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Since the discovery of the two BER pathways, there has been a debate about how a cell chooses one pathway over the other and the factors determining this selection. Numerous in vitro experiments have pointed out multiple determinants for the sub-pathway selection. These are:
In mammals, a second type of BER is observed, which is often used preferentially during ATP shortage - long patch BER. Instead of just removing the single damaged base, long-patch BER repairs a patch several nucleotides long.
To achieve this, a different DNA polymerase, δ/ɛ adds several nucleotides that displace the original nucleotides. This results in an overhang of oligonucleotides called a flap, which contains the damaged base.
In the presence of a replication factor called proliferating cell nuclear antigen or PCNA, a special endonuclease called Flap Endonuclease (FEN) removes this flap before a DNA ligase seals the nick.
The mechanism of long patch BER is particularly useful to repair damages resulting from ionizing radiation.
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