Pyrimidine Pool Disequilibrium Induced by a Cytidine Deaminase Deficiency Inhibits PARP-1 Activity, Leading to the Under Replication of DNA

Genome stability is jeopardized by imbalances of the dNTP pool; such imbalances affect the rate of fork progression. For example, cytidine deaminase (CDA) deficiency leads to an excess of dCTP, slowing the replication fork. We describe here a novel mechanism by which pyrimidine pool disequilibrium compromises the completion of replication and chromosome segregation: the intracellular accumulation of dCTP inhibits PARP-1 activity. CDA deficiency results in incomplete DNA replication when cells enter mitosis, leading to the formation of ultrafine anaphase bridges between sister-chromatids at “difficult-to-replicate” sites such as centromeres and fragile sites. Using molecular combing, electron microscopy and a sensitive assay involving cell imaging to quantify steady-state PAR levels, we found that DNA replication was unsuccessful due to the partial inhibition of basal PARP-1 activity, rather than slower fork speed. The stimulation of PARP-1 activity in CDA-deficient cells restores replication and, thus, chromosome segregation. Moreover, increasing intracellular dCTP levels generates under-replication-induced sister-chromatid bridges as efficiently as PARP-1 knockdown. These results have direct implications for Bloom syndrome (BS), a rare genetic disease combining susceptibility to cancer and genomic instability. BS results from mutation of the BLM gene, encoding BLM, a RecQ 3’-5’ DNA helicase, a deficiency of which leads to CDA downregulation. BS cells thus have a CDA defect, resulting in a high frequency of ultrafine anaphase bridges due entirely to dCTP-dependent PARP-1 inhibition and independent of BLM status. Our study describes previously unknown pathological consequences of the distortion of dNTP pools and reveals an unexpected role for PARP-1 in preventing DNA under-replication and chromosome segregation defects.


Introduction
DNA replication is a fundamental cellular process that ensures duplication of the genetic information and subsequent transfer to daughter cells. The accuracy of DNA replication can be hampered by various exogenous and endogenous stresses, threatening genome integrity. It has become clear that replication stress, due to disturbance of the DNA replication program, is a major source of genome instability early during cancer development. Replication stress is defined as any phenomenon that alters the fulfillment of the DNA replication program. These phenomena include alteration of the initiation and elongation steps of DNA replication, conflicts between DNA replication and metabolic pathways such as transcription and mRNA processing, nucleotide pool disequilibrium, and overexpression or activation of oncogenes [1][2][3][4]. Some loci in the human genome are particularly difficult to replicate. They include common fragile sites (CFSs) that have a high A-T content and origin-poor regions, and such loci are prone to the formation of secondary structures and late replication [5,4]. Such "difficult to replicate" regions are very sensitive to replication stress. Such stress can jeopardize the completion of their replication, with the possibility of the formation of intertwined sister chromatid bridges during mitosis [6].
There are two types of sister-chromatid anaphase bridges: chromatin bridges, consequences of defective sister chromatid segregation [7], can be stained with conventional dyes, such as DAPI; and ultrafine anaphase bridges (UFBs), which cannot be stained with conventional DNA dyes or antibodies against histones [8,9]. UFBs were discovered only recently, and are generally identified by the detection of the helicase-like protein, PICH (Plk1-interaction checkpoint "helicase"). They have been found in all cultured normal cells tested, and are therefore probably physiological structures [10]. However, their prevalence often increases in constitutive or induced replication stress conditions, such as Bloom syndrome and the inhibition of replication progression, respectively. [9,11,12] As cells progress through anaphase, UFBs are progressively stretched and decrease in number, as they are resolved. Most UFBs detected in normal cells are of centromeric origin: they are thought to contain unresolved DNA catenations between the centromeres separating during anaphase [9]. However, some UFBs, of common fragile site origin [11,13] (CFS-associated UFBs), are induced by treatment with the replication inhibitor aphidicolin and are detected through the binding of FANCD2/FANCI protein complexes to bridge ends. Defects in either FANCD2 or its partner FANCI are involved in Fanconi anemia syndrome, and these proteins have been reported to co-localize with fragile sites [14]). UFBs, the origin and function of which remain unclear, do not result from recombination intermediates [15,16]. They may correspond to replication intermediates persisting on entry into mitosis, reflecting a failure to complete DNA replication or to resolve sister chromatid catenanes fully [6,17]. As CFS are replicated late and associated with loci poor in replication initiation events [18,19], it has been suggested that CFS-associated UFBs originate from DNA incompletely replicated when the cell enters mitosis [11].
