Lamin A/C Deficiency Drives Genomic Instability and Poor Survival in Small-Cell Lung Cancer through Increased R-loop Accumulation

  • Christopher W Schultz
  • , Sourav Saha
  • , Anjali Dhall
  • , Yang Zhang
  • , Parth Desai
  • , Lorinc S Pongor
  • , David A Scheiblin
  • , Valentin Magidson
  • , Yilun Sun
  • , Christophe Redon
  • , Suresh Kumar
  • , Manan Krishnamurthy
  • , Henrique B Dias
  • , Vasilisa Aksenova
  • , Elizabeth Giordano
  • , Nobuyuki Takahashi
  • , Michael Nirula
  • , Mohit Arora
  • , Chiori Tabe
  • , Maria Thomas
  • Rajesh Kumar, Yasuhiro Arakawa, Ukhyun Jo, Beverly A Teicher, Mirit I Aladjem, Stephen Lockett, Mary Dasso, Yves Pommier, Ajit K Sharma, Anish Thomas

Research output: Working paperPreprint

Abstract

Lamin A/C (LMNA), a key component of the nuclear envelope, is essential for maintaining nuclear integrity and genome organization [1]. While LMNA dysregulation has been implicated in genomic instability across cancer and aging, the underlying mechanisms remain poorly understood [2]. Here, we investigate LMNA's role in small-cell lung cancer (SCLC), a highly aggressive malignancy characterized by extreme genomic instability [3, 4]. We demonstrate that LMNA depletion promotes R-loop accumulation, transcription-replication conflicts, replication stress, DNA breaks, and micronuclei formation. Mechanistically, LMNA loss disrupts nuclear pore complex distribution, reducing phenylalanine-glycine (FG)-nucleoporin incorporation and impairing RNA export efficiency. Furthermore, we show that LMNA expression is epigenetically repressed by EZH2 during SCLC differentiation from neuroendocrine (NE) to non-NE states. Clinically, low LMNA levels correlate with significantly worse survival in SCLC patients. These findings uncover a novel role for LMNA in safeguarding genome integrity and shaping tumor heterogeneity, with broad implications for cancer and aging.

Original languageEnglish
DOIs
StatePublished - May 3 2025

Publication series

NamebioRxiv : the preprint server for biology
ISSN (Print)2692-8205

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