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1 Department of Biology, School of Sciences, Kyushu University, Fukuoka 812-8581, Japan
2 Biological Sciences, Nara Institute of Science and Technology, Ikoma, Nara 630-0101, Japan
3 Molecular Cell Biology Laboratory, Graduate School of Pharmaceutical Sciences, Tohoku University, Sendai, Miyagi 980-8578, Japan
| Abstract |
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(pol
), stimulating its DNA synthesis activity more than fivefold in the presence or absence of proliferating cell nuclear antigen. Analysis of reaction products demonstrated the stimulation to be partly due to an increased processivity of pol
but more importantly to an increase in its initiation frequency. Addition of ATP to reactions partially suppressed stimulation by WRNIP1. Furthermore, a mutant WRNIP1 lacking ATPase activity could stimulate pol
normally but was insensitive to suppression by ATP. These results indicate that WRNIP1 functions as a modulator for initiation or restart events during pol
-mediated DNA synthesis and that its ATPase activity is utilized to sense DNA ends and to regulate the extent of stimulation. | Introduction |
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In the present study, we analysed the human Werner helicase interacting protein 1 (WRNIP1/Whip, Kawabe, et al. 2001), which is implicated in eukaryotic postreplication repair. WRNIP1 was originally identified as a mouse protein that physically interacts with a RecQ-like DNA helicase, Werner protein (WRN), mutation of which causes the genetic disorder Werner syndrome (Yu et al. 1996). Its budding yeast counterpart is MGS1 (maintenance of genome stability), which is involved in the maintenance of DNA topology and in postreplication DNA repair (Branzei et al. 2002a,b; Hishida et al. 2002). WRNIP1 is highly conserved from prokaryotes to eukaryotes and features a replication factor C (RFC)-like motif. It is also similar to the E. coli Holliday junction branch migration protein RuvB (Hishida et al. 2001; Branzei et al. 2002a). In budding yeast WRNIP1/Mgs1 has a tight functional interaction with DNA polymerase
(pol
). A null mgs1 mutation (mgs1
) partially suppresses growth defects conferred by mutations in POL3, POL31 or POL32, which encode the three subunits of pol
, and MGS1 exhibits synthetic dosage lethality with at least two of these genes (Hishida et al. 2001; Branzei et al. 2002a). These results suggest that Mgs1 modulates the function of pol
during replication or at some step in the postreplication repair pathway.
To elucidate the functions of WRNIP1 during replication, especially with respect to pol
, we studied the biochemical characteristics of the human protein produced in baculovirus and E. coli expression systems. We found that human WRNIP1 (hWRNIP1) forms homo-oligomeric complexes that physically interact with human pol
(hpol
) and stimulate its DNA synthesis activity, mainly by increasing the frequency of initiation. These data provide the first biochemical evidence that WRNIP1 is involved in a eukaryotic replication fork complex and that it modulates pol
activity.
| Results |
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hWRNIP1 was purified on an anti-FLAG antibody-conjugated column from an insect-cell lysate expressing FLAG-hWRNIP1. We obtained near-homogenous hWRNIP1 by elution with FLAG-peptide (Fig. 1A). The eluate was further fractionated by Superose 6 gel filtration chromatography and glycerol gradient sedimentation (Fig. 1B,C). In these sizing steps, hWRNIP1 migrated as two components, one (major) of low molecular mass and the other (minor) of high molecular mass. The major peak corresponded to a sedimentation coefficient of 9.1 S and a Stokes radius of 160 ± 20 Å. Taking hydrodynamic irregularities into account, the native molecular mass was estimated to be 600 ± 75 kDa (Siegel & Monty 1966), about eight times higher than the monomer molecular mass of hWRNIP1, 73 kDa. This finding indicates that the protein exists in a homo-oligomeric complex, most likely an octamer. The minor peak of high molecular mass seen after both chromatographic steps likely reflects a regular assembly of the complex.
