RT Journal Article T1 Endogenous topoisomerase II-mediated DNA breaks drive thymic cancer predisposition linked to ATM deficiency. A1 Álvarez-Quilón, Alejandro A1 Terrón-Bautista, José A1 Delgado-Sainz, Irene A1 Serrano-Benítez, Almudena A1 Romero-Granados, Rocío A1 Martínez-García, Pedro Manuel A1 Jimeno-González, Silvia A1 Bernal-Lozano, Cristina A1 Quintero, Cristina A1 García-Quintanilla, Lourdes A1 Cortés-Ledesma, Felipe AB The ATM kinase is a master regulator of the DNA damage response to double-strand breaks (DSBs) and a well-established tumour suppressor whose loss is the cause of the neurodegenerative and cancer-prone syndrome Ataxia-Telangiectasia (A-T). A-T patients and Atm-/- mouse models are particularly predisposed to develop lymphoid cancers derived from deficient repair of RAG-induced DSBs during V(D)J recombination. Here, we unexpectedly find that specifically disturbing the repair of DSBs produced by DNA topoisomerase II (TOP2) by genetically removing the highly specialised repair enzyme TDP2 increases the incidence of thymic tumours in Atm-/- mice. Furthermore, we find that TOP2 strongly colocalizes with RAG, both genome-wide and at V(D)J recombination sites, resulting in an increased endogenous chromosomal fragility of these regions. Thus, our findings demonstrate a strong causal relationship between endogenous TOP2-induced DSBs and cancer development, confirming these lesions as major drivers of ATM-deficient lymphoid malignancies, and potentially other conditions and cancer types. YR 2020 FD 2020-02-14 LK http://hdl.handle.net/10668/15110 UL http://hdl.handle.net/10668/15110 LA en DS RISalud RD Apr 11, 2025