The DOI matches its Crossref record, with a small difference in title or year; 138 of the 138 references it cites were found in a registry or an index.
G4-Interacting DNA Helicases and Polymerases: Potential Therapeutic Targets
Open accessAbstract
Background: Guanine-rich DNA can fold into highly stable four-stranded DNA structures called G-quadruplexes (G4). In recent years, the G-quadruplex field has blossomed as new evidence strongly suggests that such alternately folded DNA structures are likely to exist in vivo. G4 DNA presents obstacles for the replication machinery, and both eukaryotic DNA helicases and polymerases have evolved to resolve and copy G4 DNA in vivo. In addition, G4-forming sequences are prevalent in gene promoters, suggesting that G4-resolving helicases act to modulate transcription. Methods: We have searched the PubMed database to compile an up-to-date and comprehensive assessment of the field’s current knowledge to provide an overview of the molecular interactions of Gquadruplexes with DNA helicases and polymerases implicated in their resolution. Results: Novel computational tools and alternative strategies have emerged to detect G4-forming sequences and assess their biological consequences. Specialized DNA helicases and polymerases catalytically act upon G4-forming sequences to maintain normal replication and genomic stability as well as appropriate gene regulation and cellular homeostasis. G4 helicases also resolve telomeric repeats to maintain chromosomal DNA ends. Bypass of many G4-forming sequences is achieved by the action of translesion DNS polymerases or the PrimPol DNA polymerase. While the collective work has supported a role of G4 in nuclear DNA metabolism, an emerging field centers on G4 abundance in the mitochondrial genome. Conclusion: Discovery of small molecules that specifically bind and modulate DNA helicases and polymerases or interact with the G4 DNA structure itself may be useful for the development of anticancer regimes.
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Error-prone polymerases might be engaged at slowed or stalled replication forks to ensure complete G4 replication, as specialized polymerases like eta, kappa, and Rev1 are essential for G4 stability, further increasing the density of localized genomic damages.
“Error-prone polymerases might be engaged at slowed or stalled replication forks to ensure complete G4 replication, as specialized polymerases like eta, kappa, and Rev1 are essential for G4 stability – further increasing the density of localized genomic damages (26,78–80).”
From G-quadruplex-mediated genomic instability drives SNVs in cancer (2024) · cites this paper as [80]
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Sorted by citations
Guiblet, W. M., Cremona, M. A., Harris, R. S., Chen, D., Eckert, K. A., Chiaromonte, F., Huang, Y.-F., & Makova, K. D. (2021) · Nucleic Acids Research · doi:10.1093/nar/gkaa1269 · Cited by 115
“Alternatively, the skewed spectrum may reflect the error specificity of specialized polymerases that are engaged at G4 motifs (122).”
BackgroundInfluentialG-Quadruplexes: More Than Just a Kink in Microbial Genomes
Saranathan, N., & Vivekanandan, P. (2018) · Trends in Microbiology · doi:10.1016/j.tim.2018.08.011 · Cited by 110
“Persistence of G4 structures can dysregulate the cellular activities they control and also compromise genomic integrity [15,16].”
G-Quadruplex-Binding Proteins: Promising Targets for Drug Design
Shu, H., Zhang, R., Xiao, K., Yang, J., & Sun, X. S. (2022) · Biomolecules · doi:10.3390/biom12050648 · Cited by 89
“For instance, the elevated expression of G4-resolving helicases such as WRN and BLM has been demonstrated in cancer cells in order for highly proliferating cells to deal with increasing replicative lesions [53,123].”
BackgroundInfluentialBrosh, R. M., & Matson, S. W. (2020) · Genes · doi:10.3390/genes11030255 · Cited by 91
“G4-resolving helicases are discussed in recent reviews [78,79].”
BackgroundSelf-citationG-Quadruplex Structures in Bacteria: Biological Relevance and Potential as an Antimicrobial Target
Yadav, P., Kim, N., Kumari, M., Verma, S., Sharma, T. K., Yadav, V., & Kumar, A. (2021) · Journal of Bacteriology · doi:10.1128/jb.00577-20 · Cited by 83
Takahashi, S., & Sugimoto, N. (2020) · Chemical Society Reviews · doi:10.1039/d0cs00594k · Cited by 80
Impact of G-Quadruplexes on the Regulation of Genome Integrity, DNA Damage and Repair
Pavlova, A. V., Kubareva, E. A., Monakhova, M. V., Zvereva, M. I., & Dolinnaya, N. G. (2021) · Biomolecules · doi:10.3390/biom11091284 · Cited by 69
“Failure to bypass the G4 barrier has been demonstrated for various human polymerases involved in both DNA replication and repair [69].”
