Cell cycle and apoptosis · USMLE Step 1

A cell with irreparable DNA damage fails the G2/M checkpoint. What is the most likely cellular fate?

  1. Proceed through mitosis anyway, risking mutated daughter cells
  2. Enter G0