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Elevated Levels of G-Quadruplex Formation in Human Stomach and Liver Cancer Tissues
Open accessAbstract
Four-stranded G-quadruplex DNA secondary structures have recently been visualized in the nuclei of human cultured cells. Here, we show that BG4, a G-quadruplex-specific antibody, can be used to stain DNA G-quadruplex structures in patient-derived tissues using immunohistochemistry. We observe a significantly elevated number of G-quadruplex-positive nuclei in human cancers of the liver and stomach as compared to background non-neoplastic tissue. Our results suggest that G-quadruplex formation can be detected and measured in patient-derived material and that elevated G-quadruplex formation may be a characteristic of some cancers.
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“Additionally, G-rich sequences, like G4 motifs, are prone to oxidative DNA damage, which can lead to mutations if not repaired properly (76).”
From G-quadruplex-mediated genomic instability drives SNVs in cancer (2024) · cites this paper as [76]
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“This suggests that elevated G-quadruplex formation might be a characteristic of some cancers and supports the hypothesis that G4s could contribute to genomic instability in cancer patients (76).”
From G-quadruplex-mediated genomic instability drives SNVs in cancer (2024) · cites this paper as [76]
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“recent studies have shown that G4s can be detected in patient-derived tissues using immunohistochemistry, with a significantly elevated number of G4-positive nuclei observed in human cancers of the liver and stomach compared to non-neoplastic tissue (76).”
From G-quadruplex-mediated genomic instability drives SNVs in cancer (2024) · cites this paper as [76]
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Self-citationG-quadruplex stabilization via small-molecules as a potential anti-cancer strategy
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“pSANG10 –3F-BG4 plasmid encoding the BG4 single chain antibody (7, 10, 51) was a gift from Shankar Balasubramanian (Addgene plasmid 55756).”
MethodResultDNA G-Quadruplex Recognition In Vitro and in Live Cells by a Structure-Specific Nanobody
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G-Quadruplex Structures in Bacteria: Biological Relevance and Potential as an Antimicrobial Target
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“In particular, the G4 DNA-specific antibodies 1H6 and BG4 emerged as valuable tools for studying G4 DNA in cells (57–59).”
MethodEffect of Interior Loop Length on the Thermal Stability and pKa of i-Motif DNA
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HERC2 Facilitates BLM and WRN Helicase Complex Interaction with RPA to Suppress G-Quadruplex DNA
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“Certain malignancies, including those of the stomach and liver, have abundant G4 DNA relative to the surrounding stromal tissue 69 and may therefore be ideal targets for G4 DNA ligands.”
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“Consistently, GQ was reported to be formed more abundantly in cancer cells than normal cells (14).”
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Pif1 helicase unfolding of G-quadruplex DNA is highly dependent on sequence and reaction conditions
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“The availability of a new G-quadruplex antibody, BG4, for quantitatively visualizing G-quadruplexes in both cancer cells and tissues has enhanced the attractiveness of this strategy [1, 2].”
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“This result is surprising, given that cancer cells seem to exhibit more G4s, as shown by BG4 antibody immunostaining experiments ( 10 ) .”
BackgroundTseng, T., Chen, W., Chu, I.-T., Wang, C., Chang, C., Lin, M., Lou, P., & Chang, T. (2018) · Scientific Reports · doi:10.1038/s41598-018-34378-8 · Cited by 47
Xu, J., Zhu, K., Wang, Y., & Chen, J. (2022) · Journal of Cancer Research and Clinical Oncology · doi:10.1007/s00432-022-04447-7 · Cited by 32
“Compared to normal cells, cancer cells can tolerate the accumulation of labile heme in the nucleus (Biffi et al. 2014) and exhibit a higher activity of heme-containing proteins and a more significant concentration of heme (Fiorito et al.”
BackgroundThe Cellular Functions and Molecular Mechanisms of G-Quadruplex Unwinding Helicases in Humans
Liu, Y., Zhu, X., Wang, K., Zhang, B., & Qiu, S. (2021) · Frontiers in Molecular Biosciences · doi:10.3389/fmolb.2021.783889 · Cited by 28
“In addition, different cell states can influence the formation of G4s; for example, the levels of G4 structures are higher in cancer cells compared to healthy cells (Biffi et al., 2014; Hänsel-Hertsch et al., 2016).”