BackgroundThe Relevance of G-Quadruplexes for DNA Repair
Linke, R., Limmer, M., Juranek, S., Heine, A., & Paeschke, K. (2021) · International Journal of Molecular Sciences · doi:10.3390/ijms222212599 · Cited by 70
“Human Pol κ has a decreased fidelity and an enhanced activity two nucleotides before the G4 motif, which may suggest that Pol κ prepares for synthesis before the G4 motif [203].”
BackgroundG-quadruplex resolution: From molecular mechanisms to physiological relevance
Sato, K., & Knipscheer, P. (2023) · DNA repair · doi:10.1016/j.dnarep.2023.103552 · Cited by 67
Deiana, M., Castán, J. M. A., Josse, P., Kahsay, A. G., Sánchez, D. P., Morice, K., Gillet, N., Ravindranath, R., Patel, A. K., Sengupta, P., et al. (2023) · Nucleic Acids Research · doi:10.1093/nar/gkad365 · Cited by 67
“…ymerases and thereby induce DNA damage in the form of SSBs or DSBs, the increased le v els of G4 structures in the genome may also be interpreted as a trigger for DSBs, if the le v els of G4s are too high for specialized G4 helicases to resolve these structures in a timely manner ( 53 , 90–96 ).”
Zuo1 supports G4 structure formation and directs repair toward nucleotide excision repair
Magis, A. D., Götz, S., Hajikazemi, M., Fekete-Szücs, E., Caterino, M., Juranek, S., & Paeschke, K. (2020) · Nature Communications · doi:10.1038/s41467-020-17701-8 · Cited by 55
Ligands stimulating antitumour immunity as the next G-quadruplex challenge
Miglietta, G., Marinello, J., Russo, M., & Capranico, G. (2022) · Molecular Cancer · doi:10.1186/s12943-022-01649-y · Cited by 44
Loss of p53 suppresses replication stress-induced DNA damage in ATRX-deficient neuroblastoma
Akter, J., Katai, Y., Parvin, S., Takenobu, H., Haruta, M., Sugino, R. P., Mukae, K., Satoh, S., Wada, T., Ohira, M., et al. (2021) · Oncogenesis · doi:10.1038/s41389-021-00363-6 · Cited by 27
“To avoid RS, G4 helicases prevent G4-induced genome instability by resolving G4 structures [25, 26].”
BackgroundZareie, A. R., Dabral, P., & Verma, S. C. (2024) · Pathogens · doi:10.3390/pathogens13010060 · Cited by 26
“G4s in promoter regions of these genes can regulate transcription by inhibiting the binding of transcription factors or blocking the access of RNA polymerase to the promoter region [156].”
BackgroundVariation in G-quadruplex sequence and topology differentially impacts human DNA polymerase fidelity
Stein, M., Hile, S. E., Weissensteiner, M. H., Lee, M., Zhang, S., Kejnovský, E., Kejnovská, I., Makova, K. D., & Eckert, K. A. (2022) · DNA Repair · doi:10.1016/j.dnarep.2022.103402 · Cited by 23
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
“Error-prone polymerases might be engaged at slowed or stalled replication forks to ensure complete G4 replication, as specialized polymerases like eta, kappa, and Rev1 are essential for G4 stability – further increasing the density of localized genomic damages ( 26 ,78–80 ).”
BackgroundStein, M., & Eckert, K. A. (2021) · Genes · doi:10.3390/genes12111779 · Cited by 20
“For reviews concerning these structure-specific DNA helicases and the evidence that these act to prevent replication fork stalling at G4 motifs, see [57,60,61].”
BackgroundParsa, 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
“Therefore, DNA helicases might be potential targets in cancer therapy by exploiting the synthetic lethality approaches [63,64].”
BackgroundG-quadruplex as an essential structural element in cytomegalovirus replication origin
Park, D., Chung, W., Gong, S., Ravichandran, S., Lee, G. M., Han, M., Kim, K. K., & Ahn, J. (2024) · Nature Communications · doi:10.1038/s41467-024-51797-6 · Cited by 16
“GRSF1 binds to G4 and unfolds it 62 , and several DEAD or DEAH-box helicases such as DHX36, Pif1, and FANCJ resolve G4 structures 63,64 .”
