Search tips
Search criteria 


Logo of nihpaAbout Author manuscriptsSubmit a manuscriptHHS Public Access; Author Manuscript; Accepted for publication in peer reviewed journal;
Radiat Res. Author manuscript; available in PMC 2012 May 17.
Published in final edited form as:
Published online 2010 November 17. doi:  10.1667/RR2092.1
PMCID: PMC3073160

Differential Role of DNA-PKcs Phosphorylations and Kinase Activity in Radiosensitivity and Chromosomal Instability


The catalytic subunit of DNA-dependent protein kinase (DNA-PKcs) is the key functional element in the DNA-PK complex that drives nonhomologous end joining (NHEJ), the predominant DNA double-strand break (DSB) repair mechanism operating to rejoin such breaks in mammalian cells after exposure to ionizing radiation. It has been reported that DNA-PKcs phosphorylation and kinase activity are critical determinants of radiosensitivity, based on responses reported after irradiation of asynchronously dividing populations of various mutant cell lines. In the present study, the relative radiosensitivity to cell killing as well as chromosomal instability of 13 DNA-PKcs site-directed mutant cell lines (defective at phosphorylation sites or kinase activity) were examined after exposure of synchronized G1 cells to 137Cs γ rays. DNA-PKcs mutant cells defective in phosphorylation at multiple sites within the T2609 cluster or within the PI3K domain displayed extreme radiosensitivity. Cells defective at the S2056 cluster or T2609 single site alone were only mildly radiosensitive, but cells defective at even one site in both the S2056 and T2609 clusters were maximally radiosensitive. Thus a synergism between the capacity for phosphorylation at the S2056 and T2609 clusters was found to be critical for induction of radiosensitivity.


DNA double-strand breaks (DSBs) are the principal lesions responsible for the major biological effects of radiation. Such DSBs can be repaired in mammalian cells by at least two major pathways: nonhomologous end joining (NHEJ), which operates throughout the cell cycle, or homologous recombination repair (HRR), which operates during S or G2 (1). The NHEJ pathway uses several enzymes that capture both DNA ends and bring them together in a synaptic complex to facilitate direct ligation of the DNA break (2). One of the first enzymes to be attracted to DSBs is the Ku70/80 heterodimer; subsequently, the DNA-Ku70/80 scaffold recruits a large 460-kDa serine/threonine kinase called the DNA-dependent protein kinase catalytic subunit (DNA-PKcs). The protein complex formed after the association of both Ku70/80 and DNA-PKcs at the DNA ends is generally referred to as the DNA-dependent protein kinase (DNA-PK). DNA-PK kinase activity was shown to be dependent on the functional Ku protein (3, 4). The xrs-6 cells defective in Ku DNA binding lack DNA-PK activity and DSB repair, both of which can be restored in xrs-6 cells by introducing wild-type Ku80 (3).

A greater degree of radiosensitivity has been reported in terms of the extent of DNA repair, cell killing and chromosomal aberrations in Ku-deficient cells than in DNA-PKcs-deficient cells (5-7). In addition, Ku70/80-deficient xrs-5 and -6 cells have been reported to have greatly reduced cellular repair throughout cell cycle, no radiation dose-rate effect, and no repair of potentially lethal damage (8). The cell cycle effect in particular appears to be significantly different in Ku70/80-deficient cells and DNA-PKcs-deficient cells (9-14).

Several activities of DNA-PKcs have been shown to contribute its function in DSB repair, including the intrinsic kinase activity and phosphorylation. The kinase activity of DNA-PKcs is essential for DSB repair (15), likely through phosphorylation and regulation of NHEJ factors including DNA-PKcs itself (2). Thus far, many phosphorylation residues of DNA-PKcs have been identified both in vitro and in vivo (16-22). Most of the DNA-PKcs phosphorylation sites are in the S/TQ motifs (serine or threonine followed by a glutamine residue) commonly present in many DNA damage repair proteins and are the cognate substrates of PIKK kinases (23). In addition, the critical phosphorylation residues of DNA-PKcs are largely concentrated at the T2609 and the S2056 clusters (16-20). Although the mechanism for DNA-PKcs phosphorylation remains to be clarified, as is the case for its kinase activity, DNA-PKcs phosphorylation is required for DSB repair.

