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Polymerase-mediated ultramutagenesis in mice produces diverse cancers with high mutational load
Hao-Dong Li, Ileana Cuevas, Musi Zhang, Changzheng Lu, Md Maksudul Alam, Yang-Xin Fu, M. James You, Esra A. Akbay, He Zhang, Diego H. Castrillon
Hao-Dong Li, Ileana Cuevas, Musi Zhang, Changzheng Lu, Md Maksudul Alam, Yang-Xin Fu, M. James You, Esra A. Akbay, He Zhang, Diego H. Castrillon
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Research Article Genetics Oncology

Polymerase-mediated ultramutagenesis in mice produces diverse cancers with high mutational load

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Abstract

Mutations underlie all cancers, and their identification and study are the foundation of cancer biology. We describe what we believe to be a novel approach to mutagenesis and cancer studies based on the DNA polymerase ε (POLE) ultramutator phenotype recently described in human cancers, in which a single amino acid substitution (most commonly P286R) in the proofreading domain results in error-prone DNA replication. We engineered a conditional PoleP286R allele in mice. PoleP286R/+ embryonic fibroblasts exhibited a striking mutator phenotype and immortalized more efficiently. PoleP286R/+ mice were born at Mendelian ratios but rapidly developed lethal cancers of diverse lineages, yielding the most cancer-prone monoallelic model described to date, to our knowledge. Comprehensive whole-genome sequencing analyses showed that the cancers were driven by high base substitution rates in the range of human cancers, overcoming a major limitation of previous murine cancer models. These data establish polymerase-mediated ultramutagenesis as an efficient in vivo approach for the generation of diverse animal cancer models that recapitulate the high mutational loads inherent to human cancers.

Authors

Hao-Dong Li, Ileana Cuevas, Musi Zhang, Changzheng Lu, Md Maksudul Alam, Yang-Xin Fu, M. James You, Esra A. Akbay, He Zhang, Diego H. Castrillon

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Figure 1

Generation of the LSL-PoleP286R conditional knockin allele.

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Generation of the LSL-PoleP286R conditional knockin allele.
(A) POLE pro...
(A) POLE protein domain structure and position of P286R. The C-terminal half of the protein is not essential for polymerase activity but serves as a protein-protein interaction domain. pol, polymerase domain; exo, exonuclease domain. (B) Human and mouse gene information and sequence context for the c.857C>G p.pro286arg (P286R) mutation. c.857C>G p.pro286arg is equivalent in humans and mice (i.e., the position of the base and amino acid are the same in human and mouse cDNA and polypeptide reference sequences). (C) Schematic showing a portion of the mouse Pole locus used for generating the targeting construct. The XhoI site was used for insertion of the LSL cassette.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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