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hWRNIP1 is an ATPase stimulated by DNA termini
hWRNIP1 has motifs typical of AAA+ family proteins (Ogura & Wilkinson 2001) and is expected to have ATPase activity. Indeed, this is the case for the S. cerevisae WRNIP1/Mgs1 protein stimulated with single- or double-stranded DNA (Hishida et al. 2001). When we assayed for ATPase activity in the glycerol gradient fractions, we found that it cosedimented with hWRNIP1 (Fig. 1C), indicating that hWRNIP1 has ATPase activity. We confirmed this observation by preparing a mutant protein, hWRNIP1(m), in which Thr294, a conserved residue in the nucleotide binding motif of AAA+ family proteins, was substituted with Ala. The purified hWRNIP1(m) exhibited almost no ATPase activity under the same conditions, although it was isolated as a similar homo-oligomeric complex (data not shown), indicating that the ATPase activity is intrinsic to hWRNIP1.
The DNA dependence of the ATPase activity was tested by adding increasing amounts of polydA, polydA/oligodT, pUC118 plasmid DNA or HaeIII-digested pUC118 (Fig. 1D). Interestingly, addition of polydA/oligodT or digested pUC118, but not of polydA or intact pUC118, efficiently stimulated activity, indicating a requirement for primer/template structures or double-stranded termini. However, further studies of hWRNIP1 interactions demonstrated no obvious binding to various types of DNA, suggesting that hWRNIP1 only weakly associates with DNA, if at all (data not shown).
hWRNIP1 binds to hpol 
Previous genetic studies of budding yeast WRNIP1/Mgs1 demonstrated that it interacts genetically with two small pol
subunits encoded by POL31 and POL32. Further analyses demonstrated that the mgs1
mutation can suppress the temperature- and hydroxyurea-sensitive phenotypes conferred by the cdc2-1 mutation, which affects a pol
catalytic subunit (data not shown). These data indicate that WRNIP1 might have tight functional relations with pol
(Hishida et al. 2001; Branzei et al. 2002a). To further explore this relationship, hpol
purified from a baculovirus expression system was added to anti-FLAG antibody beads prebound to FLAG-hWRNIP1. As shown in Fig. 2A, the four subunits of hpol
(125, 66, 50 and 12 kDa) were pulled down with FLAG-hWRNIP1 but not in its absence. To determine which subunits of hpol
associate with hWRNIP1, each was expressed individually, and lysates were incubated with unbound anti-FLAG agarose beads or beads that had been prebound with FLAG-hWRNIP1. The cell lysates used contained almost equivalent amounts of components. We detected binding of the p125, p50 and p12 subunits but not the p66 subunit to the FLAG-hWRNIP1-bound beads (lane 9). Therefore, hWRNIP1 interacts with three of the four subunits of hpol
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, these interactions were not studied further. hWRNIP1 stimulates DNA synthesis activity
To determine the functional significance of these binding interactions, we added purified hWRNIP1 to a hpol
DNA synthesis reaction mixture in the presence of PCNA (Fig. 3A). DNA synthesis mediated by hpol
was significantly stimulated depending on the amount of added hWRNIP1. To conclusively determine whether hWRNIP1 is responsible for this stimulation activity, we assayed activity with fractions produced by glycerol gradient sedimentation (Fig. 1C) or by miniQ-anion exchange column chromatography (Fig. 3B). Peaks of activity were observed for fractions 4 and 8 of the glycerol gradient, exactly the same fractions that exhibited peaks of hWRNIP1 content and ATPase activity. A similar co-elution of hWRNIP1 and stimulation activity was observed for miniQ fractions 1314, which were eluted at 0.33 M NaCl. These results indicate that the activity responsible for the stimulation of hpol
-dependent DNA synthesis is tightly associated with hWRNIP1.
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and to modulate its activity (Szekely et al. 2000; Kamath-Loeb et al. 2001). Thus, the stimulatory activity of our purified hWRNIP1 may have been due to a contaminating insect WRN that associated with the hWRNIP1 fraction. To rule out this possibility, we purified hWRNIP1 from the E. coli expression system and studied its activity. As indicated in Fig. 3C, the highly purified hWRNIP1 from E. coli also stimulated hpol
.
Characterization of the stimulation of hpol
by hWRNIP1
The extent of hpol
stimulation was almost 10-fold with 20 ng hWRNIP1 under our experimental conditions and was hpol
-specific, since we did not detect any appreciable stimulation of DNA synthesis by human DNA polymerase
(Fig. 3A). Furthermore, stimulation was independent of PCNA, since basal DNA synthesis mediated by hpol
without PCNA was also stimulated to the same extent as synthesis in its presence (Fig. 3A, lower panel). We titrated the PCNA concentration in the hpol
assay mixture with fixed amounts of hWRNIP1 and hpol
and found that the maximal level of synthesis in the presence of hWRNIP1 was about twofold higher than in its absence (Fig. 4A).