The present study was designed to measure and compare the relative radiosensitivity of G0/G1 synchronized site-directed mutant cells involving phosphoryla-table residues of the T2609 cluster (16-18), the S2056 cluster (19, 20), and the carboxyl-terminus PI3K domain (15) of DNA-PKcs. Radiosensitivity examined in asynchronous randomly dividing cell populations may be dependent on the cell line because it represents the average response of a mixture of cells in different phases of the cell cycle, particularly of cells in the most radioresistant phases (24-26). In such instances the contributions of other processes such as HRR greatly complicate the interpretation of results. We have thus chosen to study synchronized cell populations in which repair will occur primarily via the NHEJ pathway to reduce the confounding factor of differences in cell cycle distribution among different cell lines.


Cell Lines and Cell Culture

For these studies, we employed the wild-type Chinese hamster cell lines CHO (27) and AA8 (28), NJEJ-deficient xrs-5 cells (29) and V3 cells (10), and cell lines derived from DNA-PKcs null V3 cells with complemented human DNA-PKcs cDNA containing amino acid substitutions at various positions that are described in Fig. 1 and Table 1 (15, 16, 18, 19). The cells were maintained at 37°C in a humidified 95% air/5% CO2 atmosphere in Eagle’s minimal essential medium (MEM, containing 52 mg/liter isoleucine) supplemented with 10% heat-inactivated fetal bovine serum, penicillin (50 μg/ml), and streptomycin (50 mg/ml). When the cultures approached 30% confluence in T-25 tissue culture flasks, the normal growth medium was removed. The medium was then changed twice at 24-h intervals to isoleucine-deficient MEM containing 5% 3× dialyzed fetal bovine serum to synchronize the cells in G0/G1 phase. The experiments were initiated 1 day after the second medium change. At this time the cells were synchronized in G0/G1 phase (30). Cells were pulse labeled with 30 μM BrdU for 15 min and then fixed in 70% ethanol. Fixed cells were treated with 0.1 mg/ml RNase A and 3N HCl sequentially for 30 min at 37°C, then incubated with BrdU antibody conjugated with Alexa Fluor 488 (Invitrogen) for 2 h at 37°C. The cells were analyzed using a FACScan flow cytometer and CellQuest software (BD Biosciences). Although more than 10% S-phase cells were observed in some of the cell lines, others showed many fewer S-phase cells after IL-deficient synchronization as shown in Table 2. The mean doubling time was determined from the linear portion of the growth curves of the exponentially growing cell population.

FIG. 1
Summary of DNA-PKcs mutations within the S2056 cluster, T2609 cluster and PI3K kinase domain. I, S2056 phosphorylation cluster (refs. 16-18). II, T2609 phosphorylation cluster (refs. 19, 20). III, PI3K domain (ref. 15).
Cell Lines Derived from DNA-PKcs Null V3 Cells with Complemented Human DNA-PKcs cDNA Containing Amino Acid Substitutions at Various Positions in the DNA-PKcs Constructs
Characteristics of Nonirradiated Chinese Hamster Cell Lines

Irradiation and Colony Formation

Synchronized G0/G1 cells were irradiated aerobically at room temperature. The radiation source was a J. L. Shepherd and Associates irradiator that emitted 137Cs γ rays at a dose rate of 2.5 Gy/min. Survival curves were obtained by measuring the colony-forming ability of irradiated cell populations. Cells were plated postirradiation onto 100-mm plastic petri dishes and incubated for 7–10 days for colony formation. The dishes were then fixed with 100% ethanol and stained with 0.1% crystal violet solution. A colony with more than 50 cells was scored as a survivor.