In cells from Bloom syndrome (BS) patients, chromatin bridges and PICH-positive UFBs are abnormally frequent [9]. The correlation between chromosomal instability and an increased risk of malignancy at an early age is stronger in BS than other pathological or physiological situations [20]. BS is a consequence of mutations in both copies of the BLM gene which encodes a 3'-5' DNA helicase identified as a member of the RecQ family [21]. A characteristic of BLM-deficient cells is the frequency of sister chromatid exchange (SCEs) [22]. The BS cellular phenotype also includes chromosome breaks, slow replication fork speed, and high frequencies of both blocked replication forks and anaphase bridges [23,24]. These cellular features reflect the presence of endogenous DNA damage, replication stress and chromosome segregation defects and implicate BLM in favoring faithful duplication of the genome. However, we and others have reported that BLM deficiency leads to the downregulation of cytidine deaminase (CDA) [25,26], an enzyme of the pyrimidine salvage pathway. CDA catalyzes the hydrolytic deamination of cytidine and deoxycytidine (dC) to uridine and deoxyuridine (dU), respectively [27]. CDA deficiency causes excess dCTP leading to nucleotide pool disequilibrium. Some of the genetic instability associated with BLM deficiency, including the slow replication fork progression and about 30% of the increased sister chromatid exchange (SCE) frequency, results from a pyrimidine pool imbalance due to the CDA defect [25]. Whether other cellular defects associated with BS phenotype are due to CDA deficiency remains to be established.
Here, we investigated the mechanism underlying the increase in UFB frequency in BS cells and its possible relationship to pyrimidine pool disequilibrium. We demonstrate that the formation of supernumerary UFBs, but not chromatin bridges, is fully due to defective CDA and not to the BLM defect per se. The increase in the dCTP pool resulting from CDA defect leads to a significant reduction of basal PARP-1 activity. PARP-1 is a multifunctional protein involved in diverse physiological processes and in the response to DNA damage [28]. Lower basal PARP-1 activity causes higher frequencies of unreplicated centromeres, foci of mitotic DNA synthesis and (UFB)-containing unreplicated DNA, without replication fork speed being affected.
Our investigations reveal a novel mechanism of UFB formation and new pathological consequences of the distortion of dNTP metabolism fluxes. These findings imply that the effects of nucleotide pool disequilibrium may be more far-reaching than previously thought, and include jeopardizing genome stability not only through the regulation of fork progression, but also by reducing PARP-1 activity. We also provide evidence that PARP-1 has a previously unsuspected role in preventing replication stress and chromosome segregation defects.

CDA prevents supernumerary UFB formation in BS cells and in cells expressing BLM
We investigated whether the higher frequency of anaphase bridges in BLM-and CDA-deficient cells derived from BS patients (BS cells, BLM-/CDA-) was due to CDA deficiency itself. The characteristics of all the cell lines used in this study are presented in Table 1. The expression of GFP-BLM in BS cells (BS-BLM) restores the expression of both BLM and CDA (BLM+/CDA+), as well as nucleotide pool equilibrium [25]. We analyzed the frequencies of chromatin bridges and UFBs in these cells by DAPI and PICH antibody staining, respectively ( Fig 1A). The numbers of both chromatin bridges and UFBs were lower in BS-BLM cells (BLM +/CDA+) than in control cells (BS-Ctrl (BLM) , BLM-/CDA-), as previously reported [9]. The stable overexpression of CDA in BS cells (BS-CDA, BLM-/CDA+) restored the nucleotide pool equilibrium but did not restore BLM expression [25]; the frequency of UFBs in these cells was similar to that in BS-BLM cells (BLM+/CDA+), whereas the frequency of chromatin bridges remained similar to that observed in BS control cells (BS-Ctrl (CDA) , BLM-/CDA-) (Fig 1A and  1B). UFBs originating from the centromere and CFS were similarly affected in CDA-deficient cells (BS-Ctrl (BLM) and BS-Ctrl (CDA) ) ( Fig 1A and S1A Fig). CDA expression in BS cells (BS-BLM and BS-CDA) significantly increased the percentage of cells with no UFBs and substantially decreased the frequency of cells with more than three UFBs, indicating that the entire BS cell population is affected by CDA deficiency (S1B and S1C Fig). These results suggest that supernumerary UFBs in BS cells result from the CDA defect and that the increase in chromatin bridge frequency may result directly from BLM deficiency.