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with or without hWRNIP1. As indicated in Fig. 4B, only limited amounts of DNA synthesis occurred with 0.1250.5 ng hpol
in the presence of PCNA, probably due to the inefficient association of hpol
with primer/template DNA. Under these conditions, substantial DNA synthesis (an up to 100-fold increase) was then observed upon the addition of hWRNIP1. In contrast, with 1 ng of hpol
, which efficiently carried out DNA synthesis, the extent of stimulation by hWRNIP1 decreased. These data suggest that hWRNIP1 promotes the association of pol
with primer/template DNA. Stimulation and ATPase
Since hWRNIP1 has an ATPase activity stimulated by specific DNA structures, ATP might exert any on its pol
stimulation, although we have observed stimulation without ATP in previous experiments. We studied the effects of ATP on stimulation as shown in Fig. 4C, and observed that the addition of 1 mM ATP to the reaction partially decreased stimulation. To determine the significance of the ATPase activity, we used an ATPase-deficient mutant, hWRNIP1(m), in the hpol
stimulation assay. The purified hWRNIP1(m) was stimulatory with or without ATP, and the level was similar to that of wild-type hWRNIP1 in the absence of ATP (Fig. 4C), indicating that the ATPase activity is not required for the stimulation but that the active ATPase of hWRNIP1 exerts a negative influence on the stimulation of pol
in the presence of ATP.
hWRNIP1 elevates the frequency of initiation events by hpol 
Using polydA/oligdT as a template, the processivity of hpol
was measured with or without hWRNIP1. Limited amounts of hpol
were used to restrict incorporation to less than one nucleotide per primer end on average. The synthesized DNA products were purified and separated in a 2% alkaline agarose gel as shown in Fig. 5A. Smeared DNA products in the range of shorter than 100 to several thousand nucleotides long were detected. The products were slightly more elongated in the presence of hWRNIP1 but this result was not commensurate with a linear increase in incorporation with increasing amounts of hWRNIP1 (Fig. 5C). To quantify processivity, we measured the radioisotope intensity at each area in panel A and divided this value by the corresponding DNA length. The resulting value represents the relative abundance of the synthesized DNA strand (Fig. 5B). The graph illustrates the relative distribution of synthesized DNA strands from this calculation, taking the peak value as 1.0. The proportion of longer DNA strands synthesized by hpol
became obviously higher upon the addition of hWRNIP1. If we calculated the processivity of hpol
as an average length of the total synthesized DNA fragments, it was 670 nt under these experimental conditions without hWRNIP1, while it increased to 830 nt upon the addition of 20 ng hWRNIP1. An increase of hpol
processivity was apparent but insufficient to explain the remarkable increase in incorporation. Therefore, stimulation of hpol
by hWRNIP1 must be mainly caused by an increase in the initiation frequency.
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with or without hWRNIP1 were studied with a native DNA template, singly primed single-stranded M13 phage DNA (Fig. 5D). The DNA synthesis reaction is dependent on RFC, PCNA and RPA, a eukaryotic single-stranded DNA binding protein. Under our conditions, hpol
could synthesize only a limited amount of a full-length product, even after 30 min incubation (lane 2). The average length of synthesized DNA was less than 1 kb. However, a remarkable elongation of products was seen on the addition of hWRNIP1 (lanes 34). Taking the observed processivity of hpol
on synthetic DNA into consideration, this result indicates that reinitiation of hpol
elongation is promoted by hWRNIP1 on this native DNA template. However, we could not rule out the possibility that hWRNIP1 increases processivity under this particular condition. Interestingly, the distributions of apparent pause sites, which could be observed upon longer exposure, were not changed significantly by hWRNIP1 (lane 5). Therefore, hWRNIP1 may not change the tendency of hpol
to pause on native DNA templates. | Discussion |
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The present study clearly demonstrates that WRNIP1 predominantly forms a homo-octameric complex. Therefore, WRNIP1 is functionally distinguishable from other RFC-like proteins. In the predicted RFC structure based on the E. coli clamp loader protein
complex, the three small RFC subunits (RFCs2, 4, 5), located inside the pentameric alignment, have complete sets of ATPase motifs, whereas RFC1 and 3, possibly located at either end, have incomplete sets (O'Donnell et al. 2001). Two RFC1-like proteins, Rad17 and Chl12, which have incomplete ATPase motifs, can form clamp loader-type complexes by substituting for RFC1 (Dean et al. 1998; Mayer et al. 2001). In contrast, WRNIP1 has complete motifs and is much more similar to RFCs2, 4, 5, so that it has a structure different from that formed by other RFC1-like proteins. WRNIP1 also shares similarity with the E. coli RuvB protein, which forms a hexameric ring complex, exhibits ATPase activity and drives DNA strand migration at Holliday junction structures in the presence of the RuvA complex (Yamada et al. 2002). The functional involvement of WRNIP1 in Holliday junction migration in eukaryotes has not been reported.