Chromosome Analysis

Exponentially growing cells were irradiated with 137Cs γ rays at a dose rate of 2.5 Gy/min. Colcemid was added to a final concentration of 1 μg/ml starting at 30 min after irradiation, and the cells were harvested 4 h later so that the mitotic cells collected would have been in late-S/G2 phase at the time of irradiation (48). Mitotic cells were harvested by trypsinization and hypotonic treatment. Cells were fixed in methanol:acetic acid (3:1) and chromosomes were spread by air-drying (31). After the slides were stained with Giemsa, chromosome aberrations were scored.


In a study using asynchronous exponentially growing cells, it was reported that DNA-PKcs cell lines containing site-directed mutation at the S2056/T2609 clusters as well as the C-terminal phosphatidylinositol 3-kinase (PI3K) kinase domain were radiosensitive (15-20). The synchronized DNA-PKcs mutant cell lines irs-20 and V3 were very radiosensitive when irradiated in the G1 phase (nearly the same as Ku80-deficient xrs-5 cells) but displayed rapidly increasing cell survival (decreasing radiosensitivity) when they were irradiated throughout S phase, peaking at late S phase and then declining (13, 19, 32). Because other DNA repair processes such as HRR also contribute to survival but operate virtually exclusively during S and G2, it is important to study radiosensitivity with synchronous G1-phase cells for proper interpretation of results. The present study was performed with cells incubated in isoleucine-deficient medium to synchronize the cell populations in G0/G1 phase (30). The radiosensitivity of cells synchronized in G1 by isoleucine deprivation is similar to that of cells synchronized in G1 by allowing harvested mitotic cells to progress into G1 (33).

The experiments were carried out after all cell line designations were coded blindly as lines 1–12 and 14 without knowing the genotype of each cell line. Radiation effects on survival and chromosomal aberrations were examined in the site-directed mutant cell lines with mutations at the S2056 cluster, the T2609 cluster and the PI3K domain (Table 1 and Fig. 1). Table 3 shows cell killing after irradiation in G0/G1 as well as radiation-induced total chromosomal aberrations in late S/G2-phase cells among the various Chinese hamster cell lines compared to the DNA-PKcs site-directed mutant cell lines. We measured the D0 and D10 from complete survival curves for determining relative radiosensitivity as described in the last column and footnotes in Table 3. These survival curves are shown graphically in Fig. 2.

FIG. 2
Panel A: Survival curves of site-directed mutant cell lines with amino acid replacement in the S2056 and T2609 clusters. Colored areas indicate differential radiosensitivities: green, D0 = 1.0–1.4 Gy; yellow, D0 = 0.6–0.9 Gy; red, D0 = ...
Gamma-Ray Sensitivity and Chromosomal Aberration Induced in DNA-PK Mutant Cell Lines

Both the L-2 and L-3 cell lines contain the mutated T2609 cluster, in which all six serine/threonine sites were replaced with alanine (A). When irradiated in the G0/G1 phase, these cell lines were very radiosensitive and fell in the same shaded area on the dose–survival plot as xrs-5 and V3 cells (L-7 empty vector) (Fig. 2A). L-14 cells also containing a mutated T2609 cluster with three threonine residues were replaced with alanine (T2609A/T2638A/T2674A) and showed intermediate radiosensitivity, but they were more radiosensitive than L-6 cells, in which only a single amino acid was replaced (T2609A) (Fig. 2A).

The single-site replacement of alanine in L-5 (S2056A) and L-6 (T2609A) mutant cell lines resulted in only mild hypersensitivity to radiation. However, L-4 (S2056A/T2609A) cells displayed synergistically increased radiosensitivity compared to cell lines with complete loss of the T2609 cluster (L-3) or complete loss of the S2056 cluster. The hyper-radiosensitivity of L-4 cells in G0/G1 is distinctive from the mild radiosensitivity when exponentially growing cells were irradiated, whereas L-5 (S2056A) cells showed similar radiosensitivity to γ rays in G0/G1 phase or in asynchronous conditions (18, 19).

