The faithful duplication of the genome is a paramount task for any proliferating cell. This process, however, is fraught with challenges that can impede the DNA replication machinery, giving rise to a condition known as replication stress. This state of perturbed DNA synthesis is a principal driver of genomic instability, a hallmark of cancer and other human diseases. The intricate relationship between replication stress and the erosion of genomic integrity is governed by a sophisticated network of surveillance and repair pathways, central to which is the Fork Protection Complex (FPC).
Replication stress is a broad term encompassing any event that slows or stalls the progression of DNA replication forks. Far from being a rare occurrence triggered only by external insults, it is an intrinsic and pervasive challenge that arises from the fundamental processes of DNA metabolism. Endogenous sources of replication stress are numerous and varied, including difficult-to-replicate genomic loci such as repetitive sequences and common fragile sites; the formation of non-B DNA secondary structures like G-quadruplexes and hairpins; conflicts between the replication and transcription machineries (transcription-replication conflicts, or TRCs), which can promote the formation of...