Abstract
DNA damage response (DDR) is a complicated network that responds to DNA lesions to prevent their accumulation; a defective DDR is one hallmark of cancer. Although targeting DDR pathways has been considered as a therapeutic approach, DDR inhibitors have also been reported ineffective for treating some low mutation burden cancers, such as Mixed-lineage leukemia (MLL)-rearranged (MLL-r) leukemia, a clinically fatal and refractory malignancy. Exploring the roles and mechanisms of DDR pathways in these low mutation burden cancers may help understand the chromatin biology and develop therapeutic strategies. Here, we identified a set of DDR-related chromatin-associated circular RNAs (cacircRNAs) that regulate DNA repair via the non-homologous end joining (NHEJ) pathway, which is vital for meeting the high DNA repair demands during the progression of MLL-r leukemia. Among these cacircRNAs, we identified ciCRLF3(2) as a previously unknown component of the NHEJ complex. We showed that ciCRLF3(2) recruits NHEJ regulators to DNA lesions, supporting abundant DNA repair in leukemia cells. ciCRLF3(2) abundance is abnormally upregulated in MLL-r leukemia and indicates a poor prognosis. Targeting ciCRLF3(2) suppressed NHEJ-mediated DNA repair, leading to DNA damage and broad anti-cancer effects in vitro and in vivo. A patient-derived xenograft model of MLL-r leukemia further indicated that ciCRLF3(2) depletion can decrease the leukemic burden. These findings demonstrate the function of cacircRNAs in DDR and chromatin biology and reveal a new avenue for developing strategies to treat low mutation burden cancers, such as MLL-r leukemia.
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Data availability
The circRNA RNA-seq data in this study has been uploaded to Sequence Read Archive (SRA) database. The BioProject No. is PRJNA1276304. All other study data are included in the article and/or Supplemental Information. Any information required to reanalyze the data reported in this study is available from the corresponding authors (wangwt8@mail.sysu.edu.cn) upon request.
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Funding
This research was supported by National Key R&D Program of China (Nos.2021YFA1300502 and 2022YFA1303302), National Natural Science Foundation of China (Nos. 32170570,32370594, and 32400439), and Guangdong Province (Nos. 2021B1515020002 and 2022A1515140018), and Guangzhou (No. 2024A04J5004).
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K.J.P., X.T.C. and S.X.Z. designed and performed the research, analyzed the data, and wrote the manuscript. Y.A., X.Y.F., J.Y.L., H.J.H., C.L.Z., M.Y.Y., B.R.H., Y.C.W., Y.X.M., C. F., N. Z., D. W., T.Q.C. and Y.M.S. performed the research and analyzed the data. K.J.P., X.T.C. and S.X.Z. collected and analyzed the clinical data. Y.Q.C. and W.T.W. designed the research, analyzed the data, and wrote the manuscript. The authors read and approved the final manuscript.
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All patient samples were obtained with informed consent from the first Affiliated Hospital of Sun Yat-sen University. Sample collection was approved by the Hospital’s Protection of Human Subjects Committee. Additionally, all animal experiments were approved by the Institutional Animal Care and Use Committee of Sun Yat-sen University (Approval No. SYSU-IACUC-2023-B0438) and were performed in accordance with the approved protocols.
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Pu, KJ., Chen, XT., Zhu, SX. et al. Chromatin-associated circRNA ciCRLF3(2) regulates cell differentiation blockage via activating non-homologous end joining–based DNA repair. Cell Death Differ (2025). https://doi.org/10.1038/s41418-025-01574-9
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DOI: https://doi.org/10.1038/s41418-025-01574-9


