Nucleic Acids Research
Home Oxidative lesions modulate G-quadruplex stability and structure in the human BCL2 promoter
Oxidative lesions modulate G-quadruplex stability and structure in the human BCL2 promoter
Oxidative lesions modulate G-quadruplex stability and structure in the human BCL2 promoter

Article Type: Research Article Article History
  • Altmetric
Abstract

Misregulation of BCL2 expression has been observed with many diseases and is associated with cellular exposure to reactive oxygen species. A region upstream of the P1 promoter in the human BCL2 gene plays a major role in regulating transcription. This G/C-rich region is highly polymorphic and capable of forming G-quadruplex structures. Herein we report that an oxidative event simulated with an 8-oxo-7,8-dihydroguanine (oxoG) substitution within a long G-tract results in a reduction of structural polymorphism. Surprisingly, oxoG within a 25-nt construct boosts thermal stability of the resulting G-quadruplex. This is achieved by distinct hydrogen bonding properties of oxoG, which facilitate formation of an antiparallel basket-type G-quadruplex with a three G-quartet core and a G·oxoG·C base triad. While oxoG has previously been considered detrimental for G-quadruplex formation, its stabilizing effect within a promoter described in this study suggests a potential novel regulatory role of oxidative stress in general and specifically in BCL2 gene transcription.


oxoG influences the fold of a G-quadruplex structure within the human BCL2 promoter and enhances the thermal stability of the G4 structure by forming novel structural elements.
Graphical Abstract
oxoG influences the fold of a G-quadruplex structure within the human BCL2 promoter and enhances the thermal stability of the G4 structure by forming novel structural elements.

Bielskutė,Plavec,and Podbevšek: Oxidative lesions modulate G-quadruplex stability and structure in the human BCL2 promoter

INTRODUCTION

Apoptosis or programmed cell death is essential in eliminating damaged and diseased cells (1). The BCL2 family of proteins contains several structurally and functionally related members, which are important regulators of apoptosis found primarily on the outer surface of mitochondrial membranes. Some proteins, like BCL2, have anti-apoptotic effects while others are pro-apoptotic. The balance between pro- and anti-apoptotic proteins regulates cell survival (2). Excessive apoptosis was found problematic with non-regenerative tissues and can lead to neurodegenerative diseases (3). BCL2 overexpression, on the other hand, tilts the balance in favour of cell survival. The BCL2 gene was found to be aberrantly overexpressed in a wide range of human tumours, including B-cell and T-cell lymphomas, breast, lung, prostate, cervical and colorectal cancers as well as gliomas, melanomas and neuroplastomas (4). Furthermore, as an essential survival factor, BCL2 was found to protect cells experiencing spikes in oxidative stress from apoptosis (5,6). While lacking redox domains, its anti-oxidant effects were suggested to be indirect, involving modulation of mitochondrial bioenergetics (7).

DNA sequences with tandem G repeats can fold into four-stranded structures called G-quadruplexes (8). Promoters of tightly regulated genes related to tumorigenesis often contain guanine (G) rich regions suggesting their role in transcriptional control (9). The human BCL2 gene has two promoter regions, P1 and P2 (10). The major promoter P1 is G/C-rich, contains multiple transcription start sites and was shown to play a major role in regulating BCL2 transcription (11). BCL2 overexpression in a wide range of human tumours made G-quadruplex structures within its gene promoter attractive targets for cancer therapeutics. Promising results in downregulating the gene were obtained by stabilizing non-canonical secondary structures within its promoter with organometallic complexes and heterocyclic ligands such as quindoline, perylene, coronene and naphthelene-diimide derivatives (12).

Generation of reactive oxygen species (ROS) is a part of normal cellular metabolism and exerts a constant strain on DNA. Among the four DNA nucleobases, guanine has the lowest redox potential and is therefore the easiest to oxidize (13,14). Based on theoretical studies, successive runs of Gs are even more susceptible to oxidation than isolated nucleotides (15). Numerous nucleotide analogues resulting from guanine oxidation have been reported thus far of which 8-oxo-7,8-dihydroguanine (oxoG) is commonly used as a biomarker for oxidative stress (16,17). oxoG nucleotides prefer the syn conformation supposedly due to reduced repulsions between O8 and O4’ of the sugar (18). Furthermore, hydrogen bonding properties of oxoG differ from the parent nucleotide as the Hoogsteen edge contains the protonated N7, which is a hydrogen bond donor in contrast to G where N7 is an acceptor. Guanine oxidation sites were found to be enriched in open chromatin regions and regulatory elements (19). In coding regions oxoG and its derivatives cause mutations and transcription stalling (20). In promoter regions oxoG was suggested to regulate transcription through changing structural properties and stability of G-quadruplex DNA (21,22). It is commonly and mistakenly thought that oxoG substitutions are detrimental for G-quadruplex stability and structure (23–25). oxoG was found to exhibit a stabilizing effect when substituted to outer G-quartets of tetramolecular G-quadruplexes (26).

A 39-nt region within the P1 promoter of the BCL2 gene with the highest G/C frequency was designated as Pu39 (Figure 1A) (27). Its sequence contains six runs of three or more consecutive Gs separated by two or more nucleotides. Four central G-tracts of Pu39 were shown to form stable G-quadruplexes; however, these also contain the G5-tract comprised of five consecutive guanines, which is a source of structural polymorphism (28). We designed a 25-nt construct (bcl2ex) containing the four central G-tracts with 5′ and 3′ single nucleotide overhangs (Figure 1A). All, except 3′, guanines in G-tracts are comparably sensitive to oxidation (29,30). However, three G3-tracts in bcl2ex possess no redundant Gs and substituting them with oxoG would likely prevent the formation of a G-quadruplex structure. In genomic DNA oxidation of shorter G3-tracts would likely exclude the damaged G-tracts from G-quadruplex formation altogether. Instead, one of the two extra G-tracts would step in as a ‘spare tire’ (29,31). On the other hand, the G5-tract contains two redundant Gs and we set out to evaluate the (de)stabilizing effect of oxoG substitutions within the G5-tract and establish potential changes in which nucleotides are involved in G-quartet formation and stacking. Only individual substitutions were tested as any successive oxidative events would take place on the initially oxidized oxoG nucleotide due to its lowest redox potential (32). Our initial hypothesis stipulates that due to its distinct hydrogen bonding properties, oxoG is excluded from G-quartet formation in bcl2ex via strand slippage. Furthermore, structural changes may have a negative effect on the stability of G-quadruplexes and the degree of destabilization depends on the position of individual substitution of oxoG within the G5-tract of bcl2ex. Since single substitutions at all positions except the central one retain at least three consecutive Gs we did not expect a change in G-quadruplex topology. On the other hand, substitution in the middle formally splits the G5-tract rendering only two pairs of consecutive Gs available for G-quartet formation, which is expected to substantially reduce G-quadruplex stability. Surprisingly, our data show that a substitution with oxoG at a distinct position within bcl2ex results in reduction of structural polymorphism and in an unanticipated increase in thermal stability. Furthermore, the parent (non-substituted) oligonucleotide adopts an antiparallel basket-type G-quadruplex structure, which expands the array of non-B-DNA structures associated with the BCL2 promoter. Both bcl2ex and its analogue containing oxoG exhibit novel structural elements, which deepen our understanding of G-quadruplex folding in general.