Chaudhary, S., Kumar, M., & Kaushik, M. (2022) · International Journal of Biological Macromolecules · doi:10.1016/j.ijbiomac.2022.07.248 · Cited by 15
AKT1 is positively regulated by G-quadruplexes in its promoter and 3′-UTR
Zhang, L., Yan, T., Wang, W., Wu, Q., Li, G., Li, D., Stovall, D. B., Wang, Y., Li, Y., & Sui, G. (2021) · Biochemical and Biophysical Research Communications · doi:10.1016/j.bbrc.2021.05.029 · Cited by 14
Recent Progress and Potential of G4 Ligands in Cancer Immunotherapy
Lin, J., Gong, Z., Lu, Y., Cai, J., Zhang, J., Tan, J., Huang, Z., & Chen, S. (2025) · Molecules · doi:10.3390/molecules30081805 · Cited by 12
“Studies over the past decades have demonstrated that G4 formation can lead to gene silencing [32] and DNA damage at G4 sites [33], a ff ecting oncogenes, telomeres, and mitochondrial DNA (mtDNA).”
Mgs1 protein supports genome stability via recognition of G‐quadruplex DNA structures
Zacheja, T., Toth, A., Harami, G. M., Yang, Q., Schwindt, E., Kovács, M., Paeschke, K., & Burkovics, P. (2020) · The FASEB Journal · doi:10.1096/fj.202000886r · Cited by 11
Zhao, Z.-Z., Li, X.-R., Cui, Z., Tong, T., Zhang, Y., Zhang, Y.-P., Yang, X.-X., Keerthiga, R., Fu, C., & Fu, A. (2022) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.1c01982 · Cited by 9
G4-DNA formation and chromatin remodelling are interdependent in human cells
Lawler, N. B., Ou, A., King, J. J., Evans, C. W., Iyer, K. S., & Smith, N. M. (2023) · Chemical Science · doi:10.1039/d3sc02533k · Cited by 10
Three- and four-stranded nucleic acid structures and their ligands
Hashimoto, Y., Shil, S., Tsuruta, M., Kawauchi, K., & Miyoshi, D. (2025) · RSC Chemical Biology · doi:10.1039/d4cb00287c · Cited by 11
Li, T., Tang, L., Kou, H., & Wang, F. (2022) · Acta Biochimica et Biophysica Sinica · doi:10.3724/abbs.2022165 · Cited by 9
“Since previous studies have reported that PRIMPOL could bind G4s in vitro and restart DNA synthesis downstream of G4s in vertebrate cells [23,24], we wondered if PRIMPOL could contribute to resolving G4-induced replication fork stalling.”
BackgroundWhy to target G‐quadruplexes using peptides: Next‐generation G4‐interacting ligands
Sharma, T., Kundu, N., Kaur, S., Shankaraswamy, J., & Saxena, S. (2023) · Journal of Peptide Science · doi:10.1002/psc.3491 · Cited by 10
“Apart from these, all G4 interacting helicases use ATP hydrolytic energy to unwind G-quadruplex topologies except for WRN and BLM (Bloom helicase), which are enclosed by singlestranded DNA [40].”
BackgroundComplexity of Guanine Quadruplex Unfolding Pathways Revealed by Atomistic Pulling Simulations
Stadlbauer, P., Mlýnský, V., Krepl, M., & Šponer, J. (2023) · Journal of Chemical Information and Modeling · doi:10.1021/acs.jcim.3c00171 · Cited by 9
“In this context, stall (arrest) force of polymerases is ~15 pN (79-81) (for a comparison, stall force of the motor protein kinesin is just ~5 pN (82)), which means that GQs may act as roadblocks and common polymerases have to employ other strategies to overcome the GQ obstacle (58).”
Thermodynamics and Kinetics‐Directed Regulation of Nucleic Acid‐Based Molecular Recognition
Liu, Y., Zhao, Z., Zeng, Y., He, M., Lyu, Y., & Yuan, Q. (2024) · Small Methods · doi:10.1002/smtd.202401102 · Cited by 8
How DNA secondary structures drive replication fork instability
Sethi, A., Fernández-Casañas, M., Delpino, B., & Coster, G. (2025) · DNA repair · doi:10.1016/j.dnarep.2025.103913 · Cited by 7
Vinyard, W. A., Fleming, A. M., Ma, J., & Burrows, C. J. (2018) · Biochemistry · doi:10.1021/acs.biochem.8b00749 · Cited by 8
Werner helicase interacting protein 1 contributes to G-quadruplex processing in human cells
Hegedűs, L., Toth, A., Harami, G. M., Pálinkás, J., Karatayeva, N., Sajben-Nagy, E., Bene, S., Jaktajdinani, S. A., Kovács, M., Juhász, S., et al. (2024) · Scientific Reports · doi:10.1038/s41598-024-66425-y · Cited by 7
“Thus, persistent G4 structures have been proposed to impact genome stability and gene function by interfering with replication fork progression, transcription elongation, and DNA repair mechanisms 5,52–54 .”