It has been reported that the measurement of NHEJ direct end joining relative to alternative microhomology-directed end-joining activity increased dramatically in cells defective in NHEJ compared to the normal cell lines (34). Although there was no significant difference in ionizing radiation-induced cell killing between S2056A (L-5) and S2056A/T2609A (L-4) cells when they were irradiated in asynchronous cultures, measurement of microhomology-directed end joining showed a significant increase (~80%) in S2056A/T2609A (L-4) cells as well as in V3 (L-7) cells, whereas S2056A (L-5) and T2609A (L-6) cells showed less induction (~60%) of microhomology-directed end joining (19). The difference in microhomology-directed end joining suggests that NHEJ repair is severely compromised in L-4 (S2056A/T2609A) cells, reflecting the hyper-radiosensitivity of L-4 cells irradiated in G0/G1. The results also implied that the two sites (S2056 and T2609) may have some kind of interaction or synergistic effect on radiosensitivity. It is not clear why there are large differences in sensitivity for radiation-induced cell killing between L-4 and L-5/L-6 cells. Although the S2056 and T2609 clusters are 553 amino acids apart (Fig. 1), this does not exclude a closer location that depends on the three-dimensional structure of DNA-PKcs leading to synergistic interaction that could increase radiosensitivity in the L-4 cell line.

The kinase activity of DNA-PKcs is essential for NHEJ repair because kinase-dead DNA-PKcs mutant cell lines (L-8, -9, -10 and -11) with site-directed mutations within the conserved PI3K domain significantly lowered DNA-PKcs kinase activity and increased radiosensitivity, even though they contained different amino acid substitutions or truncation (15). All four kinase-dead mutant cell lines were very sensitive when the cells were irradiated in G0/G1 phase (Table 3 and Fig. 2B) and displayed five to ten times greater radiosensitivity in G0/G1 phase than in asynchronous cell populations with 2 Gy (15).

In addition to investigating radiosensitivity of each mutant cell lines in G0/G1, we found that aneuploidy occurred in several DNA-PKcs mutant cell lines, as shown in Table 2. The L-2 and L-3 cell lines, in which all six phosphorylation residues of the T2609 cluster were substituted to alanine, were both very radiosensitive and aneuploid. Aneuploidy was also found in L-4 (S2056A/T2609A) cells but not in the single-site mutated L-5 (S2056A) and L-6 (T2609A) cell lines. On the other hand, two L-12 cell lines (L-12-10, L-12-15) in which all five putative phosphorylation residues of the S2056 cluster were substituted to alanine showed only mild radiosensitivity in G0/G1 phase (Table 3 and Fig. 2A) but displayed severe aneuploidy (Table 2). All four kinase-dead mutant cell lines with different types of mutations at the PI3K domain were very radiosensitive (Table 3 and Fig. 2B), but only the L-9 cell line was aneuploid (Table 2). While there was no direct cause-and-effect relationship seen between aneuploidy and radiosensitivity, it cannot be ruled out that certain DNA-PKcs mutations can lead to a propensity to develop aneuploidy.

Total spontaneous chromosomal aberrations as well as chromosomal aberrations induced by 0.5 Gy γ rays in G2 were analyzed in wild-type (CHO and AA8) and NHEJ mutated cells (Ku 70/80 deficient xrs-5 and DNA-PKcs site-directed mutant cell lines). There were higher frequencies of spontaneous chromosomal aberrations in NHEJ mutated cells than in wild-type CHO and AA8 cells (Table 3). This may suggest that these mutant cell lines developed genetic instability and/or aneuploidy during the process of establishing stable mutant clones (Tables 2 and and3).3). An assay of radiation-induced G2 chromosomal aberrations was performed by irradiating exponentially growing cells followed by 4 h of Colcemid treatment starting 30 min after irradiation. Mitotic cells collected under this protocol would have been in late S/G2 phase at the time of irradiation (48). The G2-phase chromosomal assay has been applied to number of radiosensitivity and cancer predisposition syndromes (35-38). Chinese hamster cells deficient in either NHEJ or HRR showed similar increases in radiation-induced chromosomal aberrations in late S/G2 phase (39-42). After 0.5 Gy of γ rays, total chromosomal aberrations in late S/G2-phase cells were also significantly elevated for all NHEJ mutant cell lines compared with the wild-type CHO and AA8, except the L-5 and L-6 cell lines (Table 3). These two cell lines showed near normal radiosensitivities and near diploid chromosome numbers (Tables 2 and and3).3). It is notable that L-12 cells, which contain the mutated S2056 cluster, in which all five serine sites were replaced with alanine, displayed a high frequency of spontaneous and radiation-induced chromosomal aberrations, although L-12 cells showed only mild radiosensitivity in G0/G1 phase (Table 3 and Fig. 2A).