Interaction of WRNIP1 with pol 
As suggested by the genetic interaction of WRNIP1 with pol
subunits in budding yeast, hWRNIP1 physically binds to hpol
and interacts with several subunits (p125, p50 and p12). The lack of interaction with the p66 subunit, however, suggests specificity. pol
also interacts with PCNA through both p125 and p66 via characteristic PCNA binding motifs, although the significance of binding to p66 remains unclear (Shikata et al. 2001). Our observations indicate that the two stimulatory factors PCNA and WRNIP1, both of which form homo-oligomeric complexes, also interact with pol
via multiple contacts. Further studies are necessary to elucidate the significance of this feature, one possibility being the presence of a regulatory mechanism for stimulation through change in the numbers or combinations of contacts.
Relationship with the WRN helicase
It has been demonstrated that human WRN helicase interacts with pol
(Szekely et al. 2000) and stimulates S. cerevisiae pol
DNA synthesis activity (Kamath-Loeb et al. 2001). This stimulation depends on the third subunit of pol
Pol32 (Kamath-Loeb et al. 2001), which corresponds to human p66. Human WRN also interacts with the other human pol
subunit, p50 (Szekely et al. 2000). Thus, this protein has multiple association sites with pol
. In turn, hWRNIP1 interacts with three of the pol
subunits but not p66. This means that in addition to their common target p50, both proteins have independent target sites in the pol
complex, suggesting that they can interact simultaneously with pol
.
Interaction between WRN and WRNIP1 was first demonstrated by a yeast two-hybrid analysis of mouse cDNAs and by the genetic interaction of their S. cerevisiae homologues, Mgs1 and Sgs1 (Kawabe et al. 2001). Therefore, taking into account their functional interaction and their possible simultaneous associations with pol
, these proteins are expected to form a ternary complex in functional situations (Fig. 6). Further studies are necessary to confirm the presence of this ternary complex and to elucidate the roles of the two regulatory factors during pol
DNA synthesis.
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by WRNIP1
hWRNIP1 stimulates hpol
specifically, independent of PCNA. Since the maximal level of DNA synthesis stimulated by PCNA was further increased by the addition of hWRNIP1, the mechanisms of stimulation mediated by the two proteins must be different. Indeed, hWRNIP1 did not increase the processivity of hpol
in the absence of PCNA (data not shown), although hWRNIP1 stimulated DNA synthesis more than fivefold under these conditions. In the presence of PCNA, hWRNIP1 apparently increases the processivity of hpol
. These results suggest that WRNIP1 behaves as a component of the pol
complex as it migrates on a template DNA.
As indicated by product analyses, the main influence of WRNIP1 appears to be an increase in the initiation efficiency of pol
DNA synthesis. Studies with lower amounts of pol
also showed that WRNIP1 enhanced its recognition of primer DNA ends. Since WRNIP1/Mgs1 in budding yeast is not essential for cell growth, stimulation of pol
by WRNIP1 is not critical for replication. Furthermore, although WRNIP1 clearly stimulates pol
in vitro, the cellular level of WRNIP1/Mgs1 in yeast usually correlates inversely with pol
functions (Hishida et al. 2001; Branzei et al. 2002a). This suggests that stimulation of pol
by WRNIP1 might be detrimental for normal replication, possibly by disturbing the balance between leading and lagging DNA synthesis. Indeed, stimulation of hWRNIP1 carrying an active ATPase is suppressed by ATP, as representing its functional situation. Thus, WRNIP1 might be recruited to pol
sites only under particular conditions, for example to an arrested replication fork complex. It is known that when a replication fork stops at a site of DNA damage, various mechanisms are activated in response, including translesion DNA synthesis or postreplicational repair. Stimulation of pol
by WRNIP1 may be required during or after these processes. As we observed, double-stranded DNA ends or primer/template structure stimulated its ATPase activity. Thus, we assume that the ATPase activity functions as a sensor of DNA damage or of arrested replication forks, and that ATP hydrolysis induces a WRNIP1 function that stimulates initiation of pol
DNA synthesis (Fig. 6). Indeed, a mutation affecting the ATPase domain of Mgs1 abolishes its genetic interaction with pol
, indicating a crucial role of the ATPase for regulation of pol
activity.