BackgroundPolymerase ζ Is Involved in Mitochondrial DNA Maintenance Processes in Concert with APE1 Activity
Schreier, H. K., Wiehe, R. S., Ricchetti, M., & Wiesmüller, L. (2022) · Genes · doi:10.3390/genes13050879 · Cited by 7
“Given that not only APE1 binds to G4 sequences when oxidatively damaged [92,93], but also POLZ is thought to act on G4 [81], we propose that POLZ promotes APE1 binding to damaged and/or difficult-to-replicate sequences in the Set2 region, accelerating their cleavage.”
BackgroundSpin-selectivity effect of G-quadruplex DNA molecules
Deng, L., Bhat, I. H., & Guo, A. (2023) · The Journal of Chemical Physics · doi:10.1063/5.0156389 · Cited by 7
Zhang, Z., Mlýnský, V., Krepl, M., Šponer, J., & Stadlbauer, P. (2024) · Journal of Chemical Information and Modeling · doi:10.1021/acs.jcim.4c00227 · Cited by 6
The age‐related decline of helicase function—how G‐quadruplex structures promote genome instability
Frobel, J., & Hänsel‐Hertsch, R. (2024) · FEBS Letters · doi:10.1002/1873-3468.14939 · Cited by 6
Davletgildeeva, A. T., & Kuznetsov, N. A. (2025) · International Journal of Molecular Sciences · doi:10.3390/ijms26146951 · Cited by 5
“In addition to the specialized helicases that are capable of resolving G-quadruplex structures along the replication fork passage, polymerases that carry out trans-lesion synthesis (TLS) are also capable of dealing with such obstacles in the cell [60].”
Parekh, V. J., Węgrzyn, G., Arluison, V., & Sinden, R. R. (2023) · Genes · doi:10.3390/genes14091720 · Cited by 4
“One might expect these proteins to be potential therapeutic targets [28].”
BackgroundRare genetic diseases associated with G-quadruplex-induced replication stress
Herr, L. M., Mukhopadhyay, S., Anderson, O. M., Couch, T. H., Jones, C. M., Brosh, R. M., & Rossi, M. S. (2026) · Communications Biology · doi:10.1038/s42003-026-09966-4 · Cited by 4
Self-citationSommers, J. A., Estep, K. N., Maul, R. W., & Brosh, R. M. (2021) · Methods · doi:10.1016/j.ymeth.2021.12.005 · Cited by 3
Self-citationCellular Assays to Study the Functional Importance of Human DNA Repair Helicases
Awate, S., Dhar, S., Sommers, J. A., & Brosh, R. M. (2019) · Methods in molecular biology · doi:10.1007/978-1-4939-9500-4_11 · Cited by 2
Self-citationG-Quadruplex Structures in Bacteria: Functional Properties and Prospects for Use as Biotargets
Shitikov, E. A., Bespiatykh, D., Bodoev, I. N., & Zaychikova, M. V. (2022) · Biochemistry (Moscow) Supplement Series B Biomedical Chemistry · doi:10.1134/s1990750822040084 · Cited by 2
G-quadruplex structures in bacteria: functional properties and prospects for use as biotargets
Shitikov, E. A., Bespiatykh, D. A., Bodoev, I. N., & Zaychikova, M. V. (2022) · Biomeditsinskaya Khimiya · doi:10.18097/pbmc20226802093 · Cited by 1
Anomalies in dye-terminator DNA sequencing caused by a natural G-quadruplex
Brush, G. S. (2022) · PLoS ONE · doi:10.1371/journal.pone.0279423 · Cited by 1
“Additional studies have shown that other RecQ-type helicases can unwind G4 DNA, as can a number of other helicases including human FANCJ and S . cerevisiae Pif1 helicase [25–30].”
Primary Sequence-Intrinsic Immune Evasion by Viral Proteins Guides CTL-Based Vaccine Strategies
Wan, L., Shuda, M., Chang, Y., & Moore, P. S. (2025) · Viruses · doi:10.3390/v17081035 · Cited by 1
“For example, in herpes simplex virus-1 (HSV-1), G4s located in the promoters of immediate-early genes ICP0 and ICP4 interfere with transcription factor binding and RNA polymerase access, thereby repressing gene expression [23].”
