REVIEW article
Front. Cell Dev. Biol.
Sec. Cancer Cell Biology
This article is part of the Research TopicTipping the Balance: DNA Replication and Repair Vulnerabilities in CancerView all 5 articles
R-loops as a trigger for intra-and extrachromosomal DNA amplification in cancer
Provisionally accepted- Shemyakin-Ovchinnikov Institute of Bioorganic Chemistry, Moscow, Russia
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R-loops consist of double-stranded DNA-RNA hybrids and a complementary DNA strand that is displaced from the duplex. R-loops play important role in numerous normal physiological processes, including DNA methylation, chromatin remodeling, RNA editing, replication, DNA repair, immunoglobulin class switching, and chromosome segregation during cell division. However, excessive or untimely formation of R-loops can lead to replicative collapse and subsequent DNA damage, resulting in genomic instability. One type of genomic rearrangements that is strongly associated with cancer malignancy is the extrachromosomal amplification of genes on circular DNA molecules (ecDNA). These molecules are relieved of hereditary constraints and conventional segregation laws and can endow cancer cells with the ability to rapidly change their genome, thereby accelerating tumor evolution and the development of therapy resistance. Multiple lines of evidence indicate that upregulated transcription of a gene can increase its susceptibility to amplification. Although the mechanisms underlying these processes are not yet fully understood, R-loops may play an important role in initiating gene amplification. In this review, we highlight the role of R-loops in replicative collapse, double-strand breaks, and DNA damage repair. We also provide examples of gene amplifications that is known to be induced by R-loops. Finally, we discuss amplification mechanisms in which involvement of R-loops has not yet been demonstrated, but appears highly likely.
Keywords: R-loops, Double Strand Breaks, replication stress, DNA amplification, ecDNA
Received: 15 Jun 2025; Accepted: 17 Nov 2025.
Copyright: © 2025 Kovalenko, Abdurazakov, Antipova, Shakhparonov and Pavlyukov. 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) or licensor 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: Marat S Pavlyukov, marat.pavlyukov@alumni.crg.eu
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