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ResearchIn-Press PreviewCell biologyHematology Open Access | 10.1172/JCI193006

Cyclin D1 overexpression induces replication stress and microhomology-mediated end-joining dependence in mantle cell lymphoma

Jithma Abeykoon,1 Shuhei Asada,2 Guangli Zhu,2 Yuna Hirohashi,2 Lisa Moreau,2 Divya R. Iyer,2 Sirisha Mukkavalli,2 Kalindi Parmar,2 Gabriella Zambrano,2 Lige Jiang,1 Dongni Yi,1 Michelle Manske,3 Kimberly Gwin,1 Rebecca L. King,4 James R. Cerhan,5 Xiaosheng Wu,3 Zhenkun Lou,7 Geoffrey I. Shapiro,8 Thomas Witzig,3 and Alan D'Andrea2

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Abeykoon, J. in: PubMed | Google Scholar |

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Asada, S. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Zhu, G. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Hirohashi, Y. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Moreau, L. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Iyer, D. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Mukkavalli, S. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Parmar, K. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Zambrano, G. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Jiang, L. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Yi, D. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Manske, M. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Gwin, K. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by King, R. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Cerhan, J. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Wu, X. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Lou, Z. in: PubMed | Google Scholar

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Shapiro, G. in: PubMed | Google Scholar |

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by Witzig, T. in: PubMed | Google Scholar |

1Division of Hematology, Mayo Cinic, Rochester, United States of America

2Department of Radiation Oncology, Dana-Farber Cancer Institute, Boston, United States of America

3Division of Hematology, Mayo Clinic, Rochester, United States of America

4Department of Pathology, Mayo Clinic, Rochester, United States of America

5Department of Quantitative Health Sciences, Mayo Clinic, Rochester, United States of America

6Division of Hematology, Mayo Clinic, ROchester, United States of America

7Department of Oncology, Mayo Clinic, Rochester, United States of America

8Medical Oncology, Dana-Farber Cancer Institute, Boston, United States of America

Find articles by D'Andrea, A. in: PubMed | Google Scholar

Published July 3, 2025 - More info

J Clin Invest. https://doi.org/10.1172/JCI193006.
Copyright © 2025, Abeykoon et al. This work is licensed under the Creative Commons Attribution 4.0 International License. To view a copy of this license, visit http://creativecommons.org/licenses/by/4.0/.
Published July 3, 2025 - Version history
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Abstract

Oncogene expression can cause replication stress (RS), leading to DNA double-strand breaks (DSB) that require repair through pathways such as homologous recombination, non-homologous end-joining, and microhomology-mediated end-joining (MMEJ). Cyclin D1 (encoded by CCND1) is a well-known oncoprotein overexpressed in cancer; however, its role in RS is unknown. Using mantle cell lymphoma (MCL) as a naturally occurring model of cyclin D1 overexpression, we examined its impact on RS and DSB-repair mechanisms. Cyclin D1 overexpression elevated RS, increased DNA damage, especially during mitosis, and caused specific upregulation of MMEJ. Furthermore, cyclin D1 activates the polymerase theta (POLQ) transcription by binding its promoter loci, driving POLΘ-mediated MMEJ that is essential to withstand cyclin D1-induced RS. Moreover, concurrent ATM deficiency further intensifies RS, enhances POLQ expression and heightens reliance on MMEJ mediated DNA damage repair. Consequently, inhibition of POLΘ in cyclin D1-overexpressed settings further exacerbates RS, causing single-strand DNA gap accumulations and chromosomal instability, ultimately leading to apoptosis, an effect amplified in ATM-deficient cells. Targeting MMEJ via POLΘ inhibition is, therefore, an effective strategy in the context of cyclin D1 overexpression and ATM deficiency and may provide a unique therapeutic approach for treating MCL and other malignancies characterized by similar alterations.

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