To verify these findings, we constructed cells stably expressing both BLM and CDA under the control of the CMV promoter (BS-BLM-CDA); this construct allowed the subsequent downregulation of BLM without downregulating CDA. In this model, CDA overexpression had no effect on the frequencies of chromatin bridges and UFBs (S1D Fig); however, siRNAmediated CDA downregulation (BS-BLM-CDA-siCDA, BLM+/CDA-) increased UFB frequency to the levels observed in BS control cells (BS-Ctrl (BLM/CDA) -siCtrl, BLM-/CDA-), without affecting chromatin bridge frequency ( Fig 1C). Also, siRNA-mediated BLM downregulation (BS-BLM-CDA-siBLM, BLM-/CDA+) increased the chromatid bridge frequency to that in control BS cells (BS-Ctrl (CDA) -siCtrl, BLM-/CDA-), without affecting UFB frequency ( Fig 1C). Thus, BLM prevents increases in chromatin bridge frequency, whereas CDA prevents increases in UFB frequency. We used tetrahydrouridine (THU), a potent CDA inhibitor [29] that does not modify CDA levels, to confirm these findings (S1E Fig). THU treatment induced a 33% increase in UFB frequency in CDA-expressing cells (BS-BLM, BLM +/CDA+), without affecting chromatin bridge frequency, but did not affect frequencies of UFBs and chromatin bridges in CDA-deficient cells (BS-Ctrl (BLM), BLM-/CDA-) ( Fig 1D). Thus, the effect of THU, increasing UFB prevalence, was dependent on CDA, confirming that THU is a specific inhibitor of CDA, as previously reported [29]. BS cells (BS-Ctrl (BLM) , BLM-/ CDA-) were cultured in the presence of dU (dU is the final product of CDA, so its addition mimics CDA activity [25] without modifying CDA expression; S1E Fig): UFB frequency was 29% lower in BS cells cultured with than without dU, whereas chromatin bridge frequency did not differ (Fig 1E). Supplementation with dU had no effect on UFB or chromatin bridge frequencies in CDA-expressing cells (BS-BLM, BLM+/CDA+) ( Fig 1E). These findings demonstrate that the abnormally high frequency of chromatin bridges in cells from BS patients is caused by the BLM deficiency whereas that of UFBs is due to the CDA deficiency. We confirmed these findings in another cellular model based on an adenoviral short hairpin RNA (shRNA) specific for CDA to downregulate CDA stably in HeLa cells (HeLa-shCDA). The CDA downregulation was highly efficient, with no detectable CDA protein and significantly less CDA mRNA than in controls (S1F Fig). The CDA depletion in this model resulted in dCTP accumulation, replication fork slowing and an increase in SCE frequency, reproducing the part of the BS phenotype associated with CDA deficiency [25] (S1G, S1H and S1I Fig). UFB frequency was 41% higher in HeLa-shCDA cells than in control cells, whereas chromatin bridge frequency was unaffected ( Fig 1F). These results were confirmed in four additional independent HeLa-shCDA clones, to check that they were not due to a clonal artifact. The UFB frequency in CDA-depleted HeLa cells was decreased by 25% by dU treatment, whereas that in control HeLa cells was increased by 34% by THU treatment (S1J Fig). These experiments further confirm the role of CDA in preventing UFB formation in BLM-expressing cells.
Thus, all supernumerary UFBs in BS cells result from the CDA deficiency, and CDA prevents supernumerary UFB whether or not BLM is expressed.

UFB formation does not result from DNA replication fork uncoupling
Our data indicate that a CDA defect, and thus pyrimidine pool disequilibrium, results in an increase in the prevalence of centromere and CFS-associated UFBs. Arlt and Glover (2010) showed that very low doses of camptothecin (CPT) greatly decreased the frequency of CFS gaps and breaks upon replication stress, and the amount of single-stranded DNA at stalled replication forks. On the basis of these results, the authors suggested that polymerase-helicase uncoupling is a key initial event in CFS instability. They suggested that the slowing of the replication fork might cause such uncoupling, generating genetic instability [30].
We, therefore, first investigated whether very low doses of CPT could rescue UFB formation in the absence of CDA. We treated CDA-deficient cells and their corresponding CDA-expressing control cells with 2 pM CPT for 10 hours (S and G2 phases of the cell cycle, Fig 2A) or 3 hours (G2 phase; Fig 2D) [31]; we verified that this treatment did not affect CDA expression or the cell cycle (S2A and S2B Fig). In CDA-deficient cells, but not CDA-expressing cells, UFB frequency was significantly decreased by CPT treatment but only if it was administered during both the S and G2 phases (Fig 2B, 2C and 2E). Thus, as reported for CFS instability, treatment with 2 pM CPT during S-phase abolished the excess of UFBs in CDA-deficient cells.
