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RESEARCH ARTICLES
Unscheduled DNA Replication Origin Activation atInserted HPV 18 Sequences in a HPV-18/MYC Amplicon
Chiara Conti,{ John Herrick, and Aaron Bensimon*
GenomicVision, 27 rue du Faubourg Saint Jacques,75014 Paris,France
Oncogene amplification is a critical step leading to tumorigenesis, but the underlying mechanisms are still poorly understood.
Despite data suggesting that DNA replication is a major source of genomic instability, little is known about replication origin
usage and replication fork progression in rearranged regions. Using a single DNA molecule approach, we provide here the first
study of replication kinetics on a previously characterized MYC/papillomavirus (HPV18) amplicon in a cervical cancer. Using this
amplicon as a model, we investigated the role DNA replication control plays in generating amplifications in human cancers.
The data reveal severely perturbed DNA replication kinetics in the amplified region when compared with other regions of the
same genome. It was found that DNA replication is initiated from both genomic and viral sequences, resulting in a higher me-
dian frequency of origin firings. In addition, it was found that the higher initiation frequency was associated with an equivalent
increase in the number of stalled replication forks. These observations raise the intriguing possibility that unscheduled replica-
tion origin activation at inserted HPV-18 viral DNA sequences triggers DNA amplification in this cancer cell line and the subse-
quent overexpression of the MYC oncogene. This article contains Supplementary Material available at http://www.interscience.
wiley.com/jpages/1045-2257/suppmat. VVC 2007 Wiley-Liss, Inc.
INTRODUCTION
During S-phase, genome stability depends on
the faithful and complete duplication and trans-
mission of genetic information to the daughter
cells. Errors occurring during DNA replication are
known to be involved in chromosomal and gene
rearrangements. Amplification and deregulation of
cell cycle regulating genes, such as cyclins and tu-
mor suppressor genes, can lead to the develop-
ment of cancer and/or drug resistance. Despite the
importance of elucidating the sequence of events
leading to oncogene amplification, the mecha-
nisms generating such instabilities are still poorly
understood (Schar, 2001; Shiloh and Lehmann,
2004). Additional studies are necessary to improve
our understanding of DNA replication and the
anomalies that lead to amplifications in human
cancers.
In metazoa, DNA replication starts at multiple
origins of replication (Ori), from which two bidirec-
tional forks proceed and synthesize nascent DNA
strands (McWhinney and Leffak, 1990; Vassilev
and Johnson, 1990; Landry and Zannis-Hadjopou-
los, 1991). Origin positioning, spacing and timing,
together with fork progression, are the principle
parameters determining the kinetics of DNA repli-
cation (Fangman and Brewer, 1992; Sidorova and
Breeden, 2003). In normal S-phase, the DNA dam-
age ATM/ATR checkpoint is activated by feed-
back from active replicons to control origin firing
by down-regulating CDK2 and CDC7 kinases
(Miao et al., 2003; Marheineke and Hyrien, 2004;
Shechter et al., 2004), thus highlighting the impor-
tance of origin selection and activity for genome
integrity. In S. cerevisiae, initiation from fewer ori-
gins upon deletion of SIC1, a regulator of the G1/S
transition, is associated with gross chromosomal
rearrangements (GCR) (Lengronne and Schwob,
2002). Excessive origin activity also has severe con-
sequences for genome stability. Overexpression of
CDT1, a key initiation protein, as well as down-
regulation of the CDT1-inhibitor geminin, are
associated with rereplication, which activates the
ATM/ATR checkpoint response (Machida et al.,
2005; Saxena and Dutta, 2005). Therefore, the
number of origins itself appears to be crucial for
*Correspondence to: Aaron Bensimon, Genomic Vision, 27 rue duFaubourg Saint Jacques, 75014 Paris, France.E-mail: a.bensimon@ genomicvision.com
{Present address: Laboratory of Molecular Pharmacology, NCI,NIH, 37 Convent drive, Bldg. 37, Room 5066, Bethesda, MD, USA.
Supported by: Fondation Louis D, Institut de France.
Received 6 August 2006; Accepted 1 March 2007
DOI 10.1002/gcc.20448
Published online 19 April 2007 inWiley InterScience (www.interscience.wiley.com).
VVC 2007 Wiley-Liss, Inc.
GENES, CHROMOSOMES & CANCER 46:724–734 (2007)
the stability of the genome. On the other hand,
when replication forks experience a transient or
permanent replication arrest, they are converted
into substrates that may undergo recombinogenic
events, another potential source of genomic insta-
bility (Bosco and Haber, 1998; Hyrien, 2000;
McGlynn and Lloyd, 2002; Takeuchi et al., 2003;
Michel et al., 2004;). In budding yeast, in the ab-
sence of a specific and polar replication fork barrier,
the collision of the replication fork with the tran-
scription machinery was shown to generate tandem
direct amplification of rDNA and tRNA genes
(Deshpande and Newlon, 1996; Takeuchi et al.,
2003). In human cells, the rDNA locus was recently
shown to consist of repeated canonical and nonca-
nonical rearranged units (Lebofsky and Bensimon,
2005). Replication analysis within this region
revealed that fork progression is perturbed prefer-
entially at the noncanonical units, thus suggesting
that fork arrest is responsible for the rearrange-
ments. Since replication and transcription are spa-
tio-temporally separated, the fork barrier has been
suggested to be a safety mechanism to prevent po-
lymerase collision when segregation of transcrip-
tion and replication domains falters.
