Mutagenesis vol.12 no.6 pp.437^W2, 1997 Chromosomes with high gene density are preferentially repaired in human cells J.SurraUfe 1 ' 3 , S.Sebastian 1 ' 4 and A.T.Natarajan 1 - 2 'Department of Radiation Genetics and Chemical Mutagenesis, Leiden University, Leiden and 2J.A.Cohen Institute, Interuniversity Research Institute for Radiopathology and Radiation Protection, Leiden, The Netherlands It is known that DNA repair is heterogeneous in human cells since open chromatin, active genes and their transcribed strands are preferentially repaired. It is thus expected that DNA repair is clustered in chromosomes with high gene density. We have employed a DNA repair inhibitor, cytosine arabinoside (Ara-C), to convert ethyl methane sulfonate (EMS)-induced excision repairable lesions to chromosomal breaks, to check for the existence of heterogeneity of repair at the chromosome level. Chromosome staining by fluorescence in situ hybridization (FISH) was used to analyze breakage in chromosomes with diverse gene densities. These chromosomes were identified by means of the CpG island distribution after FISH with a CpG islandrich probe isolated from total human genomic DNA. Thus, three chromosomes with very high gene density (numbers 1, 19 and 20) were compared with two chromosomes with very low gene density (numbers 4 and 18) for clastogenicity and sensitivity to co-treatment with Ara-C and EMS. Our data indicate that those chromosome with higher gene density are more sensitive to a combination treatment with Ara-C and EMS, indicating that the level of excision repair synthesis is higher in those chromosome. It is therefore concluded that DNA excision repair is preferentially directed to chromosomes with high gene density. The implications of this finding in human biomonitoring using FISH techniques are discussed. Introduction It is generally accepted that chromosome mutations are causal events in the development of many human neoplasias. It is known that increased levels of chromosome breakage are predictive of future cancer risk in humans (Hagmar et al, 1994). Chromosome staining by fluorescence in situ hybridization (FISH) with whole chromosome-specific libraries has become a powerful methodology for detecting chromosome abnormalities (Pinkel et al, 1988; Natarajan et al, 1991, 1992a). FISH has important applications in clinical and tumour cytogenetics as well as in biological dosimetry of populations exposed to mutagenic agents and in in vitro studies on chromosomal aberration induction (Tucker et al, 1995a; Natarajan et al., 1996a,b). A general assumption of the use of painting to quantify chromosome damage in the whole genome by extrapolation from a few stained chromosomes is that the occurrence of break points is randomly distributed within and between chromosomes. However, many studies using banding or FISH methodologies have suggested that a random distribution is not actually the case (see Tucker and Senft, 1994; Natarajan et al., 1996b). It has previously been reported that chromosome 1 breaks are found more often than expected based on a random distribution of breaks points when lymphocytes are evaluated in individuals with past radiation exposure (Lucas et al, 1992; Natarajan et al, 1992a; Sachs et al, 1993). However, these observations do not reflect actual interchromosomal differences in radiosensitivity, since it is known that the frequency of unstable chromosome aberrations declines with age and that selection can act differently depending on the chromosome involved in the exchange aberration. Recent studies using several chromosome-specific probes have demonstrated that there is heterogeneity in response to ionizing radiation between chromosomes in human (Knehr et al., 1996; Boei et al, 1996) and in Chinese hamster (Domfnguez et al, 1996; Grigorova et al, 1997). These findings could have important implications in biomonitoring and biological dosimetry, since the assumption of random breakage in quantifying chromosome damage would have to be re-examined. Slijepcevic and Natarajan (1994a,b) suggested that the initial lesions induced by X-rays in hamster cells are not evenly distributed in the chromosomes. According to Tucker and Senft (1994), the observed non-random distribution of break points is most likely explained by non-random breakage or repair. Indeed, DNA repair is influenced by many factors, such as chromatin structure and transcriptional activity. It is widely accepted that open chromatin, active genes and their transcribed strands are preferentially repaired in human cells (Mullenders et al, 1991). These observations are explained not only by an enhanced accessibility of chromatin to repair factors at active loci but also by transcription-coupled repair mechanisms (reviewed by Drapkin et al, 