BackgroundSpotlight on G-Quadruplexes: From Structure and Modulation to Physiological and Pathological Roles
dell’Oca, M. C., Quadri, R., Bernini, G. M., Menin, L., Grasso, L., Rondelli, D., Yazici, O., Sertic, S., Marini, F., Pellicioli, A., et al. (2024) · International Journal of Molecular Sciences · doi:10.3390/ijms25063162 · Cited by 35
“Remarkably, global G-quadruplex levels are generally higher in tumor or immortalized cells than in normal ones [85,339].”
BackgroundPlatella, C., Trajkovski, M., Doria, F., Freccero, M., Plavec, J., & Montesarchio, D. (2020) · Nucleic Acids Research · doi:10.1093/nar/gkaa1001 · Cited by 29
Crossroads of telomere biology and anticancer drug discovery
Seimiya, H. (2020) · Cancer Science · doi:10.1111/cas.14540 · Cited by 38
Verma, S. P., & Das, P. K. (2018) · PLoS ONE · doi:10.1371/journal.pone.0205660 · Cited by 31
Sun, H.-X., Sun, R., Yang, D., Li, Q., Jiang, W.-N., Zhou, T.-X., Bai, R.-Y., Zhong, F., Zhang, B., Xiang, J.-F., et al. (2024) · Journal of the American Chemical Society · doi:10.1021/jacs.4c07698 · Cited by 26
Differential responses of neurons, astrocytes, and microglia to G-quadruplex stabilization
Tabor, N., Ngwa, C., Mitteaux, J., Meyer, M. D., Moruno-Manchon, J. F., Zhu, L., Liu, F., Monchaud, D., McCullough, L. D., & Tsvetkov, A. S. (2021) · Aging · doi:10.18632/aging.203222 · Cited by 25
“10,000 QFS) and varied between cancerous and non-cancerous tissues and between cancer cell lines, demonstrating a cell type–specific G4-DNA landscape [9, 10].”
BackgroundPlatella, C., Pirota, V., Musumeci, D., Rizzi, F., Iachettini, S., Zizza, P., Biroccio, A., Freccero, M., Montesarchio, D., & Doria, F. (2020) · International Journal of Molecular Sciences · doi:10.3390/ijms21061964 · Cited by 25
Mulholland, K. A., Farzana, S., & Wu, C. F. (2017) · Physical Chemistry Chemical Physics · doi:10.1039/c7cp03313c · Cited by 33
UV-induced G4 DNA structures recruit ZRF1 which prevents UV-induced senescence
Magis, A. D., Limmer, M., Mudiyam, V., Monchaud, D., Juranek, S., & Paeschke, K. (2023) · Nature Communications · doi:10.1038/s41467-023-42494-x · Cited by 25
G-Quadruplex Structures Are Key Modulators of Somatic Structural Variants in Cancers
Zhang, R., Shu, H., Wang, Y., Tao, T., Tu, J., Wang, C., Mergny, J., & Sun, X. S. (2023) · Cancer Research · doi:10.1158/0008-5472.can-22-3089 · Cited by 31
“Notably, a previous study has con fi rmed the presence of G4 structures in cancer cells using BG4 antibody – staining techniques (57), and the authors speculated that these G4s may be associated with genomic instability.”
Parsa, F. G., Nobili, S., Karimpour, M., Aghdaei, H. A., Mojarad, E. N., & Mini, E. (2022) · Journal of Personalized Medicine · doi:10.3390/jpm12030396 · Cited by 21
“The increased level of G-quadruplex structures has been diagnosed in various cancers that underlie genomic instability [57,58].”
BackgroundSullivan, H.-J., Chen, B., & Wu, C. F. (2020) · Journal of Chemical Information and Modeling · doi:10.1021/acs.jcim.0c00632 · Cited by 28
Papp, C., Mukundan, V. T., Jenjaroenpun, P., Winnerdy, F. R., Ow, G. S., Phan, A. T., & Kuznetsov, V. A. (2023) · Nucleic Acids Research · doi:10.1093/nar/gkad252 · Cited by 23
“These pG4-BS are co-localized with experimentally-defined G4 signals (G4-seq (14,51,75), RLFS clusters (14,51,75), CpG islands, and ENCODE promoter-like elements (TF binding sites).”