Despite the putatively known association
between incorrect DNA replication and genomic
instability (Schar, 2001), little has been done to
characterize precisely the altered regulation of ori-
gin firing and fork progression in amplified regions
in human cancers. However, elucidating these
aspects of DNA replication is important to fully
understand their roles in gene amplification.
In the present study we examine a spontaneous
amplicon, which we previously characterized in the
human cervical cancer IC1 (Herrick et al., 2005).
IC1 is an adenocarcinoma derived from glandular
cells where human papillomavirus 18 (HPV18)sequences are integrated nearby and coamplified
withMYC.HPV integration in the host genome is generally
accompanied by the disruption of the E2 protein
(Thierry et al., 1987), which represses transcrip-
tion from the E6 and E7 genes by binding to their
promoter. After integration, the disruption of E2
results in the expression of the oncoproteins E6and E7 (Farthing and Vousden, 1994; Scheffner et
al., 1994; Boyer, 1996; Mantovani and Banks,
2001; Munger et al., 2001). E6 promotes the deg-
radation of TP53, thus interfering with the G1/S
and G2/M checkpoints and reducing apoptosis
(Mantovani and Banks, 2001). E7 interferes with
the RRB pathway and induces unscheduled entry
into mitosis. Therefore, E6 and E7 are considered
to have a major role in the genomic instability that
is associated with the HPV18 infection. Since the
promoter overlaps with the viral origin of replica-
tion, the current understanding is that transcription
is repressed when DNA replication is active. E2
and the helicase E1, together with proteins of the
cellular replication machinery, are necessary for the
duplication of the virus. E1 binds to DNA with
very low specificity. However, the specificity of
binding to the origin of replication increases signif-
icantly when it interacts with E2, which binds to
three specific sites within the origin.
In IC1, sequences from the HPV18 and the
oncogene MYC constitute a cassette of *36 kb sta-
bly amplified at least 10-fold, which indicates that
the virus integrated into the cellular genome near
MYC prior to the amplification process (Fig. 1A)
(Herrick et al., 2005). As shown in Figure 1, HPV18sequences display a varying size that can be due to
rearrangements of the viral genome, as shown by
Peter et al. (2006). Quantitative PCR showed that
MYC was already amplified in the primary tumor
from which IC1 was derived (Peter et al., 2006).
PCR analysis showed that the viral genome is in-
terrupted in L1 and E1/E2 ORFs, whereas E6 and
E7 are intact (Herrick et al., 2005; Peter et al.,
2006), thus abrogating TP53 and RB1. The MYConcogene is overexpressed by about 10-fold, as
shown by RT-PCR (Peter et al., 2006). We used
this amplicon as a model to study origin usage and
fork progression in a repeated region. In IC1, the
organization of the region in tandem direct repeats
suggests a recombinogenic mechanism of amplifi-
cation based on rereplication or abnormal fork pro-
gression.
Origin activity and fork movement were moni-
tored and analyzed on individual DNA fibers
extracted from IC1 and stretched by molecular
combing (Bensimon et al., 1994; Lebofsky and
Bensimon, 2005). Since the original structure of a
region is maintained during the combing proce-
dure, the detection of replication signals com-
bined with the hybridization of fluorescent probes
can reveal the kinetics of DNA duplication in a
specific region. The replication kinetics of the
MYC/HPV amplicon compared with the reference
kinetics established at the whole genome scale
revealed anomalous origin activity and numerous
stalled forks. Because the region is highly tran-
scribed, we suggest that a collision between the
replication and the transcription polymerases
could induce fork arrest and recombination thus
resulting in the amplification of the MYC/HPV18cassette.
Genes, Chromosomes & Cancer DOI 10.1002/gcc
725DNA REPLICATION KINETICS IN A HPV18/MYC AMPLICON
MATERIAL ANDMETHODS
Cell Culture and DNA Labeling
IC1 cells are derived from cervical cancer and
are naturally infected by HPV18 (Peter et al.,
2006). They were grown in RPMI media 1640
(Life Technologies, Gaithersburg, MD), supple-
mented with 5% FCS and a mixture of penicillin,
streptomycin and L-Glutamine (Life Technologies,
Gaithersburg, MD) to a final 13 concentration.