(A) DNA oligonucleotides derived from the P1 promoter region of the BCL2 gene. Nucleotides of the G5-tract, which were chosen for oxoG substitutions are in red. (B) Imino regions of 1D 1H NMR spectra and (C) melting temperatures of bcl2ex and its analogues.
Figure 1.

(A) DNA oligonucleotides derived from the P1 promoter region of the BCL2 gene. Nucleotides of the G5-tract, which were chosen for oxoG substitutions are in red. (B) Imino regions of 1D 1H NMR spectra and (C) melting temperatures of bcl2ex and its analogues.

MATERIALS AND METHODS

Sample preparation

All oligonucleotides were synthesized on a K&A Laborgeraete DNA/RNA Synthesizer H-8 using standard phosphoramidite chemistry. Isotopically labelled samples contained 8% 13C,15N-enriched guanine, adenine and cytosine nucleotides. Oligonucleotides were deprotected with AMA (1:1 mixture of aqueous ammonium hydroxide and methylamine) at 65°C for 30 min. Samples were purified using reverse-phase HPLC chromatography, followed by removal of the DMT group with 80% AcOH for 30 min. Then the oligonucleotides were transferred to a pure water phase by ether extraction and desalted using FPLC and a Sephadex G25 column. DNA solutions were dried on a vacuum centrifuge and redissolved in 9:1 H2O/2H2O, 20 mM potassium phosphate buffer, pH 7, and 70 mM KCl. Then the samples were concentrated using Amicon Ultra – 0.5 ml Centrifuge Filters. Final NMR solutions collected from Amicon tubes were heated to 95°C for 10 min and left to cool on the bench. DNA concentrations were determined by measuring UV absorption at 260 nm. Extinction coefficients of 231 300, 251, 500 and 251 300 M−1cm−1 were calculated with the nearest-neighbour method for nonsubstituted bcl2MidG4, bcl2ex and bcl2exT, respectively. Also, the same extinction coefficients were used for oligonucleotides contained oxoG substitution. The final oligonucleotide concentrations were in the range from 0.5 to 1.2 mM. bcl2ex and bcl2ex-oxoG19 samples for 1H–2H exchange experiment, were dried on a vacuum centrifuge and redissolved in 2H2O.

UV melting and thermodynamic analysis

UV melting experiments were performed on an Agilent Cary 3500 UV–Vis spectrophotometer using 1 cm path length cells. Samples were heated/cooled at a rate of 0.5°C/min in the range of 10–95°C and absorbance at 295 nm was monitored. Tm were determined from the first derivative of A295 versus temperature plot.

Circular dichroism (CD) spectroscopy

CD spectra were acquired on Chirascan CD spectrometer at 25°C using 2.0 mm light path quartz cuvettes. All samples for CD were prepared by dilution of NMR samples to final 50 μM DNA concentrations in 20 mM potassium phosphate buffer, pH 7, and 70 mM KCl solution. CD spectra were acquired in the wavelength range from 220 to 320 nm.

NMR experiments

All NMR data were collected on Agilent/Varian 600 and 800 MHz NMR spectrometers at 25°C. All homonuclear spectra were acquired with DPFGSE solvent suppression. 2D NOESY experiments (τm = 80, 150, 200, 250, 300, 350 ms) were utilized for 1H resonance assignments. Identification of guanine imino proton resonances was aided by 1D 15N-edited HSQC experiments, while aromatic of adenine, guanine and cytosine proton resonances were assigned with the help of 13C-edited HSQC experiments using 8% 13C,15N-labeled oligonucleotides. 2D TOCSY (τm = 80 ms) and DQF-COSY experiments gave information on sugar puckering and cytosine H5 protons resonances. Also, 2D 1H–13C HSQC spectra were used to help to assign H8/H2 aromatic resonances of adenines, guanines and to confirm syn conformation of nucleotides. Data were analysed with VNMRJ, NMRPipe, CcpNMR and Origin (33,34).

Distance and dihedral angle restrains

Interproton distances were calculated from 200 ms and 250 ms NOESY spectra of bcl2ex-oxoG19 and bcl2ex, respectively, which were chosen from NOE buildup curves. The average of cytosine H6-H5 proton distances was used as a reference (2.47 Å). Restraint bounds for cross-peaks in aromatic and anomeric regions were set at ±0.5 Å for dij ≤ 3 Å, ±0.6 Å for 3 Å < dij ≤ 4 Å, ±0.7 Å for 4 Å < dij ≤ 4.5 Å, and ±0.8 Å for dij > 4.5 Å. For some restraints corresponding to overlapping or broader cross-peaks, larger distance ranges were used (±0.9–1.5 Å). All cross-peaks in imino-aromatic, imino-imino, amino-imino, and amino-aromatic regions were classified as strong (2.5 Å), medium (3.5 Å) or weak (4.5 Å) with ±1–1.5 Å restraint ranges.

Dihedral angle χ was restrained to a range between -90° and 90° for syn and between 90° and 270° for anti nucleotides, and oxoG19 was left unrestrained. Restraints for backbone dihedral angles included α (–120–120°), β (150–210°), γ (30–90°), δ (130–190°), ϵ (170–300°), and ζ (–120–120°). All sugar puckers were determined to be of S-type (C2-endo) based on 2D TOCSY and DQF-COSY NMR spectra, expect oxoG19, which was determined to adopt a predominate N-type (C3-endo) sugar pucker.

Structural calculations

Molecular dynamics calculations were performed with AMBER 18 software using the ff99bsc0 force field and ϵ/ζOL1 and χOL4 modifications (35,36). Force field parameters for oxoG nucleotide were derived from the RESP ESP charge derive (RED) Server (37).

Calculations were started from initial linear structure of the oligonucleotide, created with the LEAP module of AMBER 18. A total of 100 structures were obtained in 100 ps restrained SA simulations using Born implicit solvent model with random starting velocities. In the first 20 ps of SA, the temperature was kept at 1000 K, followed by slow cooling in the next 60 ps down to 300 and to 0 K in the last 20 ps. Force constants were 50 kcal·mol−1Å−2 for hydrogen bonds, 20 kcal·mol−1Å−2 for NOE distance restrains, 200 kcal·mol−1rad−2 for backbone, and 50 kcal·mol−1rad−2 for the χ torsion angle. Twelve structures were selected based on the lowest energy and subjected to energy minimization with a maximum of 10000 steps.