BackgroundYu, K.-K., Li, K., He, H.-Z., Liu, Y.-H., Bao, J.-K., & Yu, X.-Q. (2020) · doi:10.1016/j.snb.2020.128479 · Cited by 23
A triple stranded G-quadruplex formation in the promoter region of human myosin β(Myh7)gene
Singh, A., & Kukreti, S. (2017) · Journal of Biomolecular Structure and Dynamics · doi:10.1080/07391102.2017.1374211 · Cited by 27
Flusberg, D. A., Rizvi, N. F., Kutilek, V. D., Andrews, C. L., Saradjian, P., Chamberlin, C., Curran, P., Swalm, B. M., Kattar, S. D., Smith, G. F., et al. (2018) · SLAS DISCOVERY · doi:10.1177/2472555218796656 · Cited by 27
G-quadruplex-mediated genomic instability drives SNVs in cancer
Richl, T., Kuper, J., & Kisker, C. (2024) · Nucleic Acids Research · doi:10.1093/nar/gkae098 · Cited by 20
“Additionally, G-rich sequences, like G4 motifs, are prone to oxidative DNA damage, which can lead to mutations if not repaired properly ( 76 ).”
BackgroundInfluentialWang, X., Yu, B.-Y., Lin, J.-H., Yan, Y., & Hu, M.-H. (2021) · Sensors and Actuators B Chemical · doi:10.1016/j.snb.2020.129391 · Cited by 27
Flexible RuII Schiff Base Complexes: G‐Quadruplex DNA Binding and Photo‐Induced Cancer Cell Death
Gillard, M., Weynand, J., Bonnet, H., Loiseau, F., Decottignies, A., Dejeu, J., Defrancq, É., & Elias, B. (2020) · Chemistry - A European Journal · doi:10.1002/chem.202001409 · Cited by 28
Robinson, J., Flint, G., Garner, I., Galli, S., Maher, T. E., Kuimova, M. K., Vilar, R., McNeish, I. A., Brown, R. E., Keun, H. C., et al. (2025) · Genome biology · doi:10.1186/s13059-025-03654-y · Cited by 22
Banerjee, N., Panda, S., & Chatterjee, S. (2021) · Chemical Biology & Drug Design · doi:10.1111/cbdd.13910 · Cited by 26
Fundamentals of G-quadruplex biology
Johnson, F. B. (2020) · Annual reports in medicinal chemistry · doi:10.1016/bs.armc.2020.06.004 · Cited by 29
“Furthermore, studies with the BG4 antibody suggests that G4 levels may be higher in some types of cancer cells.(46,202) Although more evi-”
Shen, Z., Mulholland, K. A., Zheng, Y. G., & Wu, C. F. (2017) · Journal of Molecular Modeling · doi:10.1007/s00894-017-3417-6 · Cited by 24
Wang, S., Wu, Y., Wang, X., Kuang, G., Zhang, Q., Lin, S., Liu, H., Tan, J., Huang, Z., & Ou, T. (2017) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.6b01444 · Cited by 19
G-quadruplexes as pivotal components of cis-regulatory elements in the human genome
Zhang, R., Wang, Y., Wang, C., Sun, X. S., & Mergny, J. (2024) · BMC Biology · doi:10.1186/s12915-024-01971-5 · Cited by 21
“We then investigated whether G4-associated cCREs are more inclined to be activated in cancer cells, given the higher levels of G4s in cancer tissues compared to non-malignant tissues [7, 37].”
BackgroundFeng, Y., He, Z., Luo, Z., Sperti, F. R., Valverde, I. E., Zhang, W., & Monchaud, D. (2023) · iScience · doi:10.1016/j.isci.2023.106846 · Cited by 22
Xu, Y.-Z., Jenjaroenpun, P., Wongsurawat, T., Byrum, S. D., Shponka, V., Tannahill, D., Chavez, E. A., Hung, S. S., Steidl, C., Balasubramanian, S., et al. (2020) · NAR Cancer · doi:10.1093/narcan/zcaa029 · Cited by 22
“the single-chain Fv BG4 antibody (38,54) to develop a semiautomated colorimetric IHC protocol.”