An asynchronous subconfluent population of
cells was pulse-labeled with 100 lM of Iodo-deox-
yuridine (IdU) (Sigma, St. Louis, MO) and 100 lMof Chloro-deoxyuridine (CldU) (Sigma, St. Louis,
MO) for 20 min each. Media containing the ana-
logues were preheated at 378C. The culture was
washed with PBS 13, preheated at 378C, betweenthe two analogues. At the end of the second pulse,
the cells were harvested, centrifuged and resus-
pended in PBS 13 at a final concentration of 5 3105/100 ll. An equal volume of 2% low melting
point liquid agarose was added to the suspension
of cells and the mix was aliquoted in PFEG molds
(170–3622, Bio-Rad, Herucules, CA). Once solid,
the plugs were washed over night with 1 mg/ml
proteinase K and 1% N-Lauryl Sarcosyl in 0.5 M
EDTA at 508C. Complete removal of digested pro-
teins and other degradation products was performed
by several gentle washings in TE. Protein-free
DNA plugs were stored in 0.5 M EDTA at 48C or
immediately used for combing.
DNAMolecular Combing
One plug or [1/4] of a plug were used for molec-
ular combing depending on the application to
study a specific locus or for a whole genome analy-
sis, respectively. The plug was melted at 708C for
20 min with 100 mM MES (pH 6.5). The solution
was maintained at 428C for 15 min and treated
overnight with 2 ll b-agarase (New England Biol-
abs, Ipswich, MA). The solution was dropped into
a teflon reservoir and DNA was combed on silan-
ized cover slips as previously described (Conti
et al., 2000).
Double Detection of IdU and CldU for Whole
Genome Analysis, Image Scanning, and Signal
Measurement
Combed DNA was denatured in 0.5 M NaOH
for 10 min with gentle shaking, washed several
times in PBS 13 and incubated with the primary
antibodies. All antibodies were diluted in a 1%
blocking solution (Boheringer, Ingelheim, Ger-
many), prepared in PBS 13, incubated in a humid
chamber and washed 33 3 min with PBS 13. First
step: 2/5 mouse anti-BrdU-FITC (Becton Dickin-
son, San Jose, CA) þ 2/5 rat anti-CldU (SeraLab,
Bolney, United Kingdom), incubated 1 hr at RT.
Second step: 1/25 donkey anti-mouse FITC
(Jackson Laboratory, Bar Harbor, ME) þ 1/25 don-
key anti-rat-594 (Molecular Probes, Carlsbad, CA),
Figure 1. DNA replication labeling and detection of origins in theMYC/HPV18 amplicon. (A) Coamplification of MYC and HPV-18 sequen-ces in the IC1 cell line. Red: HPV-18. Green: MYC. The virus and theoncogene are amplified as a single unit that includes a gap of undetectedchromosomal sequences. Bar ¼ 10 kb. (B) Schematic representation ofsignals deriving from equal pulse labeling with IdU and CldU. Replicationforks progress bidirectionally at the same rate from the origin andincorporate the analogues forming a symmetrical replicon. Upon detec-tion of IdU and CldU, three types of signals may be obtained: (1) a greenand red signal with a gap between the green segments corresponding toinitiations that occurred before the beginning of the pulse; (2) a dual-color signal with a continuous blue segment corresponding to originsthat fired during the first pulse; (3) a red signal corresponding to originsthat fired during the second pulse. A continuous red signal flanked bytwo blue signals is derived from the merge of two forks from adjacentorigins. The distance between the middle-point of two neighboring rep-licons is the inter-origin distance. The fork velocity is calculated bydividing the length of each fluorescent signal by the time of the pulse(dashed black arrows). (C) DNA replication ongoing in the amplicon,which is detected by the presence of HPV-18 probes in green. In eachpanel, probes alone are visible at the top, replication signals (in blue andin red) in the middle, the merge is at the bottom. According to thescheme in B, firings during the first and second pulse are detectable.Superposition of HPV probes with the middle-point of the replicationsignals indicates initiations occurring at viral sequences (white arrows:molecule a, b, and signal in the middle of molecule c). Firings at genomicsequences are also observable in the gap between the FISH probes(molecule c, signals on the left and on the right, and molecule d).
Genes, Chromosomes & Cancer DOI 10.1002/gcc
726 CONTI ET AL.
20 min. Mounting in Vectashield (Jackson Labora-
tory, Bar Harbor, ME). To detect BrdU incorpo-
rated into fully labeled DNA, the previous protocol
was used with the following modifications: First
step: 2/5 mouse anti-BrdU (Becton Dickinson, San
Jose, CA); Second step: 1/10 goat anti mouse-594
(Molecular Probes, Carlsbad, CA).
Probe Labeling and Hybridization on
Combed Molecules
The same DNA preparation was used to prepare
several surfaces with combed DNA. A part of those
surfaces was used to study the DNA replication
kinetics at the whole genome level, using the dou-
ble detection protocol described earlier. The
others were used for the DNA replication analysis
within the amplicon, which combines fluorescence
in situ hybridization (FISH) with a specific probe
for HPV18 and the detection of the replication
signals.