RESULTS

oxoG can reduce G-quadruplex polymorphism

A construct (bcl2ex) containing the central four G-tracts of Pu39 with 5′ and 3′ single nucleotide overhangs (C1 and A25) exhibits a 1H NMR spectrum with narrow imino resonances in the Hoogsteen chemical shift range (Figure 1) suggesting formation of a G-quadruplex structure in the presence of K+ ions (vide infra). Following this interesting observation we probed the ability of the bcl2ex structure to tolerate oxidative lesions by individually substituting guanine nucleotides in the G5-tract with oxoG and examined G-quadruplex forming ability of bcl2ex analogues with 1H NMR and UV melting experiments (Supplementary Figure S1). oxoG20 substitution at the 3′ terminus of the G5-tract resulted in only minor chemical shift changes of imino resonances and no reduction in Tm indicating that the G-quadruplex fold is not perturbed. At the 5′ terminus of the G5-tract, the oxoG16 substitution resulted in a 9°C decrease in Tm and occurrence of multiple structures in solution. However, the major species of bcl2ex-oxoG16 did exhibit similar imino resonance chemical shifts as bcl2ex suggesting that some of the parent fold is retained. Further reduction in thermal stability as well as broad NMR resonances indicative of multiple structures and/or aggregation were observed for oxoG17 and especially oxoG18 substitutions. (Figure 1B). Interestingly, chemical shifts of imino resonances of bcl2ex-oxoG19 differed considerably from the parent bcl2ex suggesting substantial changes in G-quadruplex structure (Figure 1B). Surprisingly, a 7°C increase in Tm was observed indicating that an oxidative lesion can lead to stabilization of a G-quadruplex, which stimulated us to analyse the relevant structures in detail.

CD spectra of bcl2ex and bcl2ex-oxoG19 were acquired for an initial assessment of their structural properties. While the CD spectrum of bcl2ex exhibits a strong positive signal at 265 nm and a less intense one at 295 nm, spectral properties of bcl2ex-oxoG19 differ considerably with positive signals at 250, 270 and 295 nm (Supplementary Figure S2). Spectral discrepancies suggest large differences in base stacking geometry of bcl2ex and bcl2ex-oxoG19 G-quadruplexes.

bcl2ex forms a unique antiparallel basket-type G-quadruplex with a CGAA-quartet

The 1H spectrum of bcl2ex exhibits 12 well-resolved guanine imino proton resonances in the Hoogsteen region from δ 10.90–11.85 ppm and two additional imino proton resonances in the Watson–Crick region at δ 12.52–12.93 ppm (Figure 1B). However, a broad background, especially in the aromatic region, and a set of low intensity signals suggest that minor species are also present (<10%). Imino and aromatic 1H resonances were unambiguously assigned using 13C and 15N isotopic enrichment (Supplementary Figure S3) and connectivities in 2D NOESY spectra (Figure 2). The G20T substitution (bcl2exT) offered superior spectral quality with virtually identical chemical shifts and confirmed spectral assignment of bcl2ex (Supplementary Figures S3 and S4). It is noteworthy that G for T substitutions in other positions of the G5-tract resulted broad resonances with perturbed chemical shifts. Seven intense H8/H6-H1’ cross-peaks could be observed in a NOESY spectrum of bcl2ex acquired with a mixing time of 80 ms. Six of them were assigned to guanines in syn conformation (G3, G8, G10, G18, G22 and G24). The remaining intense inter-nucleotide H6–H1’ NOESY cross-peak was assigned to C1. The syn conformation of C1 was confirmed by a downfield shift (δ 147.5 ppm) of its C6 resonance (Supplementary Figure S5). The bcl2ex sequence was incrementally extended in the 5′ direction with up to four Gs corresponding to the preceding G-tract from Pu39 to check if the syn conformation of C1 persists. However, additional Gs resulted in structural polymorphism and poor spectral quality precluding a detailed analysis (Supplementary Figure S6). Interestingly, the NMR spectrum of GG-bcl2ex was of sufficient quality to yield multiple imino resonances in the Hoogsteen region as well as two resonances in the Watson–Crick region suggesting its base pairing is in agreement with bcl2ex.

Assignment of bcl2ex spectra and G-quadruplex topology. (A) Aromatic-anomeric region of a NOESY spectrum (τm = 300 ms). Assignments are shown next to intranucleotide H6/H8-H1' cross-peaks. Magenta lines delineate the sequential walk from C1 to A11 and grey lines from A14 to A25. Resonances are labeled with extra-G-quartet nucleotides in black, while syn and anti guanines in G-quartets are in magenta and grey, respectively (B) Imino-imino and imino-aromatic regions of a NOESY spectrum. Cross-peaks in squares mark connectivities within G-quartets. (C) Topology of the bcl2ex G-quadruplex and hydrogen bond donor–acceptor directionalities. Hydrogen bonded nucleotides in loops are connected by dashed lines.
Figure 2.

Assignment of bcl2ex spectra and G-quadruplex topology. (A) Aromatic-anomeric region of a NOESY spectrum (τm = 300 ms). Assignments are shown next to intranucleotide H6/H8-H1' cross-peaks. Magenta lines delineate the sequential walk from C1 to A11 and grey lines from A14 to A25. Resonances are labeled with extra-G-quartet nucleotides in black, while syn and anti guanines in G-quartets are in magenta and grey, respectively (B) Imino-imino and imino-aromatic regions of a NOESY spectrum. Cross-peaks in squares mark connectivities within G-quartets. (C) Topology of the bcl2ex G-quadruplex and hydrogen bond donor–acceptor directionalities. Hydrogen bonded nucleotides in loops are connected by dashed lines.

NOE connectivities in imino-imino and imino-aromatic regions were used to establish the fold of G-quadruplex structure, which is comprised of G2·G17·G24·G10, G3·G18·G23·G9 and G4·G19·G22·G8 quartets (Figure 2 and Supplementary Figure S7). Outer G-quartets exhibit anti-anti-syn-syn glycosidic conformations as well as counter-clockwise hydrogen-bond donor–acceptor directionalities. On the other hand, the inner G-quartet exhibits syn–syn–anti–anti glycosidic conformations and a clockwise hydrogen-bond directionality. G-tracts are connected by three loops of which the first (C5–G6–C7) and last (G20–C21) are of the edgewise type, while the longer second loop (A11–G12–G13–A14–A15–G16) is diagonal. Intra-nucleotide G12H8-H1’ and G13H8-H1’ cross-peaks could not be observed most likely due to the dynamic character of this part of loop region with its orientation changing on the intermediate NMR timescale. These structural features are consistent with the antiparallel basket-type G-quadruplex topology (Figure 2C). The two broader imino signals at δ 12.52 and 12.93 ppm (Figure 1B) were assigned to G6 and G16, respectively, and suggest their base pairing.

A simulated annealing protocol was used to determine the high-resolution structure of the bcl2ex G-quadruplex. A good convergence of structures was achieved with on average more than 9 NOE distance restraints per nucleotide (Table 1 and Figure 3). The bcl2ex structure exhibits one wide groove (∼21 Å) between G2–G4 and G8–G10 tracts; two medium grooves (∼16 Å) between G2–G4 and G17–G19 tracts as well as between G8–G10 and G22–G24; and one narrow groove (∼9 Å) between G17–G19 and G22–G24 tracts (Figure 3B). Extra-G-quartet regions stabilize the G-quadruplex core with G6 and C21 forming a Watson–Crick base pair, which alongside C7 efficiently stack on the adjacent G-quartet. C5 and G20 are flexible and rotated away from the G-quadruplex core. On the opposite side of the structure, C1 and G16 form a Watson–Crick base pair, which interacts with A11 and A25 via hydrogen bonds to form a planar CGAA-quartet (Supplementary Figure S8). The diagonal loop is stabilized by stacking interactions between A14, A15 and G16 (Figure 3).