The relationship between DNA-PKcs activity and DSB repair underlying the NHEJ mechanism has been widely studied. Results from the current study provide further insight into the contributions of different modifications of DNA-PKcs activity (phosphorylations and kinase activity) to radiosensitivity phenotypes in G0/G1-phase cells. Mice deficient in DNA-PKcs and NHEJ components have been characterized by increased sensitivity to agents causing DNA damage as well as to chromosomal instability, immunodeficiency and predisposition to thymic lymphomas (43). Studies of clinical samples have also correlated DNA-PKcs activity with cancer risk and prognosis. A reduction of DNA-PKcs expression or DNA-PK kinase activity in peripheral blood lymphocytes (PBL) has been found in bronchial epithelial cells (a progenitor cell for lung cancer) (44) and was associated with a risk for breast and uterine cervix cancer as well as an increased frequency of chromosomal aberrations (45). Negative expression of DNA-PKcs has also been correlated with tumor progression and poor patient survival in gastric cancer (46). Recently, several point mutations of DNA-PKcs have been identified in breast tumor samples; one such mutation, Thr2609Pro, occurred specifically at the T2609 phosphorylation cluster (47). Taken together, these results suggest a tumor suppressor role of DNA-PKcs in the development of cancer.

In summary, this study focused on radiosensitivity and chromosomal instability in site-directed DNA-PKcs mutant cell lines after γ irradiation in the G0/G1 phase. Very clear differences in radiosensitivity were observed among cell lines mutated in the T2609 cluster, the S2056 cluster and the PI3K kinase domain. Additionally, an interesting synergism between defects in phosphorylation sites that occur together in both the S2056 and T2609 clusters was found to be critical for conferring maximum hypersensitivity to radiation-induced cell killing, comparable to DNA-PKcs null mutants.


This research was supported by grants DE-FG02-07ER64350 (HN, JSB) and DEFG02-05ER65089 (JBL) from the U.S. Department of Energy Office of Biological and Environmental Research Low Dose Radiation Research Program, NNX07AP84G (BPC) from National Aeronautics and Space Administration Space Radiation Research Program, and NCI/NIH grant CA50519 (DJC) from the U.S. Department of Health and Human Services. Appreciation is expressed Jennifer A. Hufnagle and Trenton Wade for technical assistance in these experiments.


