected organs

Germline stem cells and spermatogonia:male infertility.

Current Opinion in Genetics & Development

Comparative phenomics is a powerful way to identify human disease-relevant modifiers of genome stability. While large-scale genetic screens in yeast

or human cell lines have been used to identify regulators of genome stability, the same approach in multicellular organisms such as zebrafish and mice

can inform on human disease relevance. The stem cells and stem cell progenitors of humans and mice are highly sensitive to genome damage and

misregulation of the processes that control genome stability results in comparable phenotypes in both species, including predisposition to

malignancies. GM: genetically modified.

subunit RPN10 in the suppression of gross chromosome

rearrangements.

Developmentally acquired genome instabilitydisordersDevelopmental defects in genes that are required for

genome maintenance result in the accumulation of

genetic errors and activation of senescence or apoptosis

in otherwise healthy cells. As with many developmental

diseases, the severity of disease that arises is not only

gene-dependent, but is altered by the precise mutation,

the time point at which the mutation arose during de-

velopment (mosaicism), and the sensitivity of different

stem and progenitor cell types to the defect (Figure 1 and

Table 1). The clinical manifestation of developmental

genome instability disorders is therefore very hetero-

geneous [7]. While genetic screens in yeast and human

cell lines have revealed a role for individual genes in

fundamental biological processes, unbiased large-scale

phenotyping for genomic instability in zebrafish and mice

can help us to better understand the etiology of extremely

rare genetic subtypes of human diseases and may help

clarify the relationship between the genotype and phe-

notype of patients (Figure 1). For example, high-through-

put screens for regulators of genome stability in

genetically modified yeast revealed a role for SLX4 in

homologous recombination [32] and high-throughput

www.sciencedirect.com

screens for micronucleus formation (a proven marker of

genomic instability and biomarker of cancer predisposi-

tion) in the erythrocytes of loss-of-function mouse

mutants confirmed that Slx4-deficiency causes genome

instability in vivo (Table 1) [33]. Moreover, unbiased

phenotyping of Slx4-deficient mice revealed that they

were infertile and had haematological cytopenias, akin to

patients with the SLX4-deficient genetic subtype of the

cancer predisposition syndrome Fanconi anaemia [33–35].

Similarly, unbiased phenotyping of a Cenpj-hypomorphic

mouse revealed an elevated frequency of micronucleus

formation; however, CENPJ (CPAP) is a centrosomal

protein that had not previously been linked to genome

maintenance. Cenpj-hypomorphic mice shared many

characteristics of patients with the primordial dwarfism

disorder Seckel syndrome and of mice carrying a huma-

nised ATR-hypomorphic allele, including intrauterine

growth retardation, microcephaly and craniofacial

abnormalities (Table 1) [36,37�]. Several Seckel loci have

been identified to date, including ATR, and a single case

report associated mutations in CENPJ with Seckel syn-

drome [7,38]. Embryonic defects in the murine homol-

ogues of ATR and CENPJ cause widespread genetic

instability during development resulting in a high fre-

quency of apoptosis throughout mouse embryos. It is

Current Opinion in Genetics & Development 2014, 24:1–7

Page 4: Genetic screens in mice for genome integrity maintenance and cancer predisposition

4 Cancer genomics

thought that this decreases the number of viable cells for

proliferation and growth in utero, resulting in a propor-

tionate reduction in body size. The majority of genes

associated with Seckel syndrome, including ATR, impair

activation of the DDR. However, CENPJ is a centroso-

mal protein and deficiency in mice causes genetic

instability through improper chromosome transmission,

or aneuploidy, demonstrating that model organisms can

inform on new mechanisms of disease [37�]. While Seckel

syndrome has not been associated with a higher incidence

of cancer, most likely because Seckel-cells die before

acquiring adaptive mutations, recently a germline

mutation in ATR was observed in an oropharyngeal cancer

syndrome representing an unexpected clinical outcome

of impaired ATR function [39].