As suggested before, under normal conditions, WRN helicase might join a pol
-WRNIP1 complex at the arrested replication fork and collaborate with WRNIP1 to allow pol
to re-initiate DNA synthesis. Therefore, these two proteins play crucial roles in the maintenance of eukaryotic replication fork activity by modulating pol
function according to local conditions, although they are not essential for DNA replication. Their actual roles should be tested in future by reconstitution with arrested replication fork DNA models and purified components.
| Experimental procedures |
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The hWRNIP1 cDNA clone IMAGE: 4906400 was purchased from BD Biosciences Clontech (NJ, USA), and a synthetic oligonucleotide encoding the FLAG-tag sequence was inserted into a NcoI site at the initiation codon. The resulting DNA fragment was then inserted into the plasmid pBacPAK8, and recombinant baculovirus expressing FLAG-tagged hWRNIP1 was prepared using the BacPAK Baculovirus Expression System (BD). Preparation of viruses for expression of other proteins has been previously described (Shiomi et al. 2000; Shikata et al. 2001). Insect High 5 cell lysates infected with recombinant baculoviruses were prepared as described (Shiomi et al. 2000). The same DNA fragment was also inserted into pET28b (Novagen, Merck kgaA, Darmstadt, Germany) to obtain pET-WRNIP. This plasmid was propagated in the E. coli strain Rosetta (DE3) (Novagen) to produce E. coli-expressed WRNIP1.
The cDNA encoding a mutant hWRNIP1, hWRNIP1(m) was obtained by low-fidelity PCR and a FLAG-tagged derivative was inserted into pBacPAK8 to obtain the expression baculovirus (details will be described elsewhere).
Pull-down assay for FLAG-hWRNIP1
High 5 insect cell lysates expressing FLAG-hWRNIP1 were incubated with 10 µL anti-FLAG agarose beads (M2, Sigma) at 0 °C for 1 h. The beads were washed four times with 50 µL buffer H [25 mM HEPES-NaOH (pH 7.4), 1 mM ethylenediamine tetraacetic acid (EDTA), 10% glycerol, 0.5% Nonidet P-40, 1 mM phenyl methylsulphonyl fluoride and 2 µg/mL leupeptin) containing 0.1 M NaCl and incubated with 300 ng purified hpol
in 10 µL buffer H containing 0.1 M NaCl at 0 °C for 1 h. The beads were washed three times with 100 µL buffer H containing 0.05 M NaCl and the bound proteins were eluted with 20 µL 10 mM glycine (pH 2.2). Half of each eluate was resolved by 15% SDS-PAGE, stained and immunoblotted as previously described (Shiomi et al. 2000; Shikata et al. 2001). Pull-down assays of individual pol
subunits with hWRNIP1 were conducted as detailed above, except that 50 µL aliquots of insect cell lysates containing almost equivalent amounts of p125, p66, p50 or p12 were used instead of purified hpol
.
Purification of FLAG-hWRNIP1
A cell lysate from 2 x 108 infected High 5 cells expressing the protein was prepared and fractionated on an anti-FLAG column (0.8 x 1.5 cm) as described (Shiomi et al. 2002). Near-homogeneous FLAG-hWRNIP1 was eluted with 4 mL buffer H containing 0.1 M NaCl and 100 µg/mL FLAG peptide. A 100 µL aliquot of the peak fraction was loaded onto a 2.2 mL glycerol gradient (1535%) in buffer H (pH 7.5) containing 0.1 M NaCl and centrifuged at 50 000 r.p.m. in a TLS55 rotor (Beckman Instruments) for 14 h at 4 °C. Eighteen fractions of about 125 µL each were collected from the bottom of the tube. One hundred or 500 µL aliquots of the FLAG-peptide eluate were also fractionated on a Superose 6 column (HR10/30; Amersham Biosciences) in buffer H (pH 7.5) containing 0.15 M NaCl or on a miniQ column (PC 3.2/3, Amersham Biosciences) by elution with a 2 mL NaCl 0.1 M to 0.5 M gradient in buffer H.