We then investigated whether replication uncoupling could be responsible for UFB formation. Replication uncoupling is thought to result in long stretches of single-stranded DNA (ssDNA) [30] potentially detectable by electron microscopy (EM). We analyzed replication intermediates from CDA-depleted and control HeLa cells, treated or not treated with CPT, but observed no significant differences in the lengths of ssDNA at replication forks between the four conditions tested ( [24]. Moreover, as for other conditions affecting the integrity of the replication template [32], the accumulation of ssDNA gaps in untreated CDA-depleted cells was associated with an increase in the frequency of reversed forks. As described for more acute CPT treatments [33,34], 2 pM CPT treatment increased the frequency of both ssDNA gaps and reversed forks, regardless of CDA status (S2F and S2H Fig).
These findings suggest that the slowing of replication in CDA-depleted cells is not accompanied by generalized replication fork uncoupling, but rather with marked accumulation of ssDNA gaps and the associated increase in fork reversal. The accumulation of UFBs in CDAdeficient cells thus appears to be a consequence of other phenomena, which is suppressed by mild CPT treatment, through a molecular mechanism unrelated to fork uncoupling.
CDA deficiency prevents the completion of DNA replication by the end of S phase, leading to the formation of UFB-containing unreplicated DNA We thus investigated the alternative molecular mechanism by which CDA deficiency contributes to supernumerary UFB formation. UFBs may be derived from unreplicated DNA or from double-stranded DNA catenanes [9]. UFBs cannot be stained by conventional DNA dyes, so we directly labeled DNA during the S and G2 phases of the cell cycle [31]. Cells were incubated for 10 hours with the thymidine analog 5-ethynyl-2'-deoxyuridine (EdU) and studied for bridges in anaphase ( Fig 3A). In both CDA-depleted HeLa cells and control cells, EdU incorporation was detected in all chromatin bridges, but not in UFBs (Fig 3B and 3C). We cannot exclude the possibility that the thinness of UFB DNA structures limits EdU detection, but these data suggest that UFBs do not contain replicated DNA and might be derived from unreplicated DNA. We explored this hypothesis with other approaches.
The replication of some chromosomal loci, such as CFS, may be completed during late G2 or early mitosis [35,36]. We thus investigated whether CDA deficiency could lead to detectable DNA synthesis during mitosis that would reflect under-replication of some chromosomal loci by the end of S phase. We therefore labeled CDA-depleted HeLa cells and control cells with EdU for 1 hour and analyzed the following mitosis ( Fig 3D). EdU foci in mitosis were significantly more numerous in CDA-depleted than control HeLa cells (Fig 3E and 3F). About 55% of the EdU foci colocalized with CREST foci and about 24% of the EdU foci colocalized with FANCD2 foci, independently of the presence or absence of CDA (S3 Fig). Using the Image J macro "confined displacement algorithm" [37], we confirmed that the percentage of colocalization between EdU foci and CREST or FANCD2 foci was significantly different from that expected if the colocalization occurred by chance (p<0.05).
As the excess of UFBs was abolished by CPT treatment in CDA-depleted cells, we analyzed the effect of CPT treatment on mitotic DNA synthesis. We found that the CPT treatment of CDA-depleted HeLa cells also prevented the accumulation of mitotic cells presenting EdU foci ( Fig 3F). Thus, both centromeres and CFSs are replicated particularly late in the absence of CDA, raising the possibility that some of these loci remain unreplicated when the cell enters mitosis. Importantly, CPT treatment abolished the excess of both mitotic DNA synthesis and UFBs in CDA-deficient cells, establishing a molecular link between the late replication of centromeres and CFSs, and UFB prevalence.
We then hypothesized that not all centromeres and CFS are fully replicated in cells lacking CDA when entering mitosis. We used CREST staining and FISH (fluorescence in situ hybridization)-based assay with a centromeric probe specific for chromosome 8 (Cen-8) to investigate whether centromere replication was impaired in CDA-deficient cells (double-dotted and single-dotted CREST or Cen-8 foci, indicating fully replicated and unreplicated centromeres, respectively). The frequency of unreplicated centromeres was significantly higher in prometaphase/metaphase CDA-depleted HeLa cells than in the corresponding control cells, further evidence that UFBs arise from unreplicated DNA (Fig 3G-3J). The CPT treatment of CDAdepleted HeLa cells also prevented the accumulation of unreplicated centromeres, indicating that defective centromere replication is likely a source of mitotic DNA synthesis and UFBs.