Table 1.
Statistics of bcl2ex and bcl2ex-oxoG19 structures
bcl2ex (6ZX7)bcl2ex-oxoG19 (6ZX6)
NMR restraints
Total NOE distance restraints229316
intranucleotide133168
internucleotide96148
sequential5583
long-range4165
Hydrogen-bond restraints3028
Hoogsteen2424
Watson–Crick64
Glycosidic torsion angle restraints1213
Backbone torsion angle restraints146146
Deviations from idealized geometry
Bond lengths (Å)0.010.01
Torsion angles (°)2.452.47
Pairwise heavy Atom RMSD (Å)
G-quartets0.160.15
All heavy atoms0.280.86
Structure of the bcl2ex G-quadruplex. (A) Superpositions of 12 lowest energy structures presented in two views rotated by 180°. (B) Details of the representative structure. Syn and anti guanines are shown in magenta and grey, respectively, base pairs and the GCAA-quartet are in blue.
Figure 3.

Structure of the bcl2ex G-quadruplex. (A) Superpositions of 12 lowest energy structures presented in two views rotated by 180°. (B) Details of the representative structure. Syn and anti guanines are shown in magenta and grey, respectively, base pairs and the GCAA-quartet are in blue.

bcl2ex-oxoG19 adopts an antiparallel basket-type G-quadruplex structure stabilized by a base triad containing oxoG

The 1H NMR spectrum of bcl2ex-oxoG19 exhibits 13 resolved imino resonances in the Hoogsteen region from δ 10.57 to 11.90 ppm and two additional signals in the Watson–Crick region at δ 12.94 and 13.07 ppm (Figure 1B). Imino and aromatic 1H resonances were unambiguously assigned using 13C and 15N isotopic enrichment (Supplementary Figure S9) and connectivities in NOESY spectra (Figure 4). Intense H8-H1' cross-peaks in a NOESY spectrum with a short mixing time of 80 ms were identified for G2, G4, G9, G16, G18, G23 and C21, which were assigned the syn conformation along their glycosidic bonds. Although the conformation of oxoG19 could not be probed by analysing intensity of the H8–H1’ NOESY cross-peak, its H2’ and H2’ resonances were found at δ 2.98 and 2.68 ppm, respectively, which is downfield compared to anti guanines and suggests oxoG19 is in syn. Twelve Gs involved in Hoogsteen hydrogen bonding were found to constitute the core of the bcl2ex-oxoG19 G-quadruplex, which is comprised of G2·G16·G24·G10, G3·G17·G23·G9 and G4·G18·G22·G8 quartets (Figure 4C). The outer G-quartets exhibit syn–syn–anti–anti glycosidic conformations as well as clockwise hydrogen bond donor/acceptor directionalities. On the other hand, the inner G-quartet exhibits anti–anti–syn–syn conformations and a counter-clockwise hydrogen bond directionality. G-tracts were found to be connected by three loops of which the first (C5–G6–C7) and last (oxoG19–G20–C21) are of the edgewise type, while the second one (A11–G12–G13–A14–A15) is a diagonal loop. The structure of bcl2ex-oxoG19 is consistent with an antiparallel basket-type G-quadruplex topology (Figure 4C). Additionally, three extra-G-quartet nucleotides exhibit observable imino signals in the 1H NMR spectrum of bcl2ex-oxoG19; G6H1 and oxoG19H7 resonate in the Hoogsteen region and oxoG19H1 and G20H1 in the Watson–Crick region (Supplementary Figure S9).

Assignment of bcl2ex-oxoG19 spectra and G-quadruplex topology (A) Aromatic-anomeric region of a NOESY spectrum (τm = 300 ms). Assignments are shown next to intranucleotide H6/H8–H1' cross-peaks. Magenta lines delineate the sequential walk from C1 to G13 and grey lines from A14 to A25. Resonances are labeled with extra-G-quartet nucleotides in black, while syn and anti guanines in G-quartets are in magenta and grey, respectively. (B) Imino-imino and imino-aromatic regions of a NOESY spectrum. Cross-peaks in squares mark connectivities within G-quartets. (C) Topology of the bcl2ex-oxoG19 G-quadruplex and hydrogen bond donor–acceptor directionalities. Hydrogen bonded nucleotides in loops are connected by dashed lines.
Figure 4.

Assignment of bcl2ex-oxoG19 spectra and G-quadruplex topology (A) Aromatic-anomeric region of a NOESY spectrum (τm = 300 ms). Assignments are shown next to intranucleotide H6/H8–H1' cross-peaks. Magenta lines delineate the sequential walk from C1 to G13 and grey lines from A14 to A25. Resonances are labeled with extra-G-quartet nucleotides in black, while syn and anti guanines in G-quartets are in magenta and grey, respectively. (B) Imino-imino and imino-aromatic regions of a NOESY spectrum. Cross-peaks in squares mark connectivities within G-quartets. (C) Topology of the bcl2ex-oxoG19 G-quadruplex and hydrogen bond donor–acceptor directionalities. Hydrogen bonded nucleotides in loops are connected by dashed lines.

A solution-state structure of the G-quadruplex adopted by bcl2ex-oxoG19 was solved using NMR data and a restrained simulated annealing protocol. A good convergence of structures was achieved with on average more than 12 NOE distance restraints per nucleotide (Table 1, Figure 5 and Supplementary Figure S10). The bcl2ex-oxoG19 G-quadruplex exhibits a wide groove (∼20 Å) between G2–G4 and G8–G10 tracts, two medium grooves (∼15 Å) between G2–G4 and G16–G18, as well as between G8–G10 and G22–G24, and a narrow groove (∼9 Å) between G16–G18 and G22–G24 (Figure 5B). oxoG19 is not involved in G-quartet formation. Instead, its Watson–Crick edge is base paired with C21, while its Hoogsteen edge, which includes the protonated N7, is base paired with G6 thus forming the G6·oxoG19·C21 base triad. It is noteworthy that oxoG19 adopts the syn glycosidic conformation. Furthermore, DQF-COSY spectrum showed that the predominant sugar pucker of oxoG19 is north (C3'-endo) whereas the remaining nucleotides adopt the south (C2'-endo) pucker. Interestingly, C5 is bulged out of the G-quadruplex core and positioned in the wide groove, which facilitates efficient stacking of the G6·oxoG19·C21 base triad with the adjacent G-quartet (Supplementary Figure S8). Furthermore, C7·G20 form a Watson–Crick base pair that stacks on the G6·oxoG19·C21 base triad (Figure 5B). On the opposite side of the G-quadruplex core, C1 and A15 were found to interact via the C1H42–A15N3 hydrogen bond.

Structure of the bcl2ex-oxoG19 G-quadruplex. (A) Superpositions of 12 lowest energy structures presented in two views rotated by 180°. (B) Details of the representative structure. Syn and anti guanines are shown in magenta and gray, respectively, oxoG is in red and base pairs/triad in blue.
Figure 5.