Mosaic variegated aneuploidy (MVA) is a rare autosomal-

recessive genomic instability syndrome characterised by

multiple mosaic aneuploidies in somatic cells. The

clinical manifestations of MVA are similar to CENPJ-

Seckel syndrome and include intrauterine growth retar-

dation, microcephaly and mental retardation; however,

MVA patients are predisposed to rhabdomyosarcoma,

Wilm’s tumour and leukaemia [40]. More than half of

the patients have inactivating mutations in the BUB1Bgene that encodes the BUB1 mitotic (spindle) checkpoint

serine/threonine kinase B, which was first identified by a

genetic screen in yeast [41]. Mitotic spindle checkpoint

proteins arrest the metaphase by inhibiting the anaphase-

promoting complex/cyclosome until the sister chromatids

are correctly attached to the spindle to ensure the main-

tenance of correct chromosome transmission [40]. Bub1b+/

� mice are developmentally normal but have defective

spindle checkpoint activation and develop lung and colon

cancers in response to carcinogens [42]. Structural geno-

mic aberrations that lead to activation of oncogenes or

elimination of tumour suppressor genes have been stu-

died extensively [43]. Furthermore, reduced BUB1B

expression is a feature of chronological ageing and over-

expression of Bub1b in mice was recently shown to protect

against aneuploidy and cancer, and to extend healthy

lifespan in mice. These findings suggest that modulation

of BUB1B activity may be a viable prophylactic therapy

against cancer for both BUB1B-MVA patients and healthy

individuals [44��]. Together, studies of Bub1b-MVA and

Cenpj-Seckel mouse models demonstrate that disruption

of genes within the same biological pathway can result in

similar phenotypes, both at the level of the cell and the

whole organism, but this does not necessarily translate to

a similar tumour predisposition, thus highlighting the

importance of testing this directly in model organisms.

Conversely, studies of model organisms that are genomi-

cally unstable and tumour prone can facilitate the dis-

covery of new disease mechanisms and highlight the need

for close cancer surveillance of patients that carry similar

mutations (Figure 1). For example, several groups have

Current Opinion in Genetics & Development 2014, 24:1–7

shown that disruption of Mcm4 in mice leads to genome

instability and tumour predisposition (Table 1) [28,45].

MCM4 is part of an MCM2-7 complex that is required for

DNA replication. Mutation of MCM4 was recently found

to be the underlying molecular defect responsible for a

variant of familial glucocorticoid deficiency [46�,47]. No

defects were observed in the formation of the MCM2-7

complex in fibroblasts from patients, but high levels of re-

replication and DNA breakage were observed [47]. In

support, the adrenal cortices of Mcm4Chaos3 mice were

abnormal and found to contain atypical spindle-shaped

cells [46�]. These studies have demonstrated that familial

glucocorticoid deficiency is a new DNA replication dis-

order. While the patients under investigation did not

show any signs of cancer, the mechanism of their disease

and the tumour predisposition of Mcm4-deficient mice

suggest that these patients should be monitored carefully.

Synthetic interactionsSurgery in combination with chemotherapy remains the

most common approaches for cancer treatment to date

[48]. It is proposed that many if not all cancer cells lack at

least one component of the DDR but since different

DNA-repair pathways can overlap in function, cancer

cells can adapt making it difficult to harness these weak-

nesses [1,13,49]. Following the BRCA/PARP synthetic

lethality success, it is now clear that a better understand-

ing of the synthetic interdependency of the different

DDR pathways can lead to better therapies [50,51]. Thus,

multidisciplinary screening approaches are being used to

discover new synthetic lethal interactions in the context

of personalised cancer medicine [52]. Because of the

accompanying background noise of these biochemical

or cellular screens it is important to confirm these findings

in model organisms. Indeed some of these findings have

been confirmed in mouse models for DDR and cancer.

For example synthetic lethal interactions have been

confirmed between Atr and Trp53/Kras [53], Hus1/Atm[54], Mcm4 and Atm [55], Mcm2/7 [56], Nfkb1 and Trp53/Kras [57] and Fancd2/Aldh2 [58] showing that the success-

ful understanding of the redundancy in cancer relies on

modeling in animal models of disease.