Altogether, these data suggest that in CDA-deficient cells, some "difficult-to-replicate sites", such as centromeres and CFS, are replicated particularly late, or even left unreplicated, leading to UFB formation. DNA synthesis events during mitosis may help rescue the duplication of some of these loci. However, many may not be processed by mitotic DNA synthesis, resulting in UFB formation. Importantly, CPT treatment rescued the defect in centromere replication, mitotic DNA synthesis and the excess of UFBs, providing a molecular link between compromised replication at "difficult to replicate sites" and UFB formation.
CDA deficiency is associated with weak basal PARP-1 activity, leading to incomplete replication of DNA, promoting UFB formation We investigated how CPT treatment counteracts the effects of CDA deficiency. CPT and other genotoxic agents activate PARP-1 (Poly(ADP-ribose) polymerase-1), a multifunctional protein preventing genetic instability in response to DNA damage and replication stress [28,38]. PARP-1 catalyzes poly(ADP-ribosyl)ation (PARylation) by transferring ADP ribose units from nicotinamide (NAD+) onto diverse acceptor proteins [39]: this post-translational modification is important in a wide array of physiological processes and in response to DNA damage [40][41][42].
We tested whether PARP-1 activity is compromised in CDA deficient cells. We assayed basal levels of PARylation by immunofluorescence microscopy and customized software for automatic counting of PAR foci. At least 500 cells per condition were counted for each experiment (S4A Fig and materials and methods). Basal PARylation levels were significantly lower in CDA-deficient HeLa and BS cells than in control cells (Fig 4A and S4C Fig). This was not due to a weaker PARP-1 expression in CDA-deficient cells (Fig 4B). There were twice as many cells without PAR foci and fewer cells with three or more foci in the absence than presence of CDA (S4B Fig). Therefore, basal PARP-1 activity is lower in the absence of CDA.
CPT treatment abolished the mitotic defects observed in CDA-deficient cells (Fig 2B and  2C), so we tested whether CPT treatment restored PARP-1 activity. CPT treatment activated PARP-1 in both CDA-deficient cells and control cells (Fig 4C and S4C Fig). The frequency of PAR foci (Fig 4C and 4D and S4C Fig) and numbers of UFBs (Fig 2B and Fig 2C) in CPTtreated CDA-deficient cells were similar to those in untreated control cells. We treated cells with H 2 O 2 , another PARP-1 activator [43]. The treatment of CDA-depleted cells with H 2 O 2 increased PARylation (S4D Fig), and normalized the UFB frequency ( Fig 4E). We assessed the dependence on PARP-1 activity of the suppressor effect of CPT, using the PARP-1 inhibitor olaparib [44]. Olaparib treatment (S4E Fig) reduced the frequency of PAR foci in both CDAproficient and CDA-deficient cells, and abolished the effect of CPT on PARylation levels without changing CDA or PARP-1 levels (S4F and S4G Fig). Olaparib treatment also increased UFB frequency in CDA-expressing cells, but not in CDA-deficient cells (Fig 4F and S4H Fig). As expected, CPT treatment did not prevent supernumerary UFB formation in CDA-deficient cells treated with olaparib to inhibit PARP-1 (Fig 4G and S4H Fig).
These experiments show how CPT treatment alleviates the mitotic defects observed in the absence of CDA. There is a deficiency in the basal PARP-1 activity in CDA-deficient cells, and CPT treatment restores PARP-1 activity to levels similar to those in untreated control cells, rescuing the mitotic defects.
To further confirm these data, we used HeLa cells stably depleted of PARP-1 with a specific shRNA (HeLa-shPARP-1) [45,46]. We checked that BLM and CDA levels were unaffected in these cells (Fig 4H). PARP-1-depleted cells displayed higher than control frequencies of unreplicated centromeres, metaphase cells presenting EdU foci, and UFBs, thereby mimicking CDA deficiency (Fig 4I-4K). As expected, these increases were not abolished by CPT treatment (S4I and S4J Fig).
Thus, regardless of how PAR synthesis was suppressed, through the inhibition or depletion of PARP-1, we observed an increase in the frequencies of unreplicated centromeres, EdU focus formation and UFBs. Moreover, these results also indicate that the effect of CPT in the prevention of excess UFB formation is strictly dependent on PARP-1 activity, with no additive effects of CDA deficiency and PARP-1 inhibition. CDA and PARP-1 must, therefore, act in the same pathway to prevent UFB formation. These results indicate that optimal PARP-1 activity is required for full centromere replication, which in turn prevents abnormal DNA synthesis and UFB formation during mitosis.