To obtain E. coli-expressed hWRNIP1, a lysate prepared from a one-litre culture expressing FLAG-hWRNIP1 was also subjected to anti-FLAG and miniQ column chromatography as described above.
DNA synthesis assays
hpol
was purified from insect cells infected with baculoviruses expressing the four subunits (Shikata et al. 2001 and details to be published elsewhere). Human DNA polymerase
complex was purified as previously described (Tsurimoto & Stillman 1991). DNA synthesis reactions were carried out in 5 µL reaction mixtures using poly(dA)400/oligo(dT)15 (Amersham Biosciences, 20 : 1) as a template (Tsurimoto & Stillman 1991). For reaction product analysis, poly(dA)2300 was prepared by extension of polydA (Amersham Biosciences) with terminal deoxynucleotide transferase to obtain poly(dA)2300/oligo(dT)15 (100 : 1 nucleotide ratio, 0.17 pmol of primer termini) for use as a primer/template. After DNA synthesis in the presence of [
-32P] dTTP (800 cpm/pmol), the product was precipitated with ethanol, dissolved in 10 mM Tris-HCl (pH 7.4) and 1 mM EDTA and resolved on a 2.0% agarose gel under alkaline conditions (Tsurimoto & Stillman 1991). After autoradiography, the relative intensities of incorporated radioisotopes were determined using the Kodak 1D 3.5.2 program, and the relative number of DNA fragments was estimated by dividing intensity by the corresponding DNA length. Processivity was calculated as the average length of DNA fragments produced throughout the gel, as determined from the relative numbers.
For studies of DNA synthesis products with a native DNA template, a reaction mixture (20 µL) containing 30 mM HEPES NaOH (pH 7.6), 7 mM MgCl2, 0.5 mM DTT, 0.1 mg/mL bovine serum albumin, 25 µM each dATP, dCTP and dGTP and [
-32P]dTTP (800 cpm/pmol), 2 mM ATP, 8 fmol singly primed M13 DNA, 600 ng human replication protein A (RPA) (Tsurimoto & Stillman 1991), 100 ng FLAG-RFC (Shiomi et al. 2002), 60 ng PCNA (Fukuda et al. 1995) and 0.25 ng of hpol
, as well as the indicated amount of FLAG-hWRNIP1, was incubated at 37 °C for the indicated time period, and samples of 4.5 µL each were collected. The reactions were stopped, radioactivity was determined, and replication products were analysed by 1.2% alkaline-agarose gel electrophoresis followed by autoradiography, as described above.
| Acknowledgements |
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| Footnotes |
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aPresent address: Amersham Biosciences K.K. Sanken Bldg. 3-25-1 Hyakunincho, Shinjuku-ku, Tokyo 1690073, Japan
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Received: 26 August 2004
Accepted: 14 October 2004
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T. Hishida, T. Ohya, Y. Kubota, Y. Kamada, and H. Shinagawa Functional and Physical Interaction of Yeast Mgs1 with PCNA: Impact on RAD6-Dependent DNA Damage Tolerance. Mol. Cell. Biol., July 1, 2006; 26(14): 5509 - 5517. [Abstract] [Full Text] [PDF] |
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N. Sasakawa, T. Fukui, and S. Waga Accumulation of FFA-1, the Xenopus Homolog of Werner Helicase, and DNA Polymerase {delta} on Chromatin in Response to Replication Fork Arrest J. Biochem., July 1, 2006; 140(1): 95 - 103. [Abstract] [Full Text] [PDF] |
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J.-H. Kim, Y.-H. Kang, H.-J. Kang, D.-H. Kim, G.-H. Ryu, M.-J. Kang, and Y.-S. Seo In vivo and in vitro studies of Mgs1 suggest a link between genome instability and Okazaki fragment processing Nucleic Acids Res., October 26, 2005; 33(19): 6137 - 6150. [Abstract] [Full Text] [PDF] |
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