Challenges and future directionsOne of the greatest challenges in this field will be to

understand the rules that govern the relationship be-

tween maintenance of genome stability and tumour for-

mation. Bioinformatics approaches that combine data

from large-scale genetic screens for genome instability

in yeast and mice, together with human cancer gene

expression data from The Cancer Genome Atlas studies,

should make it easier to distinguish between driver and

passenger mutations, which is critical for cancer thera-

peutics.

The use of titratable promoter alleles in yeast will facili-

tate the identification of the rate-limiting factors for

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Page 5: Genetic screens in mice for genome integrity maintenance and cancer predisposition

Genetic screens in mice for genome stability Balmus and McIntyre 5

specific DDR pathways, which is both useful in the

design of therapeutics and overcomes a major problem

of loss-of-function genetic screens by enabling the

screening of essential genes for their role in genetic

instability and synthetic lethality [25]. Similarly, a simple

way of increasing detection of gene mutations that cause

embryonic lethality due to catastrophic genetic instability

in mouse genetic screens could be to perform immuno-

histochemistry for gH2AX activation in early embryos.

Several consortia such as ‘DECIPHER’ and ‘UK10K’

have been established to uncover the genetic variants

of unknown developmental disorders and disease-causing

variants [65,66]. It is likely that novel regulators of gen-

ome maintenance will be uncovered by these efforts.

CRISPR-mediated ‘one-step’ genome engineering of

conditional alleles in mice enables the screening of genes

essential for viability and also promises to increase both

the speed and accuracy with which we can model human

disease-relevant mutations [59]. For example knockout of

the DDR gene Atr in mice is embryonic lethal, whereas

mice carrying a humanised hypomorphic allele of ATRmodel the genome instability disorder Seckel syndrome

(Table 1) [60]. Similarly, 48 different mutations in Arte-

mis (DCLRE1C), a DNA nuclease that is required for non-

homologous end-joining, have been identified in associ-

ation with inherited combined immunodeficiency syn-

dromes, including missense, splice-site and nonsense

mutations as well as gross exonic deletions [61]. Unlike

inactivating mutations of Artemis, hypomorphic mutations

of Artemis are hypothesised to predispose to lymphoid

malignancy. In support, generation of a hypomorphic

Artemis human disease allele (ArtP70) in mice results in

a different molecular defect and tumour spectrum when

compared to Artemis nullizygote mice [62]. While

unbiased, large-scale phenotyping programmes designed

to systematically screen loss-of-function (typically

‘knockout’) gene mutations in model organisms have

greatly increased our understanding of gene function,

these examples highlight the need for a more targeted

strategy that aims to phenotype human disease-relevant

mutants.

Finally, DNA sequencing of cancer genomes combined

with the requisite bioinformatics analyses can be used to

tease apart the underlying mutational processes at play in

cancers, including defects in DNA maintenance [63].

Applying the same approach to tumours that form in

animal models harbouring cancer relevant driver

mutations or animals exposed to known genotoxins

may give further insight into the DNA maintenance

processes operative in human cancers and indicate new

avenues for therapeutic intervention [64].

In summary, combining technologies that enable rapid

genome engineering of patient-relevant gene mutations

into model organisms with high-throughput genetic

www.sciencedirect.com

screens will enable us to explore the role of the genome

maintenance network in human diseases, tumour predis-

position and therapeutics with unprecedented speed and

accuracy. Sequencing human cancers and the tumours

that arise in these model organisms, especially mice, will

enable us to disentangle the defects in DNA maintenance

that contribute to cancer formation from those that do not.

AcknowledgementsWe wish to thank Josep Forment and Kate Dry for their comments. R.E.M.is supported by Cancer Research UK (Project Grant C20510/A12401). G.B.is funded by Cancer Research UK (Program Grant C6/A11224).

References and recommended readingPapers of particular interest, published within the period of review,have been highlighted as:

� of special interest

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