CDA deficiency leads to a slowing of the replication fork [25]. Decreases in PARP-1 activity due to CDA deficiency compromise the completion of DNA replication and lead to UFB formation. We therefore investigated whether PARP-1 depletion affected replication fork speed: PARP-1 depletion accelerated fork progression (S4K Fig), whereas CDA-deficiency slowed replication (S1H Fig). Thus, the completion of DNA replication, which prevents the formation of UFB-containing unreplicated DNA, is not directly related to the overall rate of fork progression.

CDA deficiency leads to excess dCTP, lowering PARP-1 activity and promoting UFB formation
Our results indicated that long-term dU supplementation rescued the excess of UFBs (Fig 1E  and S1J Fig), suggesting a possible influence of dUTP pool on PARP-1 activity. We therefore investigated whether CDA deficiency was associated with lower levels of cellular dUTP, as expected [27]. We detected no decrease in cellular dUTP levels in the absence of CDA (S5A Fig), suggesting that dU supplementation did not act by restoring the dUTP pool. These results prompted us to check whether culturing CDA-deficient cells in the presence of dU decreased UFB frequency through PARP-1 activation, rather than by mimicking CDA activity, as previously proposed [25]. We found that long-term dU treatment significantly increased the PAR signal (S5B Fig), indicating that the decrease in UFB frequency observed in dU-treated CDAdepleted cells was probably due to PARP-1 activation. These results suggest that the rescue by dU treatment involves a cellular metabolic process creating DNA lesions, similarly to CPT treatment. Indeed, we suggest that the addition of dU led to dUTP incorporation into DNA, activating the base excision repair pathway, and, thus, PARP-1, to ensure that dUTP is removed from the DNA [47,48]. We conclude that the lower basal PARP-1 activity in CDAdeficient cells is probably not related to the dUTP pool, because it is unaffected in these cells.
We then investigated whether excess dCTP impaired PARP-1 activity, because dCTP accumulation is an established consequence of CDA deficiency (S1G Fig). The addition of dC to the culture medium decreased PARylation levels by 23% in CDA-expressing HeLa cells, and 18% in BS-BLM cells. Moreover, dC treatment during S phase (S5C Fig) increased UFB frequencies in these cells to levels similar to those in the corresponding CDA-deficient cells (Fig 5A and 5B  and S5D and S5E Fig). The addition of dC did not affect PARylation levels or UFB frequency in CDA-deficient cells (Fig 5A and 5B and S5D and S5E Fig). The presence of dC also significantly increased the frequency of unreplicated centromeres in CDA-expressing HeLa cells (Fig 5C and S5F Fig).
These unexpected results led us to check whether the partial cellular inhibition of PARP-1 by dC treatment, which is known to induce dCTP accumulation [25], reflected PARP-1 inhibition by dCTP. We used an in vitro colorimetric PARP assay kit (Trevigen), with 3-aminobenzamide (3-AB) as a control PARP-1 inhibitor. The inhibition of PARP-1 activity by dCTP was dose-dependent, and was 95% at 10 mM dCTP (Fig 5D and 5E). Interestingly, 10 mM dATP, dGTP, dTTP or dUTP had no effect on PARP-1 activity (Fig 5E), indicating that the only dNTP to inhibit PARP-1 in vitro is dCTP. This inhibition was fully reversed by the addition of   μM NAD + (NAD + is the PARP-1 substrate used as a donor of ADP-ribose units for PARylation reactions [28]) indicating that dCTP is a poor inhibitor of PARP-1 in vitro (Fig 5F). Therefore, PARP-1 inhibition by dCTP in vivo is unlikely in the presence of the concentrations of dCTP and NAD + found in cells (see the discussion).
Nevertheless, these analyses demonstrate that increasing the amount of intracellular dCTP by culturing cells in the presence of dC is sufficient to reduce PARP-1 activity.

Discussion
We have discovered a novel mechanism by which the distortion of the cellular dNTP pool can affect genome stability. CDA deficiency, and thus excess dCTP, cause under-replication of some loci in the genome, leading to UFB formation. Unexpectedly, this incomplete DNA replication was found not to be due to the slowing of the replication fork induced by CDA deficiency. We show that the under-replication of "difficult-to-replicate" sites is a consequence of partial inhibition of the basal activity of PARP-1, likely due to the intracellular accumulation of dCTP. These findings reveal, unexpectedly, that PARP-1 is required for robust DNA replication and thus the avoidance of unreplicated DNA-associated UFBs. This work has broader implications for pathological situations associating higher replication stress and cancer susceptibility, such as Bloom syndrome.