Structure of the bcl2ex-oxoG19 G-quadruplex. (A) Superpositions of 12 lowest energy structures presented in two views rotated by 180°. (B) Details of the representative structure. Syn and anti guanines are shown in magenta and gray, respectively, oxoG is in red and base pairs/triad in blue.

Proposed mechanism for oxidation of position G19 in the BCL2 promoter. Equilibrium between non-B-DNA structures, which include bcl2ex, is shifted towards the duplex form. In the event of oxidation oxoG19 can be efficiently excised by OGG1, which destabilizes the duplex. The G-rich strand adopts an unknown G-quadruplex fold where the G5-tract is part of a long loop. Alternatively, the bcl2ex-oxoG19 G-quadruplex can form before oxoG19 is excised. The oxidized G5-tract is involved in base pairing, which could hinder repair of the lesion.
Figure 6.

Proposed mechanism for oxidation of position G19 in the BCL2 promoter. Equilibrium between non-B-DNA structures, which include bcl2ex, is shifted towards the duplex form. In the event of oxidation oxoG19 can be efficiently excised by OGG1, which destabilizes the duplex. The G-rich strand adopts an unknown G-quadruplex fold where the G5-tract is part of a long loop. Alternatively, the bcl2ex-oxoG19 G-quadruplex can form before oxoG19 is excised. The oxidized G5-tract is involved in base pairing, which could hinder repair of the lesion.

Solvent accessibility and dynamics of individual G-quartets were evaluated with a deuterium for hydrogen exchange experiment (Supplementary Figure S11). Imino resonances of G17 and G23 in bcl2ex-oxoG19 could be observed even one month after transfer to 2H2O suggesting a tightly packed hydrophobic central cavity. On the other hand, imino protons of bcl2ex exchanged with deuterium within 12 h after H2O–2H2O transfer suggesting the G-quadruplex structure is more dynamic with a higher exposure of imino protons to solvent compared to bcl2ex-oxoG19.

DISCUSSION

Promoters are double stranded regions of DNA, which can coexist in equilibrium with other secondary structures (e.g. G-quadruplex and i-motif). Non-B-DNA secondary structures within promoters are attractive targets for small molecule binding. Studies showed that stabilization of BCL2 G-quadruplexes upon ligand binding inhibits BCL2 expression and induces apoptosis, thus showing anti-cancer effects (38,39). G-quadruplex structures are notorious for their polymorphism that may involve variations in strand directionality, which results in either parallel, anti-parallel or hybrid topologies. Hurley et al. demonstrated that the G-rich strand of Pu39 is able to form different G-quadruplex structures with hybrid or predominantly parallel character (40). Many currently known G-quadruplexes in promoter regions adopt the parallel type of structure (9). Design of ligands for selective recognition of G-quadruplexes within a specific gene promoter is therefore challenging. However, parallel and antiparallel G-quadruplexes differ further in loop orientations and groove dimensions, which could be the basis for discrimination. The first oligonucleotide derived from the BCL2 promoter, Bcl2MidG4, was studied in solution by Yang et al. (28). bcl2MidG4 contained the middle four G-tracts of Pu39, but was found to be structurally heterogeneous. Point mutations in the G5-tract were introduced (Bcl2Mid) to reduce structural polymorphism and solve a hybrid type G-quadruplex structure. Interestingly, we found that bcl2ex and bcl2MidG4 exhibit similar CD spectra (Supplementary Figure S2), which could suggest that a part of the ensemble of structures formed by bcl2MidG4 adopts ‘bcl2ex-like’ folds. Later, the longer Pu30 (first 30 nucleotides of Pu39) was found to adopt a parallel G-quadruplex structure with a 13-nt double-chain-reversal loop (41). The parent Pu30 again formed multiple structures in solution and mutations in the G5-tract and preceding G-tract (Pu30_3T4AA) were utilized for structure determination. While both bcl2Mid and Pu30_3T4AA folds exhibited comparable thermodynamic stabilities, the G-quadruplex with shorter loop lengths (i.e. bcl2Mid) was speculated to be kinetically favoured.

bcl2ex also contains the middle four Pu39’s G-tracts of which three are of equal length (GGG) while a single longer G5-tract is a potential source of structural polymorphism. The G-tract regions with connecting loops are formally extended in 5′ and 3′ directions by a single nucleotide (C1 and A25). These play an instrumental role in determination of the G-quadruplex structure of bcl2ex by NMR. C1 forms a Watson–Crick base pair with G16 and both are adjoined by A11 and A25 to form a planar CGAA-quartet. This structural element apparently stabilizes only a single basket-type G-quadruplex as no strand slippage derived polymorphism or other competing folds were observed. Interestingly, contribution of the CGAA-quartet to the overall thermal stability of the bcl2ex G-quadruplex is negligible since its melting temperature is comparable to that of bcl2MidG4 (69°C). An unusual structural feature of the CGAA-quartet is the syn conformation of C1. Antiparallel and hybrid type G-quadruplexes often start with a 5′ guanine in syn conformation (42–46). However, in bcl2ex the G-quadruplex core starts with G2 in the anti conformation and is followed by a syn G3, a sequence step that was shown to be generally unfavourable by free energy calculations (47). C1 in syn conformation could therefore facilitate formation of the unfavourable anti–syn step in the G-quadruplex core.

The Xodo laboratory found that DNA oxidation can upregulate KRAS gene expression (21). Facilitated by DNA supercoiling the G-rich region within KRAS can form G-quadruplex structures. Upon oxidation the G-quadruplex fold is retained if oxoG appears in long loop regions. However, oxoG increases binding of transcription factors to the G-quadruplex, which destabilizes the structure. DNA reverts to the duplex form and oxoG can be efficiently repaired by base excision repair (BER) where the nucleobase is excised by the oxoG glycosylase 1 (OGG1). This creates an abasic site (AP), which is cleaved by the apurinic/apyrimidinic endonuclease 1 (APE1). Lesion free promoter DNA has increased affinity towards nuclear factors, which activates KRAS transcription. Regulation of BCL2 expression, which sensitizes cells to apoptosis, was also shown to be related to exposure to ROS (48–51). A report by Avvedimento et. al. revealed an intricate mechanism of targeted oxoG formation in the BCL2 promoter, which activates gene expression (52). Results of the current study complement earlier observations by showing that oxidation of certain guanines within the BCL2 promoter could regulate BCL2 expression by shifting equilibrium between duplex and G-quadruplex structures. Substitution of G19 to oxoG formally splits the G5-tract into a three guanine tract and an isolated guanine, which has an extensive effect on the 3D structure. Comparison of bcl2ex and bcl2ex-oxoG19 structures shows that G19 shifts register and switches position from constituting the top G-quartet in bcl2ex to the G6·oxoG19·C21 base triad in bcl2ex-oxoG19. Hoogsteen type hydrogen bonding such as that of an anti G6 and a synoxoG19 has been observed previously and shown as energetically favourable (53). On the other hand, Watson–Crick hydrogen bonding between oxoG19 and C21 is unusual as both nucleotides are in the syn conformation. Due to the G5-tract changing register, G16 is no longer available for base pairing with C1, which precludes the formation of the CGAA-quartet in bcl2ex-oxoG19. It is noteworthy that comparable G-quartets in bcl2ex and bcl2ex-oxoG19 differ in hydrogen bond directionalities, which suggests that the switch to the bcl2ex-oxoG19 structure would have to involve an unfolded or double helical intermediate. Interestingly, both bcl2ex and bcl2ex-oxoG19 exhibit capping structures flanking their G-quadruplex cores, which is in agreement with previously observed basket-type G-quadruplexes in solutions containing K+ ions where extensive base pairing and stacking was found in the loops (54,55).