The probe to detect HPV18 sequences, a plas-
mid containing the full-length inactivated virus
(kindly provided by Dr. Gerard Orth), was labeled
by Random Priming (Invitrogen Life Technolo-
gies, Carlsbad, CA) with biotin-14-dUTP. 0.5 lg of
the biotinilated probe were precipitated with 33of 1 mg/ml Human Cot-1 DNA, dried and resus-
pended in the hybridization buffer (50% deionized
formamide, 23 SSC, 0.5% sodium dodecyl sulfate,
0.5% sarcosyl, 10 mM NaCl, and 33.3% blocking
solution [Boehringer, Ingelheim, Germany, block-
ing reagent prepared in PBS 13 with 0.05% Tween
20]).
Coverslips with combed DNA (stored at �208C)were dried and denatured for 20 min at RT in
0.5 M NaOH. Probes were denatured at 1008C for
5 min, incubated on ice for 5 min and hybridized
to the combed DNA in a humid chamber overnight
at 428C.
Triple Detection for Replication Analysis
Within a Specific Locus
Different fluorescent colors were used for the
analysis at the whole genome level and within the
amplicon. When possible, the blue fluorescence
was not used because it is more difficult to see at
the microscope. Therefore, for whole genome
studies IdU and CldU were detected in green and
red, respectively. However, to study the amplicon,
the blue color was introduced: the HPV18 probe
was detected in green, IdU in blue and CldU in
red. The protocol for the triple detection is
described.
Slides were washed with: (1) 50% deionized
formamide and 23 SSC, 3 3 5 min, with shaking
at room temperature (RT); (2) 23 SSC, 3 3 3 min,
with shaking at RT. The antibodies used to detect
probes and analogues were: (1) streptavidin Alexa-
Fluor 488 (Molecular Probes, Carlsbad, CA) 1/50,
mouse anti-BrdU (Becton Dickinson, San Jose,
CA) 2/5, Rat anti-BrdU (Harlan SeraLab, Oxon,
United Kingdom) 2/50, 1 hr at RT; (2) biotinilated
anti-streptavidin (Jackson Immunochemicals, West
Grove, PA) 1/50, cross-absorbed goat anti-mouse
Alexa Fluor 350 (Molecular Probes, Carlsbad, CA)
1/10, donkey anti-rat Alexa Fluor 594 (Molecular
Probes, Carlsbad, CA) 1/25, 20 min at 378C; (3)streptavidin AlexaFluor 488 (Molecular Probes,
Carlsbad, CA) 1/50, donkey anti-goat Alexa Fluor
350 (Molecular Probes) 1/10, donkey anti-rat Alexa
Fluor 594 (Molecular Probes, Carlsbad, CA) 1/25.
Antibodies were prepared in PBS 13 with 1%
blocking reagent (Boehringer, Ingelheim, Ger-
many). Incubations were carried out in a humid
chamber. After each step, slides were washed with
PBS 13, 3 3 3 min. After the final wash, slides
were mounted in anti-fading Vectashield (Jackson
Laboratory, Bar Harbor, ME).
Scanning and Statistical Analysis
Multiple slides were scanned to accumulate a
statistically reliable number of signals. Screening
was done with an epifluorescence microscope (Axio-
Plan, Zeiss, Le Pecq, France), using 403 objective,
connected to a CCD camera. Images were acquired
with Smart Capture 2.0. Measurements were per-
formed using CartographiX, a software program
developed in our lab. Removal of the background
was performed to enhance the distinction of the flu-
orescent signal from the background.
Data were inserted into an Excel spread sheet
and analyzed by KyPlot and SigmaPlot. For the
calculation of the fork velocity, we did not use: (1)
the red segments from merged forks; (2) the green
segments from Type II signals (Figs. 1A and 3) the
red segments from Type III signals (Fig. 1A). The
values of fork velocity and inter-origin distance
were calculated for each single molecule and plot-
ted as a frequency distribution.
Right versus left fork rates, for forks moving
from an origin, were determined for each single
replicon and their value is represented by a dot in
the scatter diagrams. The same procedure was
used to compare the IdU versus CldU track
belonging to a single fork. The data set is smaller
for the amplified region, which is significantly
shorter than the whole genome. Envelopes were
Genes, Chromosomes & Cancer DOI 10.1002/gcc
727DNA REPLICATION KINETICS IN A HPV18/MYC AMPLICON
drawn to define a pair of correlated forks when the
deviation of their ratio from the theoretical value 1
is less than 33%. Such a preset threshold allows for
future comparative studies with different cell lines,
growth conditions and different loci.
RESULTS
Origin Firing Occurs at Both Genomic and
Viral Sequences
The MYC/HPV18 amplicon in the IC1 cancer
derived cell line is a spontaneous and stable ampli-
con of about 350 kb, as observed on individual
DNA fibers by molecular combing (Herrick et al.,
2005). The stable maintenance of such a long
sequence likely depends on the presence of active
origins of replication. To map active origins in the
amplicon and to study their usage, asynchronous
exponentially-growing IC1 cells were sequentially
pulse-labeled with IdU and CldU, two thymidine
analogues, for an equal time of 20 min each. Cells
were immediately harvested and embedded in aga-
rose plugs to prepare a protein-free solution of high
molecular weight genomic DNA. This DNA was
then stretched by molecular combing (Bensimon
et al., 1994) with a constant and sequence-independ-
ent stretching factor (Michalet et al., 1997). Combed
DNA was hybridized with a biotin-labeled probe
belonging to HPV sequences (Onclercq et al., 1989)
and tricolor fluorescent detection was performed
(Lebofsky and Bensimon, 2005). IdU and CldU
were detected by fluorescent antibodies in blue and
red, respectively (Figs. 1B and 1C), whereas the
hybridized probes were detected in green. 60 firing
events could be observed over the 73 amplicons ana-
lyzed, half of which displayed only passive replica-
tion with one fork coming from the flanking regions.
