Figure 1
An overview of the ICL repair pathway. When a replisome collides with an ICL (I), the leading strand initially stalls −20
nucleotides away from the lesion (II). After a second fork converges at the ICL, BRCA1 facilitates the dissociation of the
CMG complex (consisting of Cdc45, MCM2-7 and GINS) from chromatin at the stalled fork, allowing the leading strand to approach
to the −1 nucleotide adjacent to the ICL (III). In the next step, the SLX4-XPF-ERCC1 complex incises the DNA and unhooks the
lesion in a FA pathway-dependent manner (IV). Translesion synthesis (TLS) polymerase (Polζ, or possibly Polκ, Polη, or Polι)
extends the leading strand synthesis past the unhooked, ICL-associated nucleotide (V), and HR and the nucleotide excision
repair (NER) pathway repair the remaining lesion (VI).