Abstract
Extrachromosomal circular DNA (eccDNA) is a type of double-stranded circular DNA that is derived and free from chromosomes. It has a strong heterogeneity in sequence, length, and origin and has been identified in both normal and cancer cells. Although many studies suggested its potential roles in various physiological and pathological procedures including aging, telomere and rDNA maintenance, drug resistance, and tumorigenesis, the functional relevance of eccDNA remains to be elucidated. Recently, due to technological advancements, accumulated evidence highlighted that eccDNA plays an important role in cancers by regulating the expression of oncogenes, chromosome accessibility, genome replication, immune response, and cellular communications. Here, we review the features, biogenesis, physiological functions, potential functions in cancer, and research methods of eccDNAs with a focus on some open problems in the field and provide a perspective on how eccDNAs evolve specific functions out of the chaos in cells.
Introduction
EccDNA refers to a type of double-stranded circular DNA that is derived and free from chromosomes. In 1965, Alix Bassel and Yasuo Hoota first observed eccDNA in boar sperm using the electron microscope (). From there, many efforts have been taken to figure out the features and functions of eccDNAs (Figure 1). It is clear now that eccDNA is ubiquitous in eukaryotic cells and has been identified in yeasts, plants, Oxytricha, Xenopus, pigeons, and human cells. (; Møller et al., 2015; ; Yerlici et al., 2019; Molin et al., 2020a, Molin et al., 2020b; Møller et al., 2020; Sin et al., 2021; Wang K et al., 2021; Zhu et al., 2021). It can be derived from everywhere in a genome with sizes ranging from hundreds of base pairs (bp) to several mega bases (Mb). According to the size and origin, eccDNAs can be categorized into mitochondria DNAs (mtDNAs), episomes, double minutes (DMs) (100kb∼3 Mb), telomeric circle (t-circles), small polydispersed circular DNA (spcDNA) (100bp∼10 kb), and microDNA (100–400 bp) (Wang M et al., 2021).Some studies revealed that episomes can be polymerized into DMs in cancer cells suggesting the possibility that one type of eccDNA can be transformed to others by polymerization or fragmentation with subsequent recircularization (Wahl et al., 1984; ).
FIGURE 1
As the counts, compositions, origin, and expression patterns of eccDNA are dramatically dynamic and diverse in cells and tissues, characterizing the functions and underline mechanisms of eccDNAs are extremely challenging (Turner et al., 2017). Many fundamental open questions about eccDNAs remained unanswered. For example, is eccDNA a byproduct or essential player of cellular procedures? Do the sequences of eccDNAs matter for their functions? What is the role of eccDNAs in cancer initiation and progression? et al. Some excellent reviews (
The Biogenesis of ECCDNA
Several models of the eccDNA biogenesis have been proposed: 1) The chromothripsis model (Figure 2A): Chromothripsis is the catastrophic shattering of a chromosome followed by massive genomic rearrangement in a random order, leading to complex genomic structural rearrangements in confined genomic regions. As the “shattering” procedure results in clustered DNA double-strand breaks (DSBs), following by DNA repairing or aberrant DNA replication, and which make it a perfect circumstance to generate eccDNA (Nazaryan-Petersen et al., 2020); in 2021, Wang’s team (Wang Y et al., 2021) reported that apoptosis can promote eccDNA generation in human and mouse cells. It is not surprising; apoptosis, just like chromothripsis, can induce DNA fragmentation and may provide massive DNA fragments for eccDNA formation; 2) Episome model (Figure 2B). Replication fork stalling may result in replication fork collapse, and the replication bubble subsequently falls off the chromosome, transforms into an extrachromosomal circular molecule named as episome (
FIGURE 2

Three mechanisms of eccDNA biogenesis. (A) “Chromothripsis” model, chromothripsis is the generation of DNA double-strand breaks. Fragments are joined together in a random order and orientation by DNA repair machineries. The new chromosomes may contain complex structural rearrangements and structural variants. (B) Episome model, DNA bidirectionally replicates leading to two replication forks, and the region between them is the replication bubble. The replication fork collapse when the error in replication take place, and then, the replication bubbles drop and form shape of an episome. They can enlarge to form eccDNAs by replication and recombination. (C) Translocation–excision–deletion–amplification model. Gene translocation occurs near the chromosome. The fragment next to the translocation positions can be amplified, deleted, and circularized, generating the genesis of eccDNA.