Interestingly, initiations were observed at both
genomic and viral sequences although with different
frequencies (41/60 and 19/60, respectively) (Fig.
1C). This observation demonstrates that integrated
and rearranged viral sequences can be fully recog-
nized and licensed by the cellular replication ma-
chinery in the absence of a functional E2 (Herrick
et al., 2005).
Replication firing was observed at both genomic
and viral sequences. The present finding of foreign
viral DNA licensed for initiation following its inte-
gration into the cellular chromosome supports the
hypothesis that a relaxed sequence, together with
trans-acting and epigenetic factors, specifies the or-
igin in mammalian cells (Mechali, 2001). Unfortu-
nately, the experimental approach used here does
not allow for further investigation into whether
firings occurred at the known viral origin or at an
ectopic site licensed after integration.
Origins Are Activated in Clusters with Nearly
Synchronous Firing
Initiations occurring within the same chromatin
environment are expected to be activated synchro-
nously in clusters of 4–5 origins. It is therefore of
interest to examine the synchrony of origin firing
in an amplified region of the genome to determine
if this feature of the regulation of origin activation
is conserved.
In IC1, approximately the same proportion of
origins was activated in synchrony with an immedi-
ate neighbor both in the genome and in the ampli-
con (55 and 42%, respectively). Depending on the
color pattern of the replication signals obtained by
this approach, the time of firing can be accurately
determined: either prior to the addition of the ana-
logues or during the IdU or the CldU pulse (Fig.
1B). Analysis of 21 pairs of origins activated in the
amplicon showed that multiple firings occurred
during the same pulse or within a time-window of
*40 min (Fig. 2A).
The Frequency of Origin Activation Is Increased in
the Amplified Region
In the absence of clear criteria for establishing
the position of the origins, changes in origin usage
can be investigated according to their spacings
throughout the genome. DNA replication analysis
on combed DNA fibers allows for a quantitative
assessment of the origin distance when multiple
firings are detectable. The inter-origin distance
was measured at the whole genome scale (Herrick
et al., 2000; Lengronne et al., 2001; Anglana et al.,
2003; Lemaitre et al., 2005) to establish a reference
for the analysis of origin spacing within the ampli-
con. Genome wide analysis provided a median
(Md) value of 110 kb (n ¼ 111), versus 85.1 kb
measured in the amplified region (n ¼ 21) (Fig.
2B). Therefore, the median inter-origin distance is
smaller in the amplicon, indicating an increase in
the number of active origins. However, no signifi-
cant difference was found when comparing the
mean and distribution of the two samples (P >0.05 by the Kolmogorov–Smirnov test). Despite
the difference between the amplicon and the
genome sample sizes, the number of measure-
ments provided a feasible and comparable analysis
of the origin spacing.
Genes, Chromosomes & Cancer DOI 10.1002/gcc
728 CONTI ET AL.
The MYC/HPV18 Amplicon Is Associated with
Stalled Forks
In a normal S-phase, the origin spacing was
shown to be positively and linearly correlated with
the fork velocity in human primary keratynocytes
and in the cervical cancer IC1 at the whole genome
level (Conti et al., unpublished data). These obser-
vations suggest the presence of a mechanism that
compensates for origin silencing with faster forks or,
conversely, with additional firing of dormant origins
following fork arrest (Anglana et al., 2003). An excess
of origins is licensed during G1. During S, once an
origin fires, it inhibits the neighboring origins from
firing unless a fork arrest takes place (DePamphilis,
1999; Anglana et al., 2003; Lebofsky et al., 2006).
Therefore, according to this model, the excess of ori-
gins activated in the MYC/HPV18 amplicon could be
a consequence of frequent fork arrests.
Fork velocity, together with origin distribution,
is the other major parameter governing replication
kinetics. On combed DNA molecules extracted
from IC1, the replication fork velocity was there-
fore measured in the amplified region and in the
genome. Figure 3A shows histograms of fork
speeds. The median value is 0.8 kb/min in the
amplicon (n ¼ 136) versus 1.5 kb/min in the ge-
nome (n ¼ 550) (P < 0.001 by the kolmogorov–
Smirnov test), which unambiguously indicates a
slower fork rate in the rearranged region. Interest-
ingly, this correlates with the closer origin-to-origin
distances found in the amplicon as compared with
the genome. These results are in agreement with
previous data showing a strict correlation between
initiation frequency and replication fork rates in
other cancer derived cell lines (Conti et al., unpub-
lished data) and suggest that an unknown mecha-
nism coordinates replication fork velocity with ori-
gin spacing.
