# Dissecting the role of the Fanconi anemia pathway in chromothripsis > **NIH NIH F31** · UT SOUTHWESTERN MEDICAL CENTER · 2024 · $39,786 ## Abstract PROJECT SUMMARY/ABSTRACT Cancer-associated chromosomal abnormalities frequently arise through punctuated episodes of genomic instability. This is exemplified by chromothripsis, the shattering and re-stitching of individual chromosomes, which generates a distinct rearrangement signature in ~30% of pan-cancer genomes. Chromothripsis is driven by mitotic errors and the formation of aberrant nuclear bodies termed micronuclei that entrap mis-segregated chromosomes outside of the nucleus. Due to defects in nuclear envelope assembly, micronuclei undergo frequent and irreversible rupture that inactivates normal nuclear processes, including DNA replication, DNA repair, and transcription. During mitotic entry, chromosomes in micronuclei undergo extensive breakage into tens to hundreds of fragments through incompletely defined mechanism(s). Our laboratory recently identified that fragmented chromosomes remain bound throughout mitosis by protein-mediated tethers, which facilitates the re-incorporation of the fragments into the nucleus and its subsequent reassembly. This cascade gives rise to the highly complex yet localized rearrangements that are often observed in cancer genomes. In addition to the deletion of tumor suppressor genes and/or formation of oncogenic fusion genes, chromothripsis can also result in the circularization and amplification of genes on extrachromosomal DNAs (ecDNAs). While several key mechanistic steps have been well characterized, the source(s) of mitotic chromosome fragmentation remain unclear. To identify genetic drivers of chromothripsis, I recently conducted pooled CRISPR-Cas9 screens using a chromosome-specific micronucleus system. I unexpectedly identified that a genome maintenance mechanism known as the Fanconi anemia (FA) pathway functions as a critical driver of chromothripsis and complex genomic rearrangements. My preliminary data suggest that the FA pathway promotes mitotic chromosome shattering through the recruitment of structure-specific DNA endonucleases to under-replicated DNA intermediates from micronuclei, which is then followed by mitotic DNA synthesis, a process that may be analogous to the processing of late-replicating fragile sites in the genome. Here I propose to further define the role of the FA pathway and mitotic DNA synthesis in chromothripsis. First, I will comprehensively identify regions of the micronucleated chromosome undergoing active processing during mitosis by the FA pathway. I will also determine whether mitotic DNA synthesis is required for priming fragments for reassembly in the next cell cycle. Second, I will leverage pre-clinical cell models to investigate whether inhibition of the FA pathway represents a feasible therapeutic strategy to suppress chromothripsis-induced emergence of drug-resistant cancer cells harboring ecDNAs. These studies will shed light on how a genome-protective DNA repair mechanism can be co-opted as a pathological driver of cancer genome instability. In addition to this... ## Key facts - **NIH application ID:** 10996542 - **Project number:** 1F31CA295091-01 - **Recipient organization:** UT SOUTHWESTERN MEDICAL CENTER - **Principal Investigator:** Justin Engel - **Activity code:** F31 (R01, R21, SBIR, etc.) - **Funding institute:** NIH - **Fiscal year:** 2024 - **Award amount:** $39,786 - **Award type:** 1 - **Project period:** 2024-07-01 → 2027-06-30 ## Primary source NIH RePORTER: https://reporter.nih.gov/project-details/10996542 ## Citation > US National Institutes of Health, RePORTER application 10996542, Dissecting the role of the Fanconi anemia pathway in chromothripsis (1F31CA295091-01). Retrieved via AI Analytics 2026-05-26 from https://api.ai-analytics.org/grant/nih/10996542. Licensed CC0. --- *[NIH grants dataset](/datasets/nih-grants) · CC0 1.0*