The above studies indicated that the DNA damage repairing pathways including homologous recombination (HR) or nonhomologous end-joining (NHEJ) and microhomology-mediated end-joining (MMEJ) are involved in the formation of microDNAs (
It is widely accepted that eccDNA origination is not restricted to a particular locus in the genome (Møller et al., 2020; Wang T et al., 2021). However, the pattern of eccDNA distribution is still controversial. Some studies reported that the vast majority of eccDNA originates from repetitive elements (Motejlek et al., 1993;
FIGURE 3

Pathways involved in eccDNA biogenesis and function. Stress may induce aberrant DNA replication, transcription, or even genomic DNA broken into random fragments, and generate linear DNA fragments. Some of them are ligated and circularized by DNA damage repair pathways including HR (homologous recombination), NHEJ (Non-homologous end joining), Ligation by DNA ligases IV and III, and MMEJ (microhomology mediated end-joining). EccDNAs can regulate many downstream biological procedures including transcription, telomere protection, gene translocation, immune response, and cell–cell communication. Description about details can be found in the text.
The Amplification of eccDNA
Most of eccDNA will be degraded rapidly except the ones who can amplify themselves. However, what are the mechanisms of eccDNA amplification is controversial. Some studies suggested that eccDNA amplification relies on DNA replication and mitosis (
Regulatory Mechanisms of eccDNA
Accumulated evidence suggested that eccDNA may regulate many cellular procedures (see the function sections below) through distinct mechanisms (Figure 3): 1) Biogenesis of eccDNAs containing whole gene may lead to a gain in the gene copy number and enhance the transcription of the gene (Turner et al., 2017); 2) Forming R-loop by hybridization with mRNA to regulate its translational efficiency (Wiedemann et al., 2016); 3) Titrating the components of the replication or transcription machinery and result in an inability to replicate or transcribe genomic DNA, which eventually induces cell growth arrest and death; (Paulsen et al., 2019; Zhu, et al., 2021); 4) Acting as trans-acting factors (such as super enhancer) to regulate the gene expression by regulating the epigenetic statue and/or accessibility of the targeting gene (Wu et al., 2019); 5) Function as a cytokine to stimulate immune responses or mediate the intercellular communication (Poirier et al., 2018); 6. Genetic rearrangements by the reinsertion of eccDNA into the genome DNA (Pavri, 2017); 7. Protecting the telomeres in ALT cells (
Physiological Functions of eccDNA
It is already known that eccDNA plays an important role in a variety of physiological procedures including the following: 1) Stress resistance and evolution. In plants, eccDNA plays a role to amplify and transmit the herbicide resistance gene in crop weeds which result in rapid glyphosate resistance and adaptive evolution (
Functions of eccDNA in Cancer
EcDNA refers to large eccDNA exclusively detected in tumors. Furthermore, DM is a specific type of ecDNA, which usually contains intact oncogenes and/or drug-resistance genes, which has been detected in most (182/200) kinds of human tumors (
The role of smaller eccDNAs (e.g., microDNAs) in cancer biology remains controversial. As they usually are too small to contain the full length of the gene (except for miRNA genes), whether its transcriptional products have any effects on cancer progression is unknown. However, they may be important for molecular sponging. As often originated from the 5′-UTRs of its parental gene, microDNA may provide additional binding sites for related transcription factors and therefore, acting as a sponge for transcription factors to control the gene expression and transcription homeostasis indirectly (Reon and Dutta, 2016; Paulsen et al., 2018). Additionally, Wang et al. reported that the microDNAs released from dying cells can dramatically induce type I interferon expression and innate immunostimulatory response. It is suspected that drug treatment on cancer cells may induce cell apoptosis with eccDNA generation and subsequent change in the tumor microenvironment dramatically. This work highlighted the potential role of microDNA in drug resistance of cancer cells and shed new light on cancer immunotherapy (Wang Y et al., 2021).
Applications of eccDNA in Medicine
The entire set of circular DNA (Circulome) varies as a function of tissue type and health and disease conditions and can be used as a fingerprint of disease. Extracellular free eccDNAs are more stable than linear cell-free DNAs (cfDNAs) and have been detected in cancer tissues and peripheral blood of cancer patients (
Although many efforts have been made, the application of eccDNA in medicine is still at an early stage. In the mammalian repertoire of eccDNA, microDNAs may be the most promising biomarkers because they have smaller size, higher mobility, and higher abundance (account for up to 84% of the entire circulome) (Shibata et al., 2012;
Advance of eccDNA Research Methods
Many conventional methods were used to characterize the sequence, copy number, subcellular localization, and biological functions of eccDNAs (Figure 4), and which was reviewed by elsewhere (Wang T et al., 2021). However, these methods usually provide little information about eccDNA sequences and cannot provide the global view for the whole circulome. Currently, the next/third generation sequencing technologies (such as long-read sequencing (Nanopore and PacBio SMRT sequencing) and single cell sequencing (SC-Seq)) and the improved methods (such as Circle-seq, 4C-seq, PLAC-seq, and ATAC-seq) provide us revolutionary tools to investigate the circulome from various perspectives and with single base-pair and single-cell resolutions (Turner et al., 2017; Prada-Luengo et al., 2019; Rajkumar et al., 2019;
FIGURE 4

Schematic representation of the different approaches and tools to study circular DNA.
