{Reference Type}: Journal Article {Title}: Obesity increases genomic instability at DNA repeat-mediated endogenous mutation hotspots. {Author}: Kompella P;Wang G;Durrett RE;Lai Y;Marin C;Liu Y;Habib SL;DiGiovanni J;Vasquez KM; {Journal}: Nat Commun {Volume}: 15 {Issue}: 1 {Year}: 2024 Jul 23 {Factor}: 17.694 {DOI}: 10.1038/s41467-024-50006-8 {Abstract}: Obesity is associated with increased cancer risk, yet the underlying mechanisms remain elusive. Obesity-associated cancers involve disruptions in metabolic and cellular pathways, which can lead to genomic instability. Repetitive DNA sequences capable of adopting alternative DNA structures (e.g., H-DNA) stimulate mutations and are enriched at mutation hotspots in human cancer genomes. However, it is not known if obesity impacts DNA repeat-mediated endogenous mutation hotspots. We address this gap by measuring mutation frequencies in obese and normal-weight transgenic reporter mice carrying either a control human B-DNA- or an H-DNA-forming sequence (from a translocation hotspot in c-MYC in Burkitt lymphoma). Here, we discover that H-DNA-induced DNA damage and mutations are elevated in a tissue-specific manner, and DNA repair efficiency is reduced in obese mice compared to those on the control diet. These findings elucidate the impact of obesity on cancer-associated endogenous mutation hotspots, providing mechanistic insight into the link between obesity and cancer.