checkpoint. We confirmed premature mitotic
entry observed in the siRNA-based screen using
individual siRNAs targeting CAD and ICAD
and in the CAD-deficient KO cells (Fig. 4, A
to C). This revealed that the breakdown in G 2
checkpoint control in CAD-deficient cells was
most pronounced 24 hours after IR, which
corresponded with our observed peak of CAD-
inflicted DNA breaks (Fig. 4, B and C). To
further characterize the molecular basis of
the CAD/ICAD-dependent checkpoint reg-
ulation, we noted reduction of the inhibitory
phosphorylation of cyclin-dependent kinase
CDK1 (Tyr^15 ), reduction in active checkpoint
kinase CHK2, and moderate difference in
SCIENCEscience.org 29 APRIL 2022¥VOL 376 ISSUE 6592 481
Fig. 4. CAD/ICAD are required for tumor cell
survival and checkpoint maintenance after
IR.(A) Mitotic (pS10-H3) staining of irradiated
and nocodazole (NZ)–trapped U2OS cells
transfected with control siRNA (UNC) and siRNA
against CAD. Cells were irradiated with 6 Gy
of IR; after a 2-hour recovery, NZ was added for
8 hours before cells were fixed for immuno-
fluorescence. Scale bar, 50mm. (B)G 2
checkpoint maintenance in HCT116 CAD siRNA
knockdown cells upon 8 Gy of IR. Data are
means ± SEM;N=3.*P< 0.05 (unpaired
Student’sttest). (C)G 2 checkpoint mainte-
nance in HCT116 CAD KO cells 24 hours after
8 Gy of IR. Data are means ± SEM;N= 3.
*P< 0.05 (unpaired Student’sttest). (D)G 2
checkpoint maintenance in U2OS ICAD KO cells
24 hours after 6 Gy of IR. Data are means ±
SEM;N=3.*P< 0.05 (unpaired Student’s
ttest). (E) Relative colony outgrowth of
CAD-depleted cells after IR exposures.
Data are means ± SEM;N=4.*P< 0.05
(unpaired Student’sttest). (F) Relative colony
outgrowth of CAD KO HCT116 cells upon
indicated IR exposure. Data are means ± SEM;
N= 4. *P< 0.05 (unpaired Student’sttest).
(G) Genomic instability in U2OS WT and ICAD
KO cells upon 8 Gy of IR. % Genomic instability
represents total number of cells displaying
micronuclei and fragmented nuclei divided by
the total number of cells. Data are means ±
SEM;N= 3,n> 400. **P= 0.0016 (ANOVA).
(H) Immunoblotting of pY701 STAT1 3 days after
6 Gy of IR in WT and ICAD KO cells. CDK1
inhibitor RO-3306 was added 2 hours after IR.
(I) Normalized tumor growth of HCT116 WT and
HCT116 CAD KO tumors after 4 Gy of IR. Data
are means ± SEM;n=6.**P= 0.0055 (two-way
multiple-comparisons ANOVA). (J) Model of
CAD-dependent G 2 phase checkpoint.
IR (8Gy):8h 24h IR (8Gy)24h
0123
0.01
0.1
1
IR (Gy) IR (Gy)
Relative Colony Outgrowth
UNC
siCAD
0123
0.01
0.1
1
Relative Colony Outgrowth
WT
CAD KO
0
5
10
15
20
25
0
5
10
15
Relative Mitotic Entry (%)
0246810
0
2
4
6
Days post IR (4Gy)
Relative tumor growth
WT
CAD KO
UNC siCAD
pS10-H3
pS10-H3
DAPI
AB
I
CD
EG
H
F
Relative Mitotic Entry (%)
0
2
4
6
Relative Mitotic Entry (%)
0.0
0.1
0.2
0.3
0.4
Genomic Instability %
IR (8Gy):
pY701 STAT1
S TAT 1
Vinculin
WT KO WT KO WT KO
NT IR (6Gy)
IR (6Gy)
+CDKi
CAD Proficient Cancer Cell
Repair
Premature
Mitosis
G2 Checkpoint
CAD Deficient Cancer Cell
Endogenous Breaks
No Damage IR Breaks
Proficiency
IR (8Gy)
IR (8Gy)24h
Genomic
Instability
ICAD: WT KOWT KOWT KOWT KO
NT 1d 2d 3d
UNCsiCADUNCsiCAD
WT
CAD KO
WT
ICAD KO 101ICAD KO 102
J
Lack of Endogenous Breaks
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