Perspective: From Chaos to Function
For most of eccDNAs, the story may begin with a chaos result from certain internal and external stresses. The stress induces aberrant transcription, DNA replication, and recombination leading to the release of DNA fragments from some hotspots which were consequently recognized and “repaired” by DNA damage repairing mechanisms to form a circulated DNA. In dying or apoptosis cell, global genome DNA fragmentation generate a lot of DNA fragments in a random fashion; some of them were also “rescued” by DNA damage repairing mechanisms to form eccDNAs. We speculate that the former mechanism may majorly contribute to the formation of relatively longer eccDNAs (episomes and DMs), and the latter one is for shorter eccDNAs (spcDNA and microDNA). Most of the eccDNAs will be degraded rapidly, and only the ones who have the ability to amplify themselves and provide adaptive advantage to cells can survive. During the procedure of evolutionary selection, eccDNAs may migrate through cells to search for a good host. They can merge with others to create a new one and novel functions which may provide further advantages of the survival of themselves and hosts. Some eccDNAs may be even more “lucky” to get the chance to integrate into genomic DNA, which eventually fixes themselves in the cell’s genome. In tumors, this story may happen everywhere and all the time. EccDNAs help cancer cells develop drug resistance and escape from immune attack. Furthermore, it may also be possible that the eccDNAs originated from the cancer cell can transform target cells remotely through circulation and mediate the metastasis. In germ line, eccDNAs may serve as the secondary genetic materials and were passed to progeny and create additional genetic diversity in population. For somatic cells, too much random eccDNAs may be a burden. However, highly specific functional eccDNA may be a big help for them to fulfill their functions especially under stress conditions (Møller et al., 2018).
Conclusion
The discovery of eccDNA may reshape our current understanding of the heredity, evolution, and diseases. EccDNA, as a new kind of genetic material, is mobile, flexible, functionable, tremendous diverse, and everywhere (Wang T et al., 2021). It lets all the cells different and makes quick adaptation and evolution possible. The biological significance of eccDNAs may be heavily underestimated. The eccDNA study is still in its infancy.
Future studies need to focus on 1) Figuring out the chromatin structural features and sequence characteristics of eccDNA on the circulome level; 2) Discovering key regulators and interaction partners of eccDNAs; 3) Exploring the eccDNA segregation procedure at the single cell level to understanding cancer development; 4) Applying it as a liquid biopsy biomarker to improve disease diagnosis, prognosis, and treatment selection; 5) Developing more convenience and sensitive detection methods and advanced tools to support eccDNA research. All these works will deepen our understanding of the nature of eccDNAs and open up new opportunities for cancer diagnosis and therapy.
Statements
Author contributions
SZ and QH conceived the present idea and researched the background of the study. YY, CW, XL, QP, MZ, YY, and JZ prepared the figures. SZ, YY, CW, and QH wrote the manuscript. QH revised the manuscript. All the authors read and approved the final manuscript.
Funding
This work was supported by the National Natural Science Foundation of China (31771445), the Major Scientific and Technological Project for Collaborative Prevention and Control of Birth Defect in Hunan Province (2019SK1012), and the High-Level Talent Program in Hunan Province (2019RS1035).
Acknowledgments
We acknowledge and appreciate our colleagues for their valuable suggestions and technical assistance for this study.
Conflict of interest
The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.
Publisher’s note
All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors, and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.
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Summary
Keywords
eccDNA, circulome, biogenesis, cancer, biomarker
Citation
Zuo S, Yi Y, Wang C, Li X, Zhou M, Peng Q, Zhou J, Yang Y and He Q (2022) Extrachromosomal Circular DNA (eccDNA): From Chaos to Function. Front. Cell Dev. Biol. 9:792555. doi: 10.3389/fcell.2021.792555
Received
10 October 2021
Accepted
16 December 2021
Published
06 January 2022
Volume
9 - 2021
Edited by
Yue Zhao, University of Cologne, Germany
Reviewed by
Richard Chahwan, University of Zurich, Switzerland
Kui Ming Chan, City University of Hong Kong, Hong Kong SAR, China
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Copyright
© 2022 Zuo, Yi, Wang, Li, Zhou, Peng, Zhou, Yang and He.
This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
*Correspondence: Quanyuan He, hqyone@gmail.com
This article was submitted to Molecular and Cellular Oncology, a section of the journal Frontiers in Cell and Developmental Biology
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