Excessive UFB formation in BS cells is a consequence of CDA deficiency and not BLM deficiency
We previously showed that CDA deficiency slows the progression of the replication fork and contributes to the high levels of SCEs in BS cells [25]. We report here that supernumerary UFBs in BS cells are entirely and solely due to CDA deficiency. In contrast, high chromatin bridge frequency results directly from BLM deficiency, and not from CDA deficiency. Our study demonstrates that these two types of sister-chromatid bridges have distinct genetic causes and presumably therefore different origins. This conclusion contrasts with a previous report suggesting that UFBs are derived from chromatin bridges through chromatin unraveling by PICH and BLM [49]. We also show that CDA deficiency makes a major contribution to several aspects of the cellular phenotype associated with Bloom syndrome. In view of this, all observations relating to or following BLM depletion should be interpreted with care: BLM depletion leads to CDA depletion [25,26], and some of the cellular abnormalities observed may result from nucleotide pool disequilibrium associated with CDA deficiency, rather than BLM depletion per se.
UFB-containing unreplicated DNA results from low basal PARP-1 activity and is not related to the rate of fork progression The precise nature and structure of UFBs remains to be established. Our data indicate that both centromeric and CFS-associated UFBs likely contain unreplicated DNA, suggesting that, various amounts of dCTP. Error bars represent means ± SD from three independent experiments. Statistical significance was calculated with Student's t-test. (E) In vitro analysis of PARP-1 activity in the presence of 1 mM 3-AB or 10 mM dCTP, dUTP, dTTP, dGTP, dATP. Error bars represent means ± SD from three independent experiments. (F) In vitro analysis of PARP-1 activity in the presence of 10 mM dCTP and various amounts of biotinylated NAD + (20; 50; 100 μM). Error bars represent means ± SD from three independent experiments. Statistical significance was calculated with Student's t-test. (G) (1) CDA deficiency leads to intracellular dCTP accumulation, decreasing basal PARP-1 activity. (2) The decrease in basal PARP-1 activity leads to an increase in unreplicated DNA sequences (preferentially at centromeres and CFS sites). (3) During late G2/early mitosis, some of this unreplicated DNA is probably processed by MUS81-EME1 and ERCC1 nucleases as previously suggested [36,12], leading to DNA synthesis during metaphase (EdU foci) and preventing supernumerary UFB formation. (4) Some of the excess unreplicated DNA sequences are not processed by the nucleases, leading to supernumerary UFB formation.
doi:10.1371/journal.pgen.1005384.g005 like CFS-associated UFBs, centromeric UFBs originate from unresolved replication intermediates. The frequency of mitotic DNA synthesis foci that co-localize with centromeres and CFS was abnormally high in CDA-deficient cells. The nature of these DNA synthesis events is still unclear, but these observations are consistent with centromeres and CFS being late-replicated loci in the absence of CDA, the duplication of which may be completed into mitosis. The persistence of mitotic DNA synthesis may allow the completion of DNA replication/repair of sites that were not fully replicated by the end of S phase; however, it is possible that only few sites are able to benefit from this mitotic processing [36,12], such that many remain unreplicated, leading to UFB formation (Fig 5G). In support of this, the duplication of centromeres was impaired in the absence of CDA when cells enter mitosis.
CDA deficiency caused a lowering of basal PARP-1 activity. The reactivation of PARP-1 activity by exposing cells to genotoxic agents that activate PARP-1 was sufficient to restore the completion of DNA replication and suppress the formation of supernumerary UFBs. In addition, both depletion and chemical inhibition of PARP-1 resulted in partially replicated centromeres and under-replication-induced UFBs. These findings reveal a previously unsuspected role for PARP-1 in contributing to the robustness of DNA replication and preventing abnormal segregation of unreplicated DNA.
In contrast to CDA deficiency, stable down-regulation of PARP-1 accelerated replication fork progression. In previous studies, transient or chemical inhibition of PARP-1 did not affect replication fork speed [33,50]. Similarly, while PARP-1 inhibition was reported to limit fork reversal upon genotoxic stress [33,34,51], the partial reduction in PARP-1 activity reported here in CDA-defective cells was associated with an increase in the rate of fork reversal, probably due to the observed increased in the frequency of discontinuities on the replication template [32]. The reasons for these discrepancies are unclear but could be related to the way PARP-1 activity was inhibited. Nonetheless, the completion of DNA replication, which prevents the formation of UFB-containing unreplicated DNA, is not directly related to the rate of fork progression.
