Viral Single-Strand DNA Induces p53-Dependent Apoptosis in Human Embryonic Stem Cells
Open accessAbstract
Human embryonic stem cells (hESCs) are primed for rapid apoptosis following mild forms of genotoxic stress. A natural form of such cellular stress occurs in response to recombinant adeno-associated virus (rAAV) single-strand DNA genomes, which exploit the host DNA damage response for replication and genome persistence. Herein, we discovered a unique DNA damage response induced by rAAV transduction specific to pluripotent hESCs. Within hours following rAAV transduction, host DNA damage signaling was elicited as measured by increased gamma-H2AX, ser15-p53 phosphorylation, and subsequent p53-dependent transcriptional activation. Nucleotide incorporation assays demonstrated that rAAV transduced cells accumulated in early S-phase followed by the induction of apoptosis. This lethal signaling sequalae required p53 in a manner independent of transcriptional induction of Puma, Bax and Bcl-2 and was not evident in cells differentiated towards a neural lineage. Consistent with a lethal DNA damage response induced upon rAAV transduction of hESCs, empty AAV protein capsids demonstrated no toxicity. In contrast, DNA microinjections demonstrated that the minimal AAV origin of replication and, in particular, a 40 nucleotide G-rich tetrad repeat sequence, was sufficient for hESC apoptosis. Our data support a model in which rAAV transduction of hESCs induces a p53-dependent lethal response that is elicited by a telomeric sequence within the AAV origin of replication.
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The AAV ITR interacts with host proteins and can stimulate anti-viral and DNA damage response pathways.
“it is known that the AAV ITR interacts with a number of host proteins and can stimulate anti-viral and DNA damage response pathways.12–16”
From Adeno-Associated Virus Serotype-Specific Inverted Terminal Repeat Sequence Role in Vector Transgene Expression (2020) · cites this paper as [16]
The Introduction (page unavailable) attributes a DNA damage response after AAV infection to the ITR sequence, and reports checkpoint activation. The paper does not establish the other attributed points: that the ITR interacts with host proteins or stimulates anti-viral response pathways. (LLM, conf=0.86)
Experimental — accuracy not yet measuredAAV vectors can induce DNA-damage responses in cells such as hematopoietic stem and progenitor cells, compromising transduction efficacy, viability and engraftment capacity in vivo.
“We and others have previously shown that AAV vectors can induce DNA-damage responses (DDR) in cells such as hematopoietic stem and progenitor cells (HSPCs), compromising the transduction efficacy, viability and engraftment capacity of these cells in vivo 26,28 .”
From AAV vectors trigger DNA damage response-dependent pro-inflammatory signalling in human iPSC-derived CNS models and mouse brain (2025) · cites this paper as [28]
Microinjection of human embryonic stem cells with oligonucleotides containing the ITR sequence was sufficient to induce DDR and apoptosis in these cells.
“In fact, microinjection of human embryonic stem cells with oligonucleotides containing the ITR sequence was sufficient to induce DDR and apoptosis in these cells 28 .”
From AAV vectors trigger DNA damage response-dependent pro-inflammatory signalling in human iPSC-derived CNS models and mouse brain (2025) · cites this paper as [28]
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Mitchell, A. M., Moser, R. J., Samulski, R. J., & Hirsch, M. L. (2016) · Advances in experimental medicine and biology · doi:10.1007/978-1-4939-3509-3_8 · Cited by 1 · see citing works
Self-citationWild type AAV, recombinant AAV, and Adenovirus super infection impact on AAV vector mobilizationPreprint
Song, L., Samulski, R. J., & Hirsch, M. L. (2020) · bioRxiv (Cold Spring Harbor Laboratory) · doi:10.1101/2020.05.13.094201 · Cited by 1 · see citing works
Self-citationReply to “Efficient Nuclease-free HR by Clade F AAV Requires High MOIs with High Quality Vectors”
Rogers, G. L., Chen, H.-Y., Morales, H., & Cannon, P. M. (2019) · Molecular Therapy · doi:10.1016/j.ymthe.2019.11.003
Lkharrazi, A., Tobler, K., Marti, S., Bratus-Neuenschwander, A., Vogt, B., & Fraefel, C. (2023) · bioRxiv · doi:10.1101/2023.11.13.566888
rAAV-Mediated Gene Therapy Targeting CNS Disorders
Suárez-Amarán, L., Chatzi, C. A., Flier, I., & Samulski, R. J. (2025) · Springer eBooks · doi:10.1007/978-3-031-89307-0_2
Self-citationDevelopment of safe and efficient aav vectors for retinal gene therapy
Khabou, H. (2018) · theses.fr (ABES) · doi:10.70675/aa896663z9772z4d87z9bd1z247af1f0e3f1
abdelnaby, M., Galiakberova, A. A., & Dashinimaev, E. B. (2026) · International Journal of Molecular Sciences · doi:10.3390/ijms27156846
Park, H., Jung, Y. M., Choi, H. J., Song, H., & Kim, Y. (2026) · Research Square · doi:10.21203/rs.3.rs-10990457/v1
- Authors
- Hirsch, M. L., Fagan, B. M., Dumitru, R., Bower, J. J., Yadav, S., Porteus, M. H., Pevny, L. H., & Samulski, R. J.
- Affiliations
- University of North Carolina at Chapel Hill (US)
- Stanford University (US)
- Corresponding author
- Hirsch, Matthew L.
- Samulski, R. Jude
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2011-11-17
- Volume
- 6
- Issue
- 11
- Pages
- e27520
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC3219675
- OpenAlex
- W2063552605
- Cited by
- 53
- References
- 41
- Citations by year
- 2026: 4 · 2025: 9 · 2024: 3 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 5 · 2019: 4 · 2018: 2 · 2017: 2 · 2016: 1 · 2015: 4 · 2014: 3 · 2013: 5 · 2012: 2
- FWCI
- 2.00
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Licence
- Locations
- PLoS ONE (publishedVersion, public-domain)
- Europe PMC (PubMed Central) (publishedVersion, public-domain)
- PubMed Central (publishedVersion, public-domain)
- PubMed (publishedVersion)
- Carolina Digital Repository (University of North Carolina at Chapel Hill) (submittedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion)
- Figshare (submittedVersion, cc-by)
- UNC Libraries
- Funders
- National Institutes of Health
- National Heart, Lung, and Blood Institute (HL051818, P01HL051818, P01HL066973, HL 066973)
- National Institute of General Medical Sciences (GM0529299)
- National Institute of Allergy and Infectious Diseases (R01AI072176, AI072176)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Virus-based gene therapy research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Health Sciences › Medicine › Oncology › Cancer-related Molecular Pathways
- Keywords
- human embryonic stem cells, adeno-associated virus, single-stranded DNA, p53-dependent apoptosis, DNA damage response, telomeric sequences, γH2AX, pluripotency, neuronal differentiation
- MeSH terms
- Dependovirus, Cells, Cultured, DNA Damage, DNA Replication, DNA, Single-Stranded, Fibroblasts, Flow Cytometry, Fluorescent Antibody Technique, Histones, Humans, Phosphorylation, RNA, Messenger, Blotting, Western, Signal Transduction, Tumor Suppressor Protein p53, Apoptosis, Embryonic Stem Cells, Real-Time Polymerase Chain Reaction
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