1994; Friedberg, 1996). Human chromosomes are also highly heterogeneous. Genes are unevenly distributed both within a single chromosome and between chromosomes. Transcriptional activity is clustered in some chromosomal sites and other regions, such as heterochromatic bands, are genetically silent. Chromatin structure in active regions is usually open and accessible to transcription factors. These active regions are early replicating and rich in hypomethylated DNA. They can be easily visualized with diverse chromosome staining methodologies, such as G or R banding (Verma and Babu, 1995). On the other hand, transcriptionally inactive chromatin is highly methylated, late replicating and is distinguished by its lack of acetylated histones (Jeppesen and Turner, 1993; Surralles et al, 1996; Surrall^s and Natarajan, 1997). Interestingly, most genes are clustered in early replicating ^ o whom correspondence should be addressed at present address: Grup de Mutagenesi, Departament de Genetica i de Microbiologia, Edicifi Cn, Universitat Autdnoma de Barcelona, Campus de Bellaterra s/n, 08193 Bellaterra (Cerdanyola del Valles), Spain. Tel: +34 3 581 2597; Fax: +34 3 581 2387; Email: [email protected] 4 Present address: Biochemistry Department, Michigan State University, East Lansing, MI, USA © UK Environmental Mutagen Society/Oxford University Press 1997 437 J-Surralles, S-Sebastian and A.TJSatarajan R bands of human chromosomes, as seen by FISH with CpG island-enriched DNA segments (Craig and Bickmore, 1994). CpG islands are CG-rich regions found at the 5'-end of most mammalians genes, including all housekeeping genes. They have an important role in gene regulation through methylationbased mechanisms (Bird, 1986). As gene density and, therefore, chromatin structure and transcriptional activity is highly variable between human chromosomes, we hypothesized that DNA repair could be preferentially directed to those chromosomes with high gene density. To test this hypothesis, chromosome breakage was induced by inhibiting repair synthesis of ethyl methane sulfonate (EMS)-induced DNA lesions with cytosine arabinoside (Ara-C). Heterogenous breakage after inhibition of repair synthesis was then examined in chromosomes with high and low gene density which were identified by FISH with CpG islands isolated from human genomic DNA. Chromosome breakage was analysed by double and triple colour FISH with whole chromosome-specific probes. Materials and methods Isolation of CpG islands CpG island isolation was performed essentially as previously described (Craig and Bickmore, 1994) with several modifications. Briefly, total human genomic DNA was isolated from 10 ml heparinized whole blood using a Wizard™ genomic purification kit (Promega). The extracted DNA was quantified and fully digested with the restriction enzyme HpaM (restriction site CCGG; 5 U/ |ig DNA). Aliquots of the digested DNA were end-labelled with Klenow and [ P]dCTP and run in a 1% low melting point agarose gel. Unlabelled aliquots of digested DNA were run in parallel tracks. The part of the gel with radioactive DNA was authoradiographed to visualize the band with the small CpG islands. An equidistant band with unlabelled CpG islands was excised from the gel and the DNA recovered with AgarACE™, an agarose digesting enzyme (Promega). The recovered DNA containing the CpG islands was concentrated on a Centricon 10 column. The concentrated DNA was finally random prime-labelled with biotin and alcohol precipitated along with salmon sperm DNA and tRNA as a carrier. The biotinilated CpG island-enriched DNA was then used as a probe for FISH with normal chromosomes. Cell culture and chemical treatments Cell culturing was essentially performed as described elsewhere (Natarajan et al., 1992b). Peripheral blood was drawn into heparinized vacutainers and whole blood cultures were set up in Ham's F10 medium supplemented with 20% fetal calf serum (Gibco) (heat inactivated for 30 min at 56°C), 300 \lgl ml phytohaemagglutinin (PHA; Wellcome), 200 mM L-glutamine, heparin and antibiotics. Immediately after set-up, cells were left untreated or were treated with 0.5 mM EMS and the DNA synthesis inhibitor Ara-C (1 Hg/ml). Parallel cultures received either EMS alone or Ara-C alone, but they were excluded from the FISH analysis due to their low clastogenicity when given separately. Both treatments were washed out after 16 h incubation in order to avoid any interference with replicative synthesis. Thus Ara-C and EMS were removed just before S phase by washing the cells twice in 5 ml prewarmed phosphatebuffered saline (PBS) at 37°C, followed by addition of fresh medium without PHA but supplemented with 10 Hg/ml 2'-deoxycytidine (Sigma). Deoxycytidine was added to block residual effects of the remaining Ara-C