Our analyses show that the deleterious effects of nucleotide pool disequilibrium on genome stability extend further than previously anticipated, and include inhibition of PARP-1 activity. PARP-1 defects may therefore be a source of endogenous replication stress. A decrease in basal PARP-1 activity of about 30% led to the formation of a number of supernumerary UFBs similar to that observed following total PARP-1 inhibition or depletion. This suggests that there is a critical basal threshold of PARP-1 activity for full replication of the genome before the cells enter mitosis. Although PARP-1 promoted the recovery of stalled replication forks through homologous recombination (HR) [52] inhibition of RAD51, and thereby of HR does not affect UFB frequency [15,16]. Therefore, PARP-1 may also contribute to the completion of replication at AT-rich DNA sequences through a mechanism independent of HR.
Thousands of proteins, involved in diverse biological functions, are substrates of PARP-1 [39]. Most PARP-1 targets have been identified on the basis of responses to genotoxic stresses and basal PARylation levels of specific targets are difficult to determine [39]. In the absence of CDA, exposure of cells to genotoxic stress restored the activation of PARP-1 masking abnormal PARylation of individual substrates. Thus, further work is required to identify PARP-1 substrates that prevent UFB formation.

The intracellular accumulation of dCTP inhibits PARP-1 activity
CDA deficiency leads to an excess dCTP. We report that increasing the intracellular dCTP pool in vivo by culturing cells in the presence of dC was sufficient to reduce PARP-1 activity, leading to the under-replication-induced formation of UFBs. We also showed that dCTP was the only dNTP that inhibited PARP-1 activity, although this inhibition was observed only at high dCTP concentrations (between 6.5 and 10 mM) and was fully reversed by 100 μM NAD + . The physiological intracellular concentrations of dCTP and NAD + have been estimated to be about 30 μM and 1 mM, respectively [53,54], and CDA-deficient cells contain about twice as much dCTP as control cells [25] (S1G Fig). As 100 μM NAD + is sufficient to reverse the PARP-1 inhibition induced by 10 mM dCTP in vitro, it is unlikely that dCTP compete with NAD + in vivo, to inhibit PARP-1. However, we cannot formally exclude the possibility that a particular environment within cells influences the local NAD + /dCTP ratio during replication, making it possible for dCTP to inhibit PARP-1 directly. The analysis of local concentrations of nucleotides at sites of DNA replication or repair remains difficult and this issue has been little explored, but such analyses in the future would undoubtedly shed light on new mechanisms.
In conclusion, our findings indicate that in CDA-deficient cells, the presence of excess intracellular dCTP caused a lowering of basal PARP-1 activity, impeding replication at some chromosomal loci, including centromeres and CFS, on entry into mitosis. Unreplicated DNA that is not processed by mitotic DNA synthesis results in the formation of supernumerary UFBs (Fig 5G).

Materials and Methods
Detailed materials and methods are provided in supporting information (S1 Materials and Methods).

Cell culture and treatments
Cell lines were cultured in DMEM supplemented with 10% FCS. BS-Ctrl (BLM) , BS-BLM cells, BS-Ctrl (CDA) and BS-CDA were obtained and cultured as previously described [25].
HeLa-Ctrl (CDA) and HeLa-shCDA cells were obtained by transfecting cells with an empty pGIPZ vector or with the same vector encoding a short hairpin RNA sequence directed against CDA (Open Biosystems, clone V3LHS_369299), respectively, with JetPEI reagent. After 48 h, transfectants were selected on 1-5 μg.ml − 1 puromycin (Invivogen). Individual colonies were isolated and cultured in medium containing 1 μg.ml − 1 puromycin.
All cells were routinely checked for mycoplasma infection.

Immunofluorescence microscopy
Immunofluorescence staining and analysis were performed as previously described [17]. Details of the protocol are provided in SI Appendix, SI Materials and Methods.

Statistical analysis
At least three independent experiments were carried out to generate each dataset and the statistical significance of differences was calculated with Student's t-test, Kruskal-Wallis tests or Mann and Whitney tests, as indicated in the figure legends. We distinguished true colocalization from the random colocalization of EdU foci and CREST or FANCD2 foci, by analyzing the images with the Image J macro "confined displacement algorithm" [37]. The number of PAR foci in each nucleus was determined by a customized macro using a semi-automated procedure. Briefly, each acquisition corresponding to DAPI and PAR staining was opened (Step 1). A user defined intensity value (one value for all experiments) was applied as a threshold (Step 2). The nucleus stack was smoothed using a median filter (radius 5), and a mask generated. This mask was transferred onto the focus stack so that only foci in nuclei were analyzed (Step 3). A tophat filter was applied to this result to eliminate the local background, and facilitate the segmentation process based on application of a user-defined threshold value. Finally, the macro