Okano, T., Takata, M., Fujita, M., & Katsuki, Y. (2025) · DNA repair · doi:10.1016/j.dnarep.2025.103911 · Cited by 1
Purification and biochemical characterization of the G4 resolvase and DNA helicase FANCJ
Kulikowicz, T., Sommers, J. A., Fuchs, K. F., Wu, Y., & Brosh, R. M. (2024) · Methods in enzymology on CD-ROM/Methods in enzymology · doi:10.1016/bs.mie.2023.12.006 · Cited by 1
Self-citationMajorana zero modes in a G-quadruplex DNA with an s-wave superconductor
Tang, H.-Z., Wang, Z., & Zhai, L.-X. (2024) · Physics Letters A · doi:10.1016/j.physleta.2024.129903 · Cited by 1
Non-standard and higher-order DNA structures: DNA–DNA recognition
Neidle, S., & Sanderson, M. R. (2021) · Elsevier eBooks · doi:10.1016/b978-0-12-819677-9.00003-2 · Cited by 1
DHX9 resolves G-quadruplex condensation to prevent DNA double-strand breaksPreprint
Xue, Y., Chen, J., Ling, X., Zhao, Y., Li, S., Li, M., Zhao, H., Yang, X., Tsui, W., Cao, C., et al. (2022) · Research Square · doi:10.21203/rs.3.rs-2184718/v1 · Cited by 1
Prosperi, M. (2019) · Current Medicinal Chemistry · doi:10.2174/092986732616190820105842
Tóth, Á. (2021) · SZTE Repository of Dissertations (University of Szeged) · doi:10.14232/phd.10661
Exploring the Mechanisms of Telomerase Regulation in Saccharomyces cerevisiae
Fekete-Szücs, E. (2023) · University of Groningen research database (University of Groningen / Centre for Information Technology) · doi:10.33612/diss.777966042
Badugu, S. B., Dhyani, K. M., Thakur, M., & Muniyappa, K. (2024) · eLife · doi:10.7554/elife.96933.1
Enzymatic bypass of G-quadruplex structures containing oxidative lesions
Podbevšek, P., & Plavec, J. (2024) · Nucleic Acids Research · doi:10.1093/nar/gkae1157
Burkhart, I., Limmer, M. B., Penedo, J. C., Sauer, L.-C., Schwalbe, H., & Paeschke, K. (2025) · Nucleic Acids Research · doi:10.1093/nar/gkaf1055
“The current model suggests that G4s form transiently within cells, and that their folding, unfolding, and stability are regulated by proteins that both enable G4 function and prevent genome instability [ 29–32 ].”
G-quadruplex structures affect the immune response to bacterial infection in mouse macrophages
Schult, P., Kastl, M. A., Szlapa, J., Symeonidis, K., Maasewerd, S., Franklin, B., Radcke, A., Juranek, S., Abdullah, Z., & Paeschke, K. (2026) · Nature Communications · doi:10.1038/s41467-026-78610-w
Metadata
- Authors
- Estep, K. N., Butler, T. J., Ding, J., & Brosh, R. M.
- Affiliations
- National Institutes of Health (US)
- Corresponding author
- Brosh, Robert M.
- Venue
- Current Medicinal Chemistry
- Publisher
- Bentham Science Publishers Ltd.
- Published
- 2019-08-26
- Volume
- 26
- Issue
- 16
- Pages
- 2881-2897
- ISSN
- 0929-8673 (ISSN-L)
- PMC
- PMC6663639
- OpenAlex
- W2770563537
- Cited by
- 58
- References
- 138
- Citations by year
- 2026: 2 · 2025: 7 · 2024: 11 · 2023: 8 · 2022: 12 · 2021: 10 · 2020: 4 · 2019: 2
- FWCI
- 0.20
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Current Medicinal Chemistry (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- National Institutes of Health
- National Institute on Aging (Z01AG000741)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA and Nucleic Acid Chemistry
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › DNA Repair Mechanisms
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cell Biology › Telomeres, Telomerase, and Senescence
- Keywords
- G-quadruplex, DNA helicase, DNA polymerase, DNA replication, translesion DNA polymerases, PrimPol, telomere maintenance, mitochondrial genome, promoter, transcriptional regulation, anticancer drug targets
- MeSH terms
- Algorithms, DNA, DNA-Directed DNA Polymerase, DNA Replication, DNA Helicases, Humans, Sequence Analysis, DNA, Genomic Instability, G-Quadruplexes
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