1. Thompson LH, Limoli CL. Origin, recognition, signaling and repair of DNA double-strand breaks in mammalian cells. In: Caldecott K, editor. Eukaryotic DNA Damage Surveillance and Repair. Springer,; Berlin, Heidelberg, New York: 2004. pp. 107–145.
2. Weterings E, Chen DJ. The endless tale of non-homologous end-joining. Cell Res. 2008;18:114–124. [PubMed]
3. Finnie NJ, Gottlieb TM, Blunt T, Jeggo PA, Jackson SP. DNA-dependent protein kinase activity is absent in xrs-6 cells: implications for site-specific recombination and DNA double-strand break repair. Proc Natl Acad Sci USA. 1995;92:320–324. [PubMed]
4. Peterson SR, Kurimasa A, Oshimura M, Dynan WS, Bradbury EM, Chen DJ. Loss of the catalytic subunit of the DNA-dependent protein kinase in DNA double-strand-break-repair mutant mammalian cells. Proc Natl Acad Sci USA. 1995;92:3171–3174. [PubMed]
5. Little JB, Nagasawa H, Li GC, Chen DJ. Involvement of the nonhomologous end joining DNA repair pathway in the bystander effect for chromosomal aberrations. Radiat Res. 2003;159:262–267. [PubMed]
6. Nagasawa H, Little JB. Bystander effect for chromosomal aberrations induced in wild-type and repair deficient CHO cells by low fluences of alpha particles. Mutat Res. 2002;508:121–129. [PubMed]
7. Nagasawa H, Little JB, Inkret WC, Carpenter S, Raju MR, Chen DJ, Strniste GF. Response of X-ray-sensitive CHO mutant cells (xrs-6c) to radiation. II. Relationship between cell survival and the induction of chromosomal damage with low doses of alpha particles. Radiat Res. 1991;126:280–288. [PubMed]
8. Nagasawa H, Chen DJ, Strniste GF. Response of X-ray-sensitive CHO mutant cells to gamma radiation. I. Effects of low dose rates and the process of repair of potentially lethal damage in G1 phase. Radiat Res. 1989;118:559–567. [PubMed]
9. Iliakis GE, Okayasu R. Radiosensitivity throughout the cell cycle and repair of potentially lethal damage and DNA double-strand breaks in an X-ray-sensitive CHO mutant. Int J Radiat Biol. 1990;57:1195–1211. [PubMed]
10. Whitmore GF, Varghese AJ, Gulyas S. Cell cycle responses of two X-ray sensitive mutants defective in DNA repair. Int J Radiat Biol. 1989;56:657–665. [PubMed]
11. Lin JY, Muhlmann-Diaz MC, Stackhouse MA, Robinson JF, Taccioli GE, Chen DJ, Bedford JS. An ionizing radiation-sensitive CHO mutant cell line: irs-20. IV. Genetic complementation, V(D)J recombination and the scid phenotype. Radiat Res. 1997;147:166–171. [PubMed]
12. Priestley A, Beamish HJ, Gell D, Amatucci AG, Muhlmann-Diaz MC, Singleton BK, Smith GC, Blunt T, Schalkwyk LC, Taccioli GE. Molecular and biochemical characterisation of DNA-dependent protein kinase-defective rodent mutant irs-20. Nucleic Acids Res. 1998;26:1965–1973. [PMC free article] [PubMed]
13. Stackhouse MA, Bedford JS. An ionizing radiation-sensitive mutant of CHO cells: irs-20. II. Dose-rate effects and cellular recovery processes. Radiat Res. 1993;136:250–254. [PubMed]
14. Stackhouse MA, Bedford JS. An ionizing radiation-sensitive mutant of CHO cells: irs-20. III. Chromosome aberrations, DNA breaks and mitotic delay. Int J Radiat Biol. 1994;65:571–582. [PubMed]
15. Kurimasa A, Kumano S, Boubnov NV, Story MD, Tung CS, Peterson SR, Chen DJ. Requirement for the kinase activity of human DNA-dependent protein kinase catalytic subunit in DNA strand break rejoining. Mol Cell Biol. 1999;19:3877–3884. [PMC free article] [PubMed]
16. Chan DW, Chen BP, Prithivirajsingh S, Kurimasa A, Story MD, Qin J, Chen DJ. Autophosphorylation of the DNA-dependent protein kinase catalytic subunit is required for rejoining of DNA double-strand breaks. Genes Dev. 2002;16:2333–2338. [PubMed]