bound to the polymerases and allow DNA replication to proceed normally. Metaphases were arrested with colchicine for 2 h and harvested 48 h after culture initiation, when cells were treated with a prewarmed hypotonic solution (0.075 M KG, 37°C) and fixed in acetic acid:methanol. Some untreated cultures were incubated for 72 h and treated with colchicine for 30 min before harvesting. Air dried preparations were made and stored at -20°C until FISH with either biotinilated CpG islands (72 h cultures) or two combinations of chromosome-specific DNA libraries (chromosomes 1 and 4 and 18, 19 and 20) in a multicolour fashion (48 h cultures). Labelling of chromosome-specific DNA libraries DNA libraries specific for chromosomes 1, 4, 18, 19 and 20 were labelled with either biotin-16-dUTP (Boehringer, Mannheim), digoxigenin-11-dUTP (Boehringer, Mannheim) or both dUTP conjugates by the polymerase chain reaction (PCR). For PCR the following mixture was used: 4-10 ng template (whole chromosome DNA library); buffer consisting of 10 mM Tris-HCl, pH 438 8.3, 1.5 mM MgCl2, 50 mM KC1, 0.1% gelatin; 10 nmol dATP; 10 nmol dCTP; 10 nmol dGTP; 5-6.5 nmol dTTP, either 5 nmol biotin-16-dUTP or 3.5 nmol digoxigenin-11-d(J IV or a combination of 2 nmol biotin-16-dUTP and 2 nmol digoxigenin-11-dUTP, 25 pmol each M13 forward and reverse sequencing primers; 2.5 U AmpliTaq DNA polymerase (Perkin Elmer). The amplification and labelling were carried out by running 30 cycles of 1 min at 93°C (denaturation), 1 min at 55°C (annealing) and 3 min at 72°C (extension) for each cycle. Following this procedure, chromosome 1 was labelled with biotin, chromosome 4 with digoxigenin, chromosome 18 with biotin or digoxigenin or both (50% each), chromosome 19 with biotin and chromosome 20 with biotin or digoxigenin or both (50% each). In situ hybridization procedure The standard protocol as described by Pinkel et al. (1988) with some modifications was used for in situ hybridization. For each slide, 50-100 ng biotinilated CpG islands or 3 |ll chromosome-specific PCR product were mixed with 3 ng human Cot-1 competitor DNA and dried using a speed-vac machine. The dried DNA was dissolved in hybridization buffer (50% formamide in 2X SSC, 10% dextran sulfate and 40 mM phosphate buffer, pH 7.0), denatured for 5 min at 70°C and chilled on ice. The repetitive sequences were competed out for 1-1.5 h at 37°C. Before in situ hybridization, thawed preparations were pretreated with RNase A (Boehringer) (100 ng/ml in 2X SSC) for 1 h at 37°C and with pepsin (50 |ig/ml in 10 mM Hcl; Serva) for 15 min at 37°C. Denaturation of in situ DNA was achieved by adding a mixture consisting of 70% deionized formamide, 2X SSC and 10 mM phosphate buffer, pH 7.0, to the preparations under coverslips. The preparations were placed on an 80°C hotplate for 4 min and chilled with ice-cold 70% ethanol following further dehydration with sequential incubations in 90% and absolute ethanol at room temperature. The denatured probes were mixed in appropriate combinations and were dropped onto the slides, which were then covered with a coverslip and sealed with glue. In situ hybridization with the target DNA was allowed to occur overnight at 37°C in a moist chamber. Immunological procedures for single and multicolour FISH After hybridization the preparations were washed in 50% formamide, 2X SSC, pH 7.0 (4X5 minat42°C), followed by washes in 0.1X SSC (3X5 min at 60°C) and 4X SSC, 0.05% Tween 20 for 5 min at room temperature. The preparations were subsequently incubated with 5% natural non-fat dry milk (Lucerne Ltd) for 15 min at room temperature. For single colour FISH (CpG island chromosomal distribution) the preparations were alternately incubated with TRTTC-avidin D (5 u.g/ml, 3X30 min at room temperature; Vector Laboratories), then biotin-conjugated goat antiavidin D antibodies (5 |ig/ml, 2X30 min at room temperature; Vector Laboratories) and a final incubation with TRTTC-avidin D. Slides were washed with 4X SSC, 0.05% Tween 20 (3X5 min) after each antibody incubation. For multicolour FISH antibody incubations were for 30 min at 37°C if not stated otherwise. Briefly, preparations were incubated with FTTC-avidin D (5 Hg/ml, 30 min at room temperature; Vector Laboratories), biotin-conjugated goat anti-avidin D antibodies (5 ng/ml, 2X30 min at room temperature) and FTTC-avidin D and then washed first with 4X SSC, 0.05% Tween 20 (2X5 min) and second with TNT (0.1 M Tris-HCl, pH 7.5, 0.15 M NaCl, 0.05% Tween 20) (5 min). Next, preparations were alternately incubated twice with mixtures of either mouse anti-digoxigenin (0.5 and 0.25 |ig/ml respectively; Boehringer) and biotin-conjugated goat anti-avidin D antibodies (5 (ig/ml) diluted in TNB (0.1 M Tris-HCl, 0.15 M NaCl, 0.5% Boehringer blocking reagent) or