We have recently shown that the structure of a hybrid type human telomeric G-quadruplex is disrupted when oxoG is substituted in the central G-quartet, while the effect is less severe when substitutions are made in the outer G-quartets (24). The human telomeric G-quadruplex can tolerate oxidation of certain guanines, which are in syn conformation. On the other hand, if a guanine in anti conformation is affected, a major conformational shift is required to accommodate the lesion. A similar trend was observed in a study by Myong et. al. where the central G-quartet position of a human telomeric G-quadruplex was the most destabilizing when substituted by oxoG (56). However, direct oxidation of guanines in the central G-quartet is unlikely, because they are protected by the surrounding G-quadruplex structure (57). Capping structures of the bcl2ex G-quadruplex could offer an even higher degree of protection against direct oxidation. G20 is redundant in the G5-tract and is exposed to the solvent in the bcl2ex structure. Interestingly, virtually no change in G-quadruplex structure or stability is observed when G20 in bcl2ex is substituted with oxoG. On the other hand, G19 is involved in G-quartet formation and is highly unlikely to be oxidized while the bcl2ex G-quadruplex is folded.

The G-rich strand of the BCL2 promoter exists in equilibrium between duplex and G-quadruplex forms. This equilibrium is likely shifted towards the duplex form where G-tracts are likely targets for oxidation, either direct or via electron hole migration (58). Due to the number of successive Gs the G5-tract in bcl2ex should be highly susceptible to oxidation. However, based on data for VEGF and NEIL3 systems (29,30), other G-tracts in bcl2ex are equally likely to be oxidized. Computational studies showed that within a G-tract the 3′ G, especially when followed by a C, is the most protected from oxidation (59). Analogously, in the G5-tract of bcl2ex, G20 should be protected, while the four upstream Gs are likely candidates for oxidation. However, the BCL2 promoter (beyond bcl2ex) contains additional G-tracts of different lengths, which offers a level of redundancy. Burrows et al. have shown that redundant G-tracts in VEGF and NEIL3 promoters play a pivotal role in regulating gene expression (22,30). Oxidative lesions were found to upregulate gene expression by destabilizing the duplex and shifting the structural equilibrium in favour of G-quadruplexes. oxoG in duplex DNA is normally removed by BER. This creates an AP site, which is highly destabilizing to the duplex and thus promotes formation of a G-quadruplex structure. The AP site is excluded from the G-quadruplex core by utilizing redundant G-tracts. Interestingly, AP sites were suggested to decreases the number of possible structures and slightly stabilizes the fold. Subsequently, APE1 is recruited to the excluded AP sites, but does not cleave the DNA strand. Instead, APE1 recruits transcription factors, which generally upregulate gene expression. However, depending on location, strand, and promoter the reverse effect of gene suppression can also be observed and may involve i-motif structures (60). The same mechanism could also regulate BCL2 expression where upon oxidation structural equilibrium would shift from a double helical towards the G-quadruplex form (Figure 6). Normally this would include formation of an AP site, which would destabilize the duplex. However, oxidation in the bcl2ex region at position G19 of the double helix could shift the equilibrium in favour of G-quadruplex before removal of oxoG19 with APE1. While oxoG19 is not expected to cause a major decrease in duplex stability, the change in structural equilibrium would be driven by increased stability of the oxidized G-quadruplex. Furthermore, once the bcl2ex-oxoG19 structure is formed, repair could be less efficient due to high thermal stability of the G-quadruplex. OGG1 initiates excision by hydrogen bonding with the protonated N7 of oxoG (61,62). In the structure adopted by bcl2ex-oxoG19, H7 of oxoG19 is hydrogen bonded to G6, which could negatively affect removal of oxoG19 by OGG1. Additional structural transformations to partially or completely unfold the structure could be required. On the other hand, the structure of bcl2ex-oxoG19 could hinder ROS from accessing oxoG19 and prevent secondary oxidation reactions despite the low redox potential of oxoG. The inability to remove oxoG19 could lead to a stable lesion, which would act as an epigenetic modification that might regulate gene expression by altering the binding of transcription factors to the DNA.

In summary, identification of new non-B-DNA secondary structures adds additional levels of complexity to the folding landscape of the G-rich region of the P1 promoter of BCL2 and suggests that multiple structures are relevant for regulation of transcription. Diversity of BCL2 G-quadruplex structures is further expanded by the action of reactive oxygen species. While oxidative lesions were mostly found to reduce G-quadruplex stability, we report a significant stabilizing effect on a biologically relevant G-quadruplex. Unique structural features presented in this study could prove significant for detection and mitigation of oxidative lesions in the human BCL2 gene and related diseases.

DATA AVAILABILITY

The coordinates for the 12 lowest energy structures of bcl2ex and bcl2ex-oxoG19 have been deposited in the Protein Data Bank with accession codes 6ZX7 and 6ZX6, respectively. Chemical shifts have been deposited in the Biological Magnetic Resonance Data Bank as entries 34543 and 34542.

SUPPLEMENTARY DATA

Supplementary Data are available at NAR Online.

FUNDING

Slovenian Research Agency [ARRS, J1-1704, P1-0242]. Funding for open access charge: Slovenian Research Agency [ARRS, J1-1704, P1-0242].

Conflict of interest statement. None declared.

REFERENCES

1. 

Elmore S. Apoptosis: a review of programmed cell death. Toxicol. Pathol.2007; 35:495516.

2. 

Kale J. , OsterlundE.J., AndrewsD.W. BCL-2 family proteins: changing partners in the dance towards death. Cell Death Differ.2018; 25:6580.

3. 

Singh R. , LetaiA., SarosiekK. Regulation of apoptosis in health and disease: the balancing act of BCL-2 family proteins. Nat. Rev. Mol. Cell Biol.2019; 20:175193.

4. 

Frenzel A. , GrespiF., ChmelewskijW., VillungerA. Bcl2 family proteins in carcinogenesis and the treatment of cancer. Apoptosis. 2009; 14:584596.

5. 

Hockenbery D.M. , OltvaiZ.N., YinX.M., MillimanC.L., KorsmeyerS.J. Bcl-2 functions in an antioxidant pathway to prevent apoptosis. Cell. 1993; 75:241251.

6. 