17. Ding Q, Reddy YV, Wang W, Woods T, Douglas P, Ramsden DA, Lees-Miller SP, Meek K. Autophosphorylation of the catalytic subunit of the DNA-dependent protein kinase is required for efficient end processing during DNA double-strand break repair. Mol Cell Biol. 2003;23:5836–5848. [PMC free article] [PubMed]
18. Chen BP, Uematsu N, Kobayashi J, Lerenthal Y, Krempler A, Yajima H, Lobrich M, Shiloh Y, Chen DJ. Ataxia telangiectasia mutated (ATM) is essential for DNA-PKcs phosphorylations at the Thr-2609 cluster upon DNA double strand break. J Biol Chem. 2007;282:6582–6587. [PubMed]
19. Chen BP, Chan DW, Kobayashi J, Burma S, Asaithamby A, Morotomi-Yano K, Botvinick E, Qin J, Chen DJ. Cell cycle dependence of DNA-dependent protein kinase phosphorylation in response to DNA double strand breaks. J Biol Chem. 2005;280:14709–14715. [PubMed]
20. Cui X, Yu Y, Gupta S, Cho YM, Lees-Miller SP, Meek K. Autophosphorylation of DNA-dependent protein kinase regulates DNA end processing and may also alter double-strand break repair pathway choice. Mol Cell Biol. 2005;25:10842–10852. [PMC free article] [PubMed]
21. Ma Y, Pannicke U, Lu H, Niewolik D, Schwarz K, Lieber MR. The DNA-dependent protein kinase catalytic subunit phosphorylation sites in human Artemis. J Biol Chem. 2005;280:33839–33846. [PubMed]
22. Douglas P, Cui X, Block WD, Yu Y, Gupta S, Ding Q, Ye R, Morrice N, Lees-Miller SP, Meek K. The DNA-dependent protein kinase catalytic subunit is phosphorylated in vivo on threonine 3950, a highly conserved amino acid in the protein kinase domain. Mol Cell Biol. 2007;27:1581–1591. [PMC free article] [PubMed]
23. Kim ST, Lim DS, Canman CE, Kastan MB. Substrate specificities and identification of putative substrates of ATM kinase family members. J Biol Chem. 1999;274:37538–37543. [PubMed]
24. Bedford JS, Dewey WC. Historical and current highlights in radiation biology: has anything important been learned by irradiating cells? Radiat Res. 2002;158:251–291. [PubMed]
25. Dewey WC, Bedford JS. Radiobiologic principles. In: Leibel SA, Phillips TL, editors. Textbook of Radiation Oncology. W. B. Saunders,; Philadelphia: 1998. pp. 3–25.
26. Dewey WC, Cole A. Effects of heterogeneous populations on radiation survival curves. Nature. 1962;194:660–662.
27. Puck TT, Cieciura SJ, Robinson A. Genetics of somatic mammalian cells. III. Long-term cultivation of euploid cells from human and animal subjects. J Exp Med. 1958;108:945–956. [PMC free article] [PubMed]
28. Thompson LH, Fong S, Brookman K. Validation of conditions for efficient detection of HPRT and APRT mutations in suspension-cultured Chinese hamster ovary cells. Mutat Res. 1980;74:21–36. [PubMed]
29. Jeggo PA, Kemp LM, Holliday R. The application of the microbial “tooth-pick” technique to somatic cell genetics, and its use in the isolation of X-ray sensitive mutants of Chinese hamster ovary cells. Biochimie. 1982;64:713–715. [PubMed]
30. Tobey RA, Ley KD. Isoleucine-mediated regulation of genome repliction in various mammalian cell lines. Cancer Res. 1971;31:46–51. [PubMed]
31. Hsu TC, Klatt O. Mammalian chromosomes in vitro. IX. On genetic polymorphism in cell populations. J Natl Cancer Inst. 1958;21:437–473. [PubMed]
32. Rothkamm K, Kruger I, Thompson LH, Lobrich M. Pathways of DNA double-strand break repair during the mammalian cell cycle. Mol Cell Biol. 2003;23:5706–5715. [PMC free article] [PubMed]