During DNA synthesis, the replisome, or the
complex of proteins at the fork, can encounter
some obstacles that may perturb or block fork pro-
gression, such as secondary structures or large pro-
tein complexes bound to the DNA in addition to
DNA lesions. When DNA synthesis is not per-
turbed, forks emanating from one origin (referred to
in the text as outgoing forks) will move bidirectionally
Figure 2. Analysis of the origin dis-tribution and usage. (A) partial syn-chrony of initiations: all origins firedbefore the labeling (molecule 1), duringthe IdU blue pulse (molecule 2), duringthe CldU red pulse (molecule 3), orasynchronously but still within the 40min time-window (molecule 4). (B) His-tograms of the inter-origin distancemeasured in the genome (top) and inthe amplicon (bottom). The distributionprofiles indicate a shorter inter-origindistance in the amplicon B.
Genes, Chromosomes & Cancer DOI 10.1002/gcc
729DNA REPLICATION KINETICS IN A HPV18/MYC AMPLICON
at the same speed, thus forming a symmetric repli-
con (Fig. 1B). Consequently, this will yield a posi-
tive linear correlation (R) between the two fork
velocities with a theoretical maximum value of
one. Replication fork arrest, on the other hand, will
result in asymmetric fork progression with little or
no correlation between the two fork rates (Fig.
3B).
Earlier we suggested that the additional initia-
tion events observed in the amplified region could
be a consequence of stalled forks. The lower fork
rate measured in the amplicon could be due to
slower processivity of the forks or, instead, to an
increased frequency of fork arrests. We therefore
performed an analysis on individual replicons and
compared the velocity of the left and right forks
moving from one origin located in the MYC/HPV18region and in the genome to evaluate the percent-
age of blocked forks. The result is presented as a
dot-plot where, to assess the frequency of asym-
metric replicons, we defined a threshold to discrim-
inate between correlated and noncorrelated fork
pairs (Fig. 3C). The threshold is shown as an enve-
lope. Data points within the envelope correspond
to pairs of forks moving bidirectionally at nearly
the same rate; conversely, data points lying outside
the envelope represent replicons where one of the
forks experienced an arrest and/or underwent a
change in its velocity. Forks emanating from one
origin were found to be linearly correlated both in
the amplicon and in the genome. However, the
correlation factor (R) is much weaker in the ampli-
con (r ¼ 0.38; P < 0.05; n ¼ 31) than in the genome
(r ¼ 0.86; P < 0.001; n ¼ 248). Indeed, the percent-
age of data points lying outside the threshold is
higher in the amplicon (74.2%) than in the genome
(16.9%), suggesting a higher frequency of fork
arrests.
Fork pausing and slowdown result in a different
amount of DNA that is replicated during the IdU
and CldU pulses. Therefore, in addition to the
analysis of forks emanating from one origin, the
comparison of the IdU and CldU tracks belonging
to an individual fork would also provide an esti-
mate of the frequency of fork arrests (Lebofsky
and Bensimon, 2005). Fork velocities during the
IdU and CldU pulses were compared and plotted
against each other (Figs. 4A and 4B). As shown pre-
viously, a threshold was defined to calculate the
number of dots outside the envelope, which corre-
spond to forks that experienced an arrest. A signifi-
cant positive linear correlation was calculated
Figure 3. Replication fork progression analysis. (A) Histograms ofthe fork velocity in the genome (top) and in the amplicon (bottom),show that forks progress slower in the amplified region. (B) Schematicrepresentation of asymmetric replicons resulting either from blockedforks (Type I signal) or from changes in fork velocity (Type II and 3 sig-nals). The vertical black line indicates a permanent replication fork bar-rier. Horizontal black lines show the segments that were measured andcompared to examine fork speed correlations. (C) Fork speeds from
the left and right of each replicon (scheme at the top of the figure)were plotted against each other for the genome (left) and the amplicon(right). The solid lines represent the envelope, which defines a thresh-old at 33%. The dashed line represents equal velocities for the left andthe right fork. Red dots correspond to replicons where one of the forkswas completely absent (see text and Fig. 4C). Data points outside theenvelope correspond to replicons that experienced a fork arrest.
Genes, Chromosomes & Cancer DOI 10.1002/gcc
730 CONTI ET AL.
between the two tracks based on a genome-wide
analysis (r ¼ 0.80; P < 0.001; n ¼ 178) and an anal-
ysis of the amplified region (r ¼ 0.54; P < 0.001;
n ¼ 47). However, the strength of the correlation
was, again, weaker in the amplicon and the number
of data points lying outside the threshold is 55.3%,
versus the 32.5% occurring in the genome. There-
fore, the analysis of individual forks confirms the
presence of a significant number of stalled or re-
tarded forks in the MYC/HPV18 amplified region.
Replication signals with IdU and CldU tracks on
both sides of the midpoint suggest that the origin
is bidirectional. Sometimes, however, one of the
tracks was completely absent and the resulting sig-
nal was called a \unidirectional fork" (Fig. 4C).