Kane D.J. , SarafianT.A., AntonR., HahnH., GrallaE.B., ValentineJ.S., ÖrdT., BredesenD.E. Bcl-2 inhibition of neural death: Decreased generation of reactive oxygen species. Science. 1993; 262:12741277.

7. 

Susnow N. , ZengL., MargineantuD., HockenberyD.M. Bcl-2 family proteins as regulators of oxidative stress. Semin. Cancer Biol.2009; 19:4249.

8. 

Neidle S. Quadruplex Nucleic Acids As Targets For Medicinal Chemistry. 2020; CambridgeAcademic Press.

9. 

Balasubramanian S. , HurleyL.H., NeidleS. Targeting G-quadruplexes in gene promoters: a novel anticancer strategy?. Nat. Rev. Drug Discov.2011; 10:261275.

10. 

Seto M. , JaegerU., HockettR.D., GraningerW., BennettS., GoldmanP., KorsmeyerS.J. Alternative promoters and exons, somatic mutation and deregulation of the Bcl-2-Ig fusion gene in lymphoma. EMBO J.1988; 7:123131.

11. 

Young R.L. , KorsmeyerS.J. A negative regulatory element in the bcl-2 5′-untranslated region inhibits expression from an upstream promoter. Mol. Cell. Biol.1993; 13:36863697.

12. 

Sengupta P. , ChattopadhyayS., ChatterjeeS. G-Quadruplex surveillance in BCL-2 gene: a promising therapeutic intervention in cancer treatment. Drug Discov. Today. 2017; 22:11651186.

13. 

Steenken S. , JovanovicS.V. How easily oxidizable is DNA? One-electron reduction potentials of adenosine and guanosine radicals in aqueous solution. J. Am. Chem. Soc.1997; 119:617618.

14. 

Prat F. , HoukK.N., FooteC.S. Effect of guanine stacking on the oxidation of 8-oxoguanine in B-DNA. J. Am. Chem. Soc.1998; 120:845846.

15. 

Sugiyama H. , SaitoI. Theoretical studies of GG-specific photocleavage of DNA via electron transfer: Significant lowering of ionization potential and 5′-localization of HOMO of stacked GG bases in B-form DNA. J. Am. Chem. Soc.1996; 118:70637068.

16. 

Burrows C.J. , MullerJ.G. Oxidative nucleobase modifications leading to strand scission. Chem. Rev.1998; 98:11091151.

17. 

Neeley W.L. , EssigmannJ.M. Mechanisms of formation, genotoxicity, and mutation of guanine oxidation products. Chem. Res. Toxicol.2006; 19:491505.

18. 

Jang Y.H. , GoddardW.A., NoyesK.T., SowersL.C., HwangS., ChungD.S. First principles calculations of the tautomers and pKa values of 8-oxoguanine: Implications for mutagenicity and repair. Chem. Res. Toxicol.2002; 15:10231035.

19. 

Ding Y. , FlemingA.M., BurrowsC.J. Sequencing the mouse genome for the oxidatively modified base 8-oxo-7,8-dihydroguanine by OG-Seq. J. Am. Chem. Soc.2017; 139:25692572.

20. 

Oh J. , FlemingA.M., XuJ., ChongJ., BurrowsC.J., WangD RNA polymerase II stalls on oxidative DNA damage via a torsion-latch mechanism involving lone pair–π and CH–π interactions. Proc. Natl. Acad. Sci. U.S.A.2020; 117:93389348.

21. 

Cogoi S. , FerinoA., MigliettaG., PedersenE.B., XodoL.E. The regulatory G4 motif of the Kirsten ras (KRAS) gene is sensitive to guanine oxidation: Implications on transcription. Nucleic Acids Res.2018; 46:661676.

22. 

Fleming A.M. , DingY., BurrowsC.J. Oxidative DNA damage is epigenetic by regulating gene transcription via base excision repair. Proc. Natl. Acad. Sci. U.S.A.2017; 114:26042609.

23. 

Lech C.J. , Cheow LimJ.K., Wen LimJ.M., AmraneS., HeddiB., PhanA.T Effects of site-specific guanine c8-modifications on an intramolecular DNA G-quadruplex. Biophys. J.2011; 101:19871998.

24. 

Bielskute S. , PlavecJ., PodbevšekP. Impact of oxidative lesions on the human telomeric G-quadruplex. J. Am. Chem. Soc.2019; 141:25942603.

25. 

Fleming A.M. , BurrowsC.J. Interplay of guanine oxidation and G-quadruplex folding in gene promoters. J. Am. Chem. Soc.2020; 142:11151136.

26. 

Gros J. , RosuF., AmraneS., De CianA., GabelicaV., LacroixL., MergnyJ.L. Guanines are a quartet's best friend: Impact of base substitutions on the kinetics and stability of tetramolecular quadruplexes. Nucleic Acids Res.2007; 35:30643075.

27. 

Dai J. , DexheimerT.S., ChenD., CarverM., AmbrusA., JonesR.A., YangD An intramolecular G-quadruplex structure with mixed parallel/antiparallel G-strands formed in the human BCL-2 promoter region in solution. J. Am. Chem. Soc.2006; 128:10961098.

28. 

Dai J. , ChenD., JonesR.A., HurleyL.H., YangD NMR solution structure of the major G-quadruplex structure formed in the human BCL2 promoter region. Nucleic Acids Res.2006; 34:51335144.

29. 

Fleming A.M. , ZhouJ., WallaceS.S., BurrowsC.J. A role for the fifth G-track in G-quadruplex forming oncogene promoter sequences during oxidative stress: Do these ‘spare tires’ have an evolved function?. ACS Cent. Sci.2015; 1:226233.

30. 

Fleming A.M. , ZhuJ., Howpay ManageS.A., BurrowsC.J. Human NEIL3 gene expression regulated by epigenetic-like oxidative DNA modification. J. Am. Chem. Soc.2019; 141:1103611049.

31. 

An N. , FlemingA.M., BurrowsC.J. Human telomere G-quadruplexes with five repeats accommodate 8-oxo-7,8-dihydroguanine by looping out the DNA damage. ACS Chem. Biol.2016; 11:500507.

32. 

Hickerson R.P. , PratF., MullerJ.G., FooteC.S., BurrowsC.J. Sequence and stacking dependence of 8-oxoguanine oxidation: comparison of one-electron vs singlet oxygen mechanisms. J. Am. Chem. Soc.1999; 121:94239428.

33. 

Delaglio F. , GrzesiekS., VuisterG.W., ZhuG., PfeiferJ., BaxA. NMRPipe: a multidimensional spectral processing system based on UNIX pipes. J. Biomol. NMR. 1995; 6:277293.

34. 

Vranken W.F. , BoucherW., StevensT.J., FoghR.H., PajonA., LlinasM., UlrichE.L., MarkleyJ.L., IonidesJ., LaueE.D. The CCPN data model for NMR spectroscopy: Development of a software pipeline. Proteins Struct. Funct. Genet.2005; 59:687696.

35. 

Krepl M. , ZgarbováM., StadlbauerP., OtyepkaM., BanášP., KočaJ., CheathamT.E., JurečkaP., ŠponerJ. Reference simulations of noncanonical nucleic acids with different χ variants of the AMBER FORCE field: quadruplex DNA, quadruplex RNA, and Z-DNA. J. Chem. Theory Comput.2012; 8:25062520.

