Despite the fact that over 80% of cancers result from DNA damage, only a limited number of methods are available to quantify DNA lesions. Unfortunately, these techniques are tedious, do not have sensitivity to quantify endogenous DNA damage, and are not standardized for population screenings. There is a significant need to establish a practical high-throughput DNA damage quantification assay that can be used as a tool for early cancer detection and risk assessment. Recently, my lab filled a major methodological gap by developing a novel and highly sensitive primer-anchored DNA damage detection assay (q-PADDA) to quantify in vivo levels of DNA damage. PADDA's simplicity (real-time PCR setting) and sensitivity make it ideal for DNA damage quantification on a high-throughput scale, but standardization is still required for population studies. Offering the capability of real-time, highly sensitive, and economical assessment of in vivo DNA damage, PADDA has tremendous transformative potential, not only for research but also for individual and public health. The purpose of the current proposal is to advance the development of q-PADDA for mass screening and to validate q-PADDA in two appropriate cancer-relevant biological systems: a population with relevant mutagen exposure and a population that will significantly benefit from early cancer detection.
Our specific aims are: 1) To advance the development and standardization of q-PADDA for high-throughput DNA damage quantification. We will develop q-PADDA for DNA damage quantification in additional genomic areas, establish and validate a normalization control, and optimize the assay for high-throughput damage quantification in noninvasive samples. Side-by-side tests will establish the sensitivity of optimized q-PADDA versus the comet and LORD-Q DNA damage quantification assays. 2) To validate q-PADDA for DNA damage quantification and cancer risk assessment in populations with relevant mutagen exposure. We will use q-PADDA to quantify DNA damage in oral epithelial and peripheral blood cells obtained from never-smokers, active-smokers and secondhand smokers. 3) To validate q-PADDA as a screening tool for the early detection of head and neck cancer. We will use q-PADDA to quantify DNA damage in the peripheral blood cells of head and neck cancer and non-cancer patients matched for age, sex, and tobacco habits. To determine a damage threshold that can optimally distinguish between patients and controls we will construct a receiver operating characteristic curve (ROC). Overall, the standardization of PADDA will have major implications to predict susceptibility to specific exposures and for early cancer detection. Our study has significant potential to revolutionize the way we practice medicine by providing an assay to guide early cancer detection and preventive strategies tailored to individual risk level.

Public Health Relevance

DNA damage likely originates a large fraction of human cancer; but due to technical limitations, the precise levels of DNA damage in cells and how they impact cell fate and human health are largely unknown. We have developed a novel, practical high- throughput DNA damage detection assay capable of quantifying endogenous and induced DNA damage. This assay will be standardized and used in human epidemiological studies. Our project has significant potential to revolutionize the way we practice medicine by providing an assay to guide early cancer detection and preventive strategies tailored to individual risk level.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Exploratory/Developmental Grants Phase II (R33)
Project #
5R33CA202898-02
Application #
9258404
Study Section
Special Emphasis Panel (ZCA1-TCRB-Q (O2))
Program Officer
Sorbara, Lynn R
Project Start
2016-04-08
Project End
2019-03-31
Budget Start
2017-04-01
Budget End
2018-03-31
Support Year
2
Fiscal Year
2017
Total Cost
$325,189
Indirect Cost
$105,467
Name
University of Oklahoma Health Sciences Center
Department
Otolaryngology
Type
Schools of Medicine
DUNS #
878648294
City
Oklahoma City
State
OK
Country
United States
Zip Code
73104
Queimado, Lurdes; Wagener, Theodore; Ganapathy, Vengatesh (2018) Electronic cigarette aerosols induce DNA damage and reduce DNA repair: Consistency across species. Proc Natl Acad Sci U S A 115:E5437-E5438
Ganapathy, Vengatesh; Manyanga, Jimmy; Brame, Lacy et al. (2017) Electronic cigarette aerosols suppress cellular antioxidant defenses and induce significant oxidative DNA damage. PLoS One 12:e0177780