The presence of a fork from a neighboring origin
during the whole-genome analysis, or the visualiza-
tion of the probes when the amplicon was analyzed,
excluded the possibility that the undetectable track
was due to DNA breakage caused by the combing
procedure. It is not possible to determine whether
the forks began from unidirectional origins or from
bidirectional origins that experienced a block before
the beginning of the IdU pulse. One unidirectional
fork was detected in the genome out of 248 repli-
cons analyzed (0.4%), whereas 6 out of 31 were
observed in the amplified region (19.4%). This ob-
servation corroborates previous results, which indi-
cate problems either at the origin or during fork
progression.
The MYC/HPV18 Region Is Completely Replicated
Before Entry into Mitosis
An unreplicated region entering mitosis may cre-
ate a dicentric chromosome that, when pulled apart
by the two poles on the mitotic spindle, breaks and
may lead to genomic aberrations. For this reason,
the intra-S and G2/M checkpoints arrest the cell
cycle before the onset of mitosis until the complete
genome is fully duplicated.
The frequent fork arrest observed in the MYC/HPV18 amplicon could result in a partial duplica-
tion of the region. Since checkpoints have a thresh-
old of sensitivity, an unreplicated portion of the
amplicon may be insufficient to alert the surveil-
lance mechanisms. Additionally, in IC1, the normal
checkpoint activity is abrogated by the degradation
of TP53 and RB1 (Boyer et al., 1996; Mantovani
Figure 4. Replication fork arrest analysis. (A) Replication fork arrestin the MYC/HPV18 amplicon. HPV18 probes were detected in green,IdU in blue, and CldU in red. The absence of the red track, correspond-ing to CldU incorporation during the second pulse, suggest a perma-nent fork block, represented by the white vertical line in molecules 1and 2. In molecule 3, the different blue signal length on the left and onthe right may indicate a slowdown, whereas a block or a slowdown can-not be distinguished in molecules 4 and 5. (B) Fork speed from the first(IdU) and second (CldU) pulse were plotted against each other, for thegenome (top) and the amplicon (bottom). The solid lines represent the
envelope, which defines a threshold at 33%. The dashed line representsequal velocities for the left and the right fork. (C) Two examples of uni-directional forks, as a result of a permanent fork arrest. At the top,scheme of a bidirectional replicon flanked by a fork. HPV18 probeswere detected in green, IdU in blue, and CldU in red. Sometime, one ofthe forks was completely absent. In all cases, the presence of the probesignals and of an incoming fork from a neighboring origin guaranteed anintact DNA combed molecule. Therefore, the solitary fork could resultfrom either a unidirectional origin or from a bidirectional repliconwhere one fork experienced a permanent block before the labeling.
Genes, Chromosomes & Cancer DOI 10.1002/gcc
731DNA REPLICATION KINETICS IN A HPV18/MYC AMPLICON
and Banks, 2001; Munger et al., 2001). To ascertain
whether the region was totally replicated, we did a
24 hr-pulse with bromo-deoxyuridine (BrdU) in an
asynchronous population of IC1 cells. Combed
DNA was hybridized with a probe belonging to
HPV18 and dual-color detection was performed
with fluorescent antibodies. The probes were
detected in green, whereas the BrdU was detected
in red. Images show that the MYC/HPV18 amplicon
is fully duplicated (Supplementary Figure; Supple-
mentary material for this article can be found at
http://ww.interscience.wiley.com/jpages/1045-2257/
suppmat). This suggests that the genomic rear-
rangements are unlikely to have occurred during
mitosis.
DISCUSSION
Gene rearrangements and amplifications are a
hallmark of cancer cells. Therefore, understanding
the mechanisms behind these instabilities would
help in studying the steps that lead to neoplastic
transformation. During S-phase, genome duplica-
tion is the major source of chromosomal instability,
but the changes in the DNA replication program
that drive gene amplification are still not fully
understood. Molecular details of the replication
kinetics in rearranged regions would help to pro-
vide clues about the role of DNA replication in the
amplification process. In this article, we provide
the first analysis of DNA replication kinetics
involving a spontaneously amplified MYC/HPV18region organized in tandem direct repeats in a
human cervical cancer. We have used the replica-
tion kinetics established at the whole genome level
as a reference for a comparative study to ascertain
whether the normal kinetics were maintained dur-
ing duplication of the amplified region and
whether any abnormalities may play a role in the
amplification process.