36. 

Zgarbová M. , LuqueF.J., ŠponerJ., CheathamT.E., OtyepkaM., JurečkaP. Toward improved description of DNA backbone: revisiting epsilon and zeta torsion force field parameters. J. Chem. Theory Comput.2013; 9:23392354.

37. 

Vanquelef E. , SimonS., MarquantG., GarciaE., KlimerakG., DelepineJ.C., CieplakP., DupradeauF.Y. R.E.D. Server: a web service for deriving RESP and ESP charges and building force field libraries for new molecules and molecular fragments. Nucleic. Acids. Res.2011; 39:511517.

38. 

Feng Y. , YangD., ChenH., ChengW., WangL., SunH., TangY. Stabilization of G-quadruplex DNA and inhibition of Bcl-2 expression by a pyridostatin analog. Bioorganic Med. Chem. Lett.2016; 26:16601663.

39. 

Wang X.D. , OuT.M., LuY.J., LiZ., XuZ., XiC., TanJ.H., HuangS.L., AnL.K., LiD.et al. Turning off transcription of the bcl-2 gene by stabilizing the bcl-2 promoter quadruplex with quindoline derivatives. J. Med. Chem.2010; 53:43904398.

40. 

Dexheimer T.S. , SunD., HurleyL.H. Deconvoluting the structural and drug-recognition complexity of the G-quadruplex-forming region upstream of the bcl-2 P1 promoter. J. Am. Chem. Soc.2006; 128:54045415.

41. 

Agrawal P. , LinC., MathadR.I., CarverM., YangD The major G-quadruplex formed in the human BCL-2 proximal promoter adopts a parallel structure with a 13-nt loop in K+ solution. J. Am. Chem. Soc.2014; 136:17501753.

42. 

Lenarčič Živković M. , RozmanJ., PlavecJ. Adenine-driven structural switch from a two- to three-quartet DNA G-quadruplex. Angew. Chem. - Int. Ed.2018; 57:1539515399.

43. 

Brcic J. , PlavecJ. NMR structure of a G-quadruplex formed by four d(G4C2) repeats: insights into structural polymorphism. Nucleic Acids Res.2018; 46:1160511617.

44. 

Luu K.N. , PhanA.T., KuryavyiV., LacroixL., PatelD.J. Structure of the human telomere in K+ solution: An intramolecular (3 + 1) G-quadruplex scaffold. J. Am. Chem. Soc.2006; 128:99639970.

45. 

Kotar A. , RigoR., SissiC., PlavecJ. Two-quartet kit* G-quadruplex is formed via double-stranded pre-folded structure. Nucleic. Acids. Res.2019; 47:26412653.

46. 

Dai J. , CarverM., PunchihewaC., JonesR.A., YangD Structure of the hybrid-2 type intramolecular human telomeric G-quadruplex in K+ solution: Insights into structure polymorphism of the human telomeric sequence. Nucleic Acids Res.2007; 35:49274940.

47. 

Cang X. , ŠponerJ., CheathamT.E. Explaining the varied glycosidic conformational, G-tract length and sequence preferences for anti-parallel G-quadruplexes. Nucleic Acids Res.2011; 39:44994512.

48. 

Hildeman D.A. , MitchellT., AronowtB., WojciechowskiS., KapplerJ., MarrackP. Control of Bcl-2 expression by reactive oxygen species. Proc. Natl. Acad. Sci. U.S.A.2003; 100:1503515040.

49. 

Pugazhenthi S. , NesterovaA., JambalP., AudesirkG., KernM., CabellL., EvesE., RosnerM.R., BoxerL.M., ReuschJ.E.B. Oxidative stress-mediated down-regulation of bcl-2 promoter in hippocampal neurons. J. Neurochem.2003; 84:982996.

50. 

Chang W.K. , YangK.D., ChuangH., JanJ.T., ShaioM.F. Glutamine protects activated human T cells from apoptosis by up-regulating glutathione and Bcl-2 levels. Clin. Immunol.2002; 104:151160.

51. 

Maulik N. , EngelmanR.M., RousouJ.A., FlackJ.E., DeatonD., DasD.K. Ischemic preconditioning reduces apoptosis by upregulating anti-death gene Bcl-2. Circulation. 1999; 100:II-369II–375.

52. 

Perillo B. , OmbraM.N., BertoniA., CuozzoC., SacchettiS., SassoA., ChiariottiL., MalorniA., AbbondanzaC., AvvedimentoE.V. DNA oxidation as triggered by H3K9me2 demethylation drives estrogen-induced gene expression. Science. 2008; 319:202206.

53. 

Fujimoto H. , PinakM., NemotoT., BuntaJ.K. Structural analysis of base mispairing in DNA containing oxidative guanine lesion. Cent. Eur. J. Phys.2007; 5:4961.

54. 

Lim K.W. , AmraneS., BouazizS., XuW., MuY., PatelD.J., LuuK.N., PhanA.T. Structure of the human telomere in K+ solution: A stable basket-type G-quadruplex with only two G-tetrad layers. J. Am. Chem. Soc.2009; 131:43014309.

55. 

Geng Y. , LiuC., ZhouB., CaiQ., MiaoH., ShiX., XuN., YouY., FungC.P., DinR.U.et al. The crystal structure of an antiparallel chair-type G-quadruplex formed by Bromo-substituted human telomeric DNA. Nucleic Acids Res.2019; 47:53955404.

56. 

Lee H.T. , SanfordS., PaulT., ChoeJ., BoseA., OpreskoP.L., MyongS. Position-dependent effect of guanine base damage and mutations on telomeric G-quadruplex and telomerase extension. Biochemistry. 2020; 59:26272639.

57. 

Fleming A.M. , BurrowsC.J. G-quadruplex folds of the human telomere sequence alter the site reactivity and reaction pathway of guanine oxidation compared to duplex DNA. Chem. Res. Toxicol.2013; 26:593607.

58. 

Arnold A.R. , GrodickM.A., BartonJ.K. DNA charge transport: from chemical principles to the cell. Cell Chem. Biol.2016; 23:183197.

59. 

Senthilkumar K. , GrozemaF.C., GuerraC.F., BickelhauptF.M., SiebbelesL.D.A. Mapping the sites for selective oxidation of guanines in DNA. J. Am. Chem. Soc.2003; 125:1365813659.

60. 

Fleming A.M. , ZhuJ., DingY., BurrowsC.J. Location dependence of the transcriptional response of a potential G-quadruplex in gene promoters under oxidative stress. Nucleic. Acids. Res.2019; 47:50495060.

61. 

Bruner S.D. , NormanD.P.G., VerdineG.L Structural basis for recognition and repair of the endogenous mutagen 8-oxoguanine in DNA. Nature. 2000; 403:859866.

62. 

Banerjee A. , YangW., KarplusM., VerdineG.L. Structure of a repair enzyme interrogating undamaged DNA elucidates recognition of damaged DNA. Nature. 2005; 434:612618.