BackgroundMethodSelf-citationNieuwenhuis, M., van de Peppel, L. V. D., Bakker, F., Zwaan, B., & Aanen, D. (2019) · Genome Biology and Evolution · doi:10.1093/gbe/evz122 · Cited by 17
Alternative paths to telomere elongation
Lee, J., Lee, J., & Lee, H. (2020) · Seminars in Cell and Developmental Biology · doi:10.1016/j.semcdb.2020.11.003 · Cited by 18
Predicting G-Quadruplexes from DNA Sequences Using Multi-Kernel Convolutional Neural Networks
Barshai, M., & Orenstein, Y. (2019) · ACM International Conference on Bioinformatics, Computational Biology and Biomedicine · doi:10.1145/3307339.3342133 · Cited by 16
“Recent studies using immunofluorescence to visualize G4s revealed their active formation in human cells and tissues and highlighted potential functional implications of these structures in diseases such as cancer [3, 4, 16].”
BackgroundMilelli, A., Marchetti, C., Greco, M., Moraca, F., Costa, G., Turrini, E., Catanzaro, E., Betari, N., Calcabrini, C., Sissi, C., et al. (2017) · European journal of medicinal chemistry · doi:10.1016/j.ejmech.2017.01.025 · Cited by 16
Swarup, N., Cheng, J. C., Choi, I. F., Heo, Y. J., Kordi, M., Aziz, M. A., Arora, A., Li, F., Chia, D., Fang, W., et al. (2023) · Biomarker Research · doi:10.1186/s40364-023-00524-2 · Cited by 18
“[30] It has been noted that there is an increased retention of G-quadruplex structures in cancer cells, especially GC cells, [52, 53] while plasma cfDNA demonstrates reduced G-quadruplex structures in cancers [17].”
BackgroundPirh2-dependent DNA damage in neurons induced by the G-quadruplex ligand pyridostatin
Escarcega, R. D., Patil, A. A., Moruno-Manchon, J. F., Urayama, A., Marrelli, S. P., Kim, N., Monchaud, D., McCullough, L. D., & Tsvetkov, A. S. (2023) · Journal of Biological Chemistry · doi:10.1016/j.jbc.2023.105157 · Cited by 20
“Analyses of “ active ” G4-DNA structures revealed that G4 landscapes differ between cell types (13, 14), and these G4 landscapes are regulated by G4-DNA-binding proteins and G4-DNA helicases (3, 4).”
BackgroundG-quadruplex ligands as potent regulators of lysosomes
Ferret, L., Alvarez-Valadez, K., Rivière, J., Müller, A., Bohálová, N., Luo, Y., Guittat, L., Brázda, V., Kroemer, G., Mergny, J., et al. (2023) · Autophagy · doi:10.1080/15548627.2023.2170071 · Cited by 17
“The number of G4 actually formed within the genome at a given time is probably much lower and may depend on DNA sequence [17], the phase of the cell cycle or on malignant transformation [18].”
Background
Metadata
- Authors
- Biffi, G., Tannahill, D., Miller, J., Howat, W. J., & Balasubramanian, S.
- Affiliations
- University of Cambridge (GB)
- Corresponding author
- Balasubramanian, Shankar
- Venue
- PLoS ONE
- Publisher
- Public Library of Science (PLoS)
- Published
- 2014-07-17
- Volume
- 9
- Issue
- 7
- Pages
- e102711
- ISSN
- 1932-6203 (ISSN-L)
- PMC
- PMC4102534
- OpenAlex
- W2100966371
- Cited by
- 223
- References
- 34
- Citations by year
- 2026: 8 · 2025: 17 · 2024: 27 · 2023: 31 · 2022: 20 · 2021: 30 · 2020: 25 · 2019: 15 · 2018: 14 · 2017: 17 · 2016: 7 · 2015: 10 · 2014: 2
- FWCI
- 4.92
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- PLoS ONE (publishedVersion, cc-by)
- Europe PMC (PubMed Central) (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- eScholarship (California Digital Library) (submittedVersion)
- eScholarship (California Digital Library) (submittedVersion, cc-by)
- Figshare (submittedVersion, cc-by)
- Funders
- Cancer Research UK (11961, A11961, 12488, 22310, C9681/A11961)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA and Nucleic Acid Chemistry
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Advanced biosensing and bioanalysis techniques
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
- Keywords
- G-quadruplex, G-quadruplex formation, immunohistochemistry, gastric cancer, liver cancer, tumor markers, DNA secondary structure, patient-derived tissue
- MeSH terms
- DNA, Gastric Mucosa, Humans, Immunohistochemistry, Liver, Liver Neoplasms, Stomach Neoplasms, Cell Line, Tumor, G-Quadruplexes
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