Since the number of origins is critical for
genome stability (Lengronne and Schwob, 2002;
Saxena and Dutta, 2005), we analyzed the origin
usage and distribution along the amplicon. We
found that multiple firings occur within *40 min,
in agreement with previous results obtained in the
human rDNA locus (Caburet et al., 2005; Lebofsky
and Bensimon, 2005). Therefore, our observations
show that the supplemental and unexpected genetic
material contained in the amplicon is duplicated
according to the same temporal initiation program
Figure 5. Schematic representation of the steps leading to the MYC/HPV18 amplification. 1st cycle: Upon viral integration near MYC (a), rep-lication can initiate from both genomic and viral sequences. In a TP53-depleted background, this change in the origin distribution may triggerrereplication (b and c) that generates the so-called onion skin structureand double strand breaks. The DNA damage might be repaired by non-homologous recombination (d), thus generating twoMYC/HPV18 copiesin tandem (e). 2nd cycle: Integration of HPV18 induces high transcrip-tion of MYC and viral genes. Because of the additional replication firingsfrom viral sequences (f), there are sufficient forks traveling in the region
to collide with the transcription polymerase. The resulting DNA nick(g) can be repaired by searching for the homologous sequence on thesister chromatid (h), which induces a further amplification of the MYC/HPV18 unit. (i) The cassette searches for its homologous sequenceamong the two copies on the other strand and forms a duplex with anupstream copy. The replication fork duplicates the leftward copyand the double-strand-break that is generated can be repaired byrecombination. As a consequence, one strand will gain one copy of thecassette.
Genes, Chromosomes & Cancer DOI 10.1002/gcc
732 CONTI ET AL.
as was observed for a normal multicopy locus such
as the rDNA region.
A slight increase in the number of active origins
was observed in theMYC/HPV18 region. The intro-
duction of the additional and unscheduled firings
from viral sequences might have perturbed the
normal regulation of the MYC origin. A TP53-de-
pendent checkpoint was shown to prevent rereplica-
tion (Vaziri et al., 2003; Claycomb and Orr-Weaver,
2005), which is associated with extensive DNA dam-
age and double strand breaks (DSB), a favored sub-
strate for recombinogenic events (Green and Li,
2005). In IC1, FACS analysis did not show evidence
of rereplication at the genome level (data not
shown), but the approach is not sensitive enough to
detect infrequent events of refiring in a small portion
of the genome. Illegitimate recombination between
imperfectly homologous sequences is also controlled
in a TP53-dependent manner (Akyuz et al., 2002).
In IC1, E6, and E7 are actively transcribed (Herrick,
et al., 2005), with subsequent loss of TP53 activity.
Therefore, origins might undergo successive refir-
ings, as previously suggested for the polyomavirus
(Py) genomes and other viruses integrated into the
cellular chromosome and organized in a head-to-tail
ladder structure (Syu and Fluck, 1997).
Analysis of the fork progression revealed a high
percentage of fork arrests in the amplicon. Stalled
and arrested forks can be converted into a DSB,
which is an ideal substrate for recombination-
mediated repair. TP53 was shown to protect the
genome from replication-associated DSB and to
suppress homologous recombination (Kumari
et al., 2004). To explain the linear array of MYC/HPV18 cassettes, two events might occur after
HPV integration in the absence of TP53: (1) an
occasional refiring that creates an onion-skin struc-
ture, subsequently resolved by illegitimate recom-
bination, or (2) a collision of the replication and
transcription polymerases, thus inducing replica-
tion fork arrest and recombination (Fig. 5) (Take-
uchi et al., 2003). MYC expression is 10-fold higher
than in normal tissues (Peter et al., 2006), with an
estimated 10 MYC copies per cell (Herrick et al.,
2005). In addition, transcription of E6 and E7 viral
genes is usually 5- to 10-fold higher than other cel-
lular genes. Therefore, a transcription polymerase
every 100 kb can be expected. Considering the
inter-origin distance of 96 kb measured here and
an average distance of 36 kb between two MYCcopies, a sufficient number of replication forks and
transcription factories can travel along the MYC/HPV18 amplicon and might collide, as suggested
by the second hypothesis. This supports the mech-
anism based on an abnormal replication program
previously suggested by the authors (Herrick et al.,
2005). In addition to the \gain of copy" by illegiti-
mate recombination, we propose a mechanism
based on the search for homologous sequences.
Unreplicated DNA can break and generate tan-
dem inverted repeats by the break-fusion-bridge
(BFB) during mitosis (McClintock, 1951; Hellman
et al., 2002). It was also suggested that during the
first stages of infection a functional E2 protein may
be responsible for the amplification of the virus by
BFB (Van Tine et al., 2004). However, the BFB
mechanism is not compatible with a structure of
direct repeats as observed in IC1. Since the ampli-
con contains active origins and is fully duplicated,
it can therefore be stably propagated.
The periodic structure of the amplicon with sta-
ble MYC/HPV18 cassettes indicates that viral inte-
gration occurred before the amplification (Herrick
et al., 2005). Since there is no specific sequence tar-
geted by the virus, it is unlikely that viral integra-
tion took place at each additional MYC copy after
they were amplified. This further strengthens the
hypothesis that an aberrant DNA replication pro-
gram is the cause of the amplification after integra-
tion of the virus into the host genome. Additional
studies on more samples from cervical cancers will
be necessary to investigate whether the results
shown here are general to HPV18-infected cancers.
ACKNOWLEDGMENTS
The authors thank Gabriel Eichler for helpful
discussions and corrections to the English.
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