Defects in the RECQL4 gene are the cause of three rare autosomal recessive diseases, namely Rothmund Thomson syndrome (RTS), RAPADILINO syndrome and Baller–Gerold (BGS) syndrome (
Kitao et al. 1999;
Siitonen et al. 2003;
Van Maldergem et al. 2006). Rothmund Thomson syndrome is an unusual disorder characterized by poikiloderma, growth deficiency, juvenile cataracts, premature aging and predisposition to malignant tumors especially osteosarcomas (
Vennos et al. 1992;
Stinco et al. 2008). Most of the RTS patients show mutations in the
RECQL4 helicase domain, resulting in truncated protein due to premature termination of protein synthesis (
Lindor et al. 2000). Cytological investigations of various cell types derived from RTS patients show genomic instability and chromosomal abnormalities such as trisomy, aneuploidy and chromosomal rearrangements (
Vennos et al. 1992;
Der Kaloustian et al. 1990;
Orstavik et al. 1994;
Durand et al. 2002;
Anbari et al. 2000). The different cell types derived from
RECQL4-knockout mice display an overall aneuploidy phenotype and a significant increase in the frequency of premature centromere separation (
Mann et al. 2005). These results suggest a role of
RECQL4 gene in preventing tumorigenesis and maintenance of genome integrity in humans.
There have been contradictory reports of sensitivity to different genotoxic agents of patient-derived RECQL4-deficient fibroblasts. In two independent studies, RTS cells showed sensitivity to H
2O
2, which creates oxidative damage, and ionizing radiation (
Werner et al. 2006;
Vennos and James 1995), resulting in irreversible growth arrest, decreased DNA synthesis and concomitant reduction of cells in S-phase compared to normal fibroblasts (
Werner et al. 2006). However, in another recent study, primary RTS fibroblasts showed no sensitivity to wide variety of genotoxic agents including ionizing or UV radiation, nitrogen mustard, 4-NQO, 8-MOP, Cis-Pt, MMC, H
2O
2, HU, or UV plus caffeine, suggesting the complexity of various RTS cells towards genotoxic responses (
Cabral et al. 2008). In another interesting report, it has been shown that, compared to wild type (wt) fibroblasts, primary fibroblasts carrying two deleterious RECQL4 mutations have increased sensitivity to HU, CPT, and doxorubicin (DOX), which exert their effects primarily during S-phase, suggesting a major role of RECQL4 protein in DNA replication (
Jin et al. 2008). Further, RTS cells showed modest sensitivity to other DNA damaging agents including ultraviolet (UV) irradiation, ionizing radiation (IR), and cisplatin (CDDP) (
Jin et al. 2008). The RTS cells also showed relative resistance to 4-NQO, unlike WS and BS cells which are hypersensitive to this drug (
Jin et al. 2008). Mutant human cells lacking RECQL4 escaped from the S-phase arrest following UV or HU treatment, whereas BLM-defective cells exhibited a normal S-phase arrest following UV irradiation (
Park et al. 2006). RECQL4 also formed discrete nuclear foci coincident with the nucleotide excision repair factor XPA, in response to UV irradiation and 4-NQO, suggesting that it could be involved in efficient removal of UV lesions (
Fan and Luo 2008). However, the discrepancies among different reports might be due to different experimental approaches that have been employed for these studies. These results indicate functional differences among RecQ helicase family members in their possible involvement in various DNA repair and replication pathways.
The cellular functions of RECQL4 are largely unknown. However, data arising from its sensitivity towards different genotoxic agents are indicative of its involvement in distinct DNA metabolic and repair pathways. RECQL4 has been shown to interact with UBR1 and UBR2, members of a family of E3 ubiquitin ligase of the N-end rule pathway, which is a part of the ubiquitin-proteosome system (
Yin et al. 2004).
RECQL4 has been proposed to function in the initiation of DNA replication with its N terminus required for the recruitment of DNA polymerase α (
Sangrithi et al. 2005;
Matsuno et al. 2006). RECQL4 is also known to interact with Cut5 (a homologue of Dpb11 that is required for loading DNA polymerases onto chromatin (
Hashimoto and Takisawa 2003). Further, RECQL4 interacts with poly (ADP-ribose) polymerase1 (PARP-1) which is involved in different pathways of DNA metabolism such as DNA recombination, repair, and transcriptional regulation (
Woo et al. 2006). In response to the induction of DSBs by treatment with etoposide, a portion of RecQL4 and Rad51 nuclear foci colocalized, suggesting that RECQL4 plays a role in the repair of DSBs by homologous recombination (
Petkovic et al. 2005). However, the mechanistic details of this interaction are unknown.