33. Nagasawa H, Fornace D, Little JB. Induction of sister-chromatid exchanges by DNA-damaging agents and 12-O-tetra-decanoyl-phorbol-13-acetate (TPA) in synchronous Chinese hamster ovary (CHO) cells. Mutat Res. 1983;107:315–327. [PubMed]
34. Verkaik NS, Esveldt-van Lange RE, van Heemst D, Bruggenwirth HT, Hoeijmakers JH, Zdzienicka MZ, van Gent DC. Different types of V(D)J recombination and end-joining defects in DNA double-strand break repair mutant mammalian cells. Eur J Immunol. 2002;32:701–709. [PubMed]
35. Parshad R, Sanford KK, Jones GM. Chromatid damage after G2 phase x-irradiation of cells from cancer-prone individuals implicates deficiency in DNA repair. Proc Natl Acad Sci USA. 1983;80:5612–5616. [PubMed]
36. Parshad R, Sanford KK, Jones GM. Chromosomal radiosensitivity during the G2 cell-cycle period of skin fibroblasts from individuals with familial cancer. Proc Natl Acad Sci USA. 1985;82:5400–5403. [PubMed]
37. Nagasawa H, Little JB. Radiosensitivities of ten apparently normal human diploid fibroblast strains to cell killing, G2-phase chromosomal aberrations, and cell cycle delay. Cancer Res. 1988;48:4535–4538. [PubMed]
38. Scott D. Chromosomal radiosensitivity and low penetrance predisposition to cancer. Cytogenet Genome Res. 2004;104:365–370. [PubMed]
39. Hinz JM, Yamada NA, Salazar EP, Tebbs RS, Thompson LH. Influence of double-strand-break repair pathways on radiosensitivity throughout the cell cycle in CHO cells. DNA Repair (Amst) 2005;4:782–792. [PubMed]
40. Kruger I, Rothkamm K, Lobrich M. Enhanced fidelity for rejoining radiation-induced DNA double-strand breaks in the G2 phase of Chinese hamster ovary cells. Nucleic Acids Res. 2004;32:2677–2684. [PMC free article] [PubMed]
41. Tamulevicius P, Wang M, Iliakis G. Homology-directed repair is required for the development of radioresistance during S phase: interplay between double-strand break repair and checkpoint response. Radiat Res. 2007;167:1–11. [PubMed]
42. Natarajan AT, Berni A, Marimuthu KM, Palitti F. The type and yield of ionising radiation induced chromosomal aberrations depend on the efficiency of different DSB repair pathways in mammalian cells. Mutat Res. 2008;642:80–85. [PubMed]
43. Bassing CH, Swat W, Alt FW. The mechanism and regulation of chromosomal V(D)J recombination. Cell. 2002;109(Suppl.):S45–S55. [PubMed]
44. Auckley DH, Crowell RE, Heaphy ER, Stidley CA, Lechner JF, Gilliland FD, Belinsky SA. Reduced DNA-dependent protein kinase activity is associated with lung cancer. Carcinogenesis. 2001;22:723–727. [PubMed]
45. Someya M, Sakata K, Matsumoto Y, Yamamoto H, Monobe M, Ikeda H, Ando K, Hosoi Y, Suzuki N, Hareyama M. The association of DNA-dependent protein kinase activity with chromosomal instability and risk of cancer. Carcinogenesis. 2006;27:117–122. [PubMed]
46. Lee HS, Choe G, Park KU, Park do J, Yang HK, Lee BL, Kim WH. Altered expression of DNA-dependent protein kinase catalytic subunit (DNA-PKcs) during gastric carcinogenesis and its clinical implications on gastric cancer. Int J Oncol. 2007;31:859–866. [PubMed]
47. Wang X, Szabo C, Qian C, Amadio PG, Thibodeau SN, Cerhan JR, Petersen GM, Liu W, Couch FJ. Mutational analysis of thirty-two double-strand DNA break repair genes in breast and pancreatic cancers. Cancer Res. 2008;68:971–975. [PubMed]
48. Nagasawa H, Brogan JR, Peng Y, Little JB, Bedford JS. Some unsolved problems and unresolved issues in radiation cytogenetics: a review and new data on roles of homologous recombination and non-homologous end joining. Mutat Res. 2010;701:12–22. [PubMed]