FTTC-avidin D (5 ng/ml) and digoxigenin-conjugated sheep antimouse antibodies (2 and 1 ng/ml respectively; Boehringer) diluted in TNB. For the last step, preparations were incubated with TRTTC-conjugated sheep anti-digoxigenin antibodies (2 Hg/ml; Boehringer) diluted in TNB. After each antibody incubation preparations were washed with TNT (3X5 min). Finally, preparations were dehydrated, dried and mounted in Vectashield (Vector Laboratories) containing 0.15 ng/ml 4',6-diamidino-2-phenylindole (DAPI; Serva). Microscopy and scoring The distribution of CpG islands was generated by computer enhancement of the FISH signal and the chromosomes were identified by computer-assisted generation of the DAPI banding pattern. Slides were analysed for chromosome aberration using a Zeiss microscope equipped with a triple filter to simultaneously visualize chromosomes stained red (TRTTC-detected, digoxigeninlabelled probes), green (biotinilated probes detected with FTTC), yellow [biotimdigoxigenin (l:l)-labelled probes simultaneously detected with FITC and TRITC] and blue (DAPI counterstaining). All aberrations were recorded, including reciprocal and non-reciprocal translocations (terminal and interstitial), dicentrics, fragments and rings. Genomic frequencies of different chromosomal aberrations were estimated per chromosome following the formula: Repair and chromosome gene density Fc = Fp/2/pd - / p ) , where F o is the genomic frequency, Fp is the frequency of aberrations observed with the stained chromosomes and fp is the fraction of the genome stained by FISH. Interactions between stained chromosomes were considered separately for each chromosome. The frequency of break points per chromosome was also calculated. Insertions (i.e. interstitial translocations) of fragments derived from stained chromosomes were considered as two breaks. This estimation allowed us to correct the number of break points in each chromosome for its DNA content so that direct comparisons between chromosomes could be done. Results and discussion Analysis of the hybridization patterns observed after FISH with biotinilated CpG islands generated with the restriction enzyme HpaH confirmed the observations reported by Craig and Bickmore (1994), who showed that genes are clustered in some, but not all, R bands. Based on computer-assisted generation of the DAPI banding pattern, most of the FISH signals were located in the light DAPI chromosomal bands Qight G bands). CCD images of the metaphase spreads counterstained with DAPI and hybridized with the CpG islands were obtained. The DAPI banding pattern was digitally converted to black and white in order to obtain a pattern resembling classical G banding, which facilited identification of the chromosomes. Among the long chromosomes (groups A and B), chromosome 4 showed hardly any hybridization signal, whereas chromosome 1 was rich in CpG islands, above all in the terminal part of the short arm and light G bands of the long arm, surrounding the pericentromeric region. Chromosomes of group C presented an intermediate level of CpG island density, with some clusters in the telomeric regions. As expected, CpG islands in the big acrocentric chromosomes (group D) were clustered in the short arms (nucleolar organizer regions, NOR), where the density of ribosomal genes is known to be very high. Among the smaller chromosomes (16-22 and Y), chromosomes 18 and 19 showed lower and higher concentrations of CpG islands respectively, hence confirming the findings of Craig and Bickmore (1994). As CpG island density is a good indicator of gene density, we can conclude that: (i) among the long chromosomes, chromosomes 1 and 4 have higher and lower gene densities respectively; (ii) among the smaller chromosomes, chromosome 18 has little protein coding information; (iii) chromosome 19 is that with relatively the highest density of genes in the human genome. Based on these observations, five chromosomes were selected in order to check their differential response to the DNA repair inhibitor Ara-C: chromosomes 1 and 4 as examples of long chromosomes with high and low gene density respectively; chromosomes 18 and 19 as examples of small chromosomes with low and high gene density respectively; chromosome 20 as an example of a small chromosome with an intermediate level of gene density. Blood cultures were either left untreated or treated with a combination of Ara-C and EMS during most of the Gj phase. At the concentrations and timings used, Ara-C and EMS given separately induced hardly any clastogenic effect in human lymphocytes (Surralles et al, 1997). Indeed, previous studies conducted in our laboratory showed that >83% of the clastogenic effect induced by co-treatments with Ara-C and EMS was due to a synergistic interaction between the two chemicals (Surralles et al., 1997), so the cultures that received Ara-C and EMS alone were excluded from the FISH analysis of clastogenicity. Clastogenicity induced by co-treatments with Ara-C and EMS were mediated by a specific inhibition of the gap filling step of excision repair of EMS-induced lesions by Ara-C (Surralles et al, 1995, 1997). Ara-C inhibits DNA synthesis and hence blocks the gap filling step of excision repair of EMS-induced lesions (Mirzayans et al, 1994). To achieve specific inhibition of repair synthesis, Ara-C action was restricted in large part to the G! phase. Unfilled repair gaps then reached S phase and were converted to chromosome breaks (Fenech and Neville, 1992; Fenech et al, 1994). It is important to note that with this experimental design the more efficient DNA repair, the higher the frequency of breaks. Chromosome breakage was measured in metaphase cells using multicolour FISH with specific staining probes targeting chromosomes with diverse gene densities. Data on spontaneous and Ara-C + EMS-induced chromosome breaks are presented in Table I. Spontaneous breakage is based on 3464 metaphases analysed for chromosomes 1 and 4 and 3875-7048 metaphases for the smaller chromosomes (18, 19 and 20). A higher number of cells was analysed for the small chromosomes as they represent a smaller fraction of the total genome in terms of their DNA content. The frequency of spontaneous translocations was higher than dicentrics in all chromosomes analysed, for both untreated and Ara-C + EMS-treated cultures. This phenomenon has been extensively discussed elsewhere (Natarajan et al, 1996b). The elevated frequency of translocations when compared with dicentrics could be related to the fact that each translocated chromosome was scored as a separate event, leading to identification of two types of translocated chromosomes that could actually be related in origin (Tucker et al, 1995a), e.g. those with a stained centromere and an unstained portion [t(Ba), using the PAINT nomenclature system suggested by Tucker et al, 1995b] and those with an unstained centromere and a stained portion [t(Ab)]. As this paper focuses on interchromosomal differences in breakage and repair, the difference between the ratio of dicentrics and translocations will not be further discussed. Interestingly, the overall frequency of spontaneous breaks is much higher in the group of small chromosomes when compared with big chromosomes (Table I). The biological significance of this observation, if any, is not known. It could very well be related to random differences due to the low number of spontaneous aberrations found. When comparisons were made within size groups, the chromosomes with very low gene density (4 and 18) presented an increased spontaneous fragility. However, this observation must be interpreted with care, since the total number of breaks in untreated cultures was rather low and false conclusions might be deduced. Most convincingly, chromosomes with high gene density are more sensitive to co-treatments with Ara-C and EMS than chromosomes with low gene density (Table I), indicating than the level of repair synthesis is positively correlated with gene density. Thus high gene density chromosome 19 is the most sensitive of all chromosomes analysed. This observation is statistically significant and consistent in the two size groups. When the two long chromosomes are compared, the number of Ara-C + EMS-induced break points encountered in chromosome 1 (64.8%) is 2.1-fold higher than in chromosome 4 (30.3%). This data cannot be explained by the presence of the breakage prone chromosome 1 heterochromatin region (band Iql2), as previous studies have demonstrated that this band has reduced DNA repair capacity and, therefore, is insensitive to co-treatments with Ara-C and EMS (Surralles et al, 1997). 439 J.Surralles, S.Scbastlan and A.T.Natarqjan Table I. Detection of chromosomal aberration in untreated or EMS (0.5 mM) and Ara-C (1 Hg/ml) co-treated 48 h whole blood cultures by multicolour FISH Treatment Chromosome no. Cells scored Type of chromosomal aberration detected by FISH Translocations Control AraC + EMS 1 4 18 19 20 1 4 18 19 20 3464 3464 6639 7048 3875 1109 1109 1946 2248 725 Dicentrics Fragments Break points0 n %b n % n % n % 1 1 8 5 4 54 24 18 26 10 0.20 0.26 2.37 1.79 2.32 32.71 18.60 18.16 29.54 32.07 1 0 2 1 1 29 10 10 21 2 0.02 0.00 0.59 0.36 0.60 17.53 7.74 10.07 23.72 6.27 4 6 4 1 0 20 5 3 12 0 0.81 1.46 1.18 0.36 0.00 12.09 3.87 2.96 13.52 0 6 7 15 8 6 107 39 32 65 13 1.17 1.72 4.54 2.81 3.48 64.82 30.26 32.38 73.72 41.60 •Bicolour junctions and fragments (interstitial translocations of stained chromosomes were scored as two breaks). ''Corrected for the whole genome. #18 #04 #20 #01 #19 Qvomoaonwa wtth Ini !•—Inp o«n« dansfty Fig. 1. Relationship between chromosomal gene density and interchromosomal differences in repair synthesis inhibition of EMS-induced DNA lesions in 48 h cultured human lymphocytes. Chromosomes are ordered from low to high gene density. Similarly, low gene density chromosome 18, with an induced frequency of breakage of 32.4%, is 2.3-fold less sensitive than high gene density chromosome 19, with as much as 73.7% Ara-C + EMS-induced breakage. Chromosome 20, with an intermediate level of gene density, also presents an intermediate level of induced clastogenicity (41.60%). The observed positive correlation between gene density and sensitivity to inhibition of repair synthesis is illustrated in Figure 1. Chromosomes with increasing gene density are plotted against Ara-C + EMS-induced break points after subtracting the spontaneous frequency of break points observed. Considering that unfilled EMS-induced repair sites are converted chromosome breaks due to Ara-C, our results suggest that excision repair is preferentially directed to chromosomes with high gene density. Our findings of a relatively low level of excision repair synthesis in chromosomes with low gene density cannot be explained by a lower alkylation level of those chromosomes, since previous studies demonstrated that ethylation is found even more frequently in satellite DNA and highly repetitive sequences than in gene-rich euchromatin (Durante et al, 1989). 440 On the other hand, and consistent with the notion that base excision repair of DNA alkylation is not coupled to transcription, the repair of alkylated bases is probably not strand biased and not strongly affected by the transcription activity of the region (Friedberg et al, 1995). Some studies have actually demonstrated that there is no difference in repair of damage produced by alkylating agents between transcriptionally active and silent genes or between transcribed and non-transcribed strands in Chinese hamster cells (Scicchitano and Hanawalt, 1995; Wang et al, 1995). The elevated frequency of Ara-C + EMS-induced breaks in high gene density chromosomes is probably better related to an enhanced accessibility of EMS-induced DNA damage to repair enzymes in open chromatin (Smerdon, 1991). This enhanced accessibility would facilitate the excision of alkylated bases from DNA and Ara-C-mediated formation of unfilled gaps and chromosome breaks. It is known that artificial changes in chromatin conformation have led to different rates of removal of DNA lesions. For instance, repair synthesis occurring after UV irradiation in human cells treated with sodium butyrate (an inhibitor of histone deacetylases) was enhanced in nucleosome cores containing hyperacetylated histones (Ramanathan and Smerdon, 1989). This finding is consistent with the role of hyperacetylation of histones in chromatin unfolding and in determining the genetic activity of diverse chromosome regions, as seen with antibodies against acetylated isoforms of histone H4 (Jeppesen and Turner, 1993; Turner, 1993; Surralles et al, 1996; Surralles and Natarajan, 1997). However, the possibility of decreased accessibility to repair enzymes in chromosomes with low gene density must be further studied in specially designed experiments. Following X irradiation of human lymphocytes and assessment at first mitosis, chromosome 4 is more often involved in chromosome exchange (translocations) than expected, whereas chromosome 1 is less often involved (Knehr et al, 1996, Boei et al, 1997), a situation opposite to the findings reported here for combined treatment with EMS and Ara-C. This apparent contradiction can be easily explained in terms of differential repair rates between these two chromosomes. Following X irradiation, the chromosomes with low gene density would repair the lesions slowly, thus allowing interaction with other lesions to form exchanges. The opposite would be true for chromosomes, such as 1 or 19, with high gene density, where Repair and chromosome gene density repair of lesions would be very quick and, therefore, the time for lesions to interact and produce exchange aberrations would be short. Another explanation is that in chromosomes with high gene density there may be a higher probability of excision occurring simultaneously on opposite strands of the DNA in sufficiently close proximity to cause double-strand breaks. This model has recently been proposed as a mechanism for chromosome breakage due to uracil misincorporation after folate deficiency (Blount et al, 1997). Our finding of enhanced repair synthesis in chromosomes with high gene density casts doubt on the assumption of a random distribution of chromosome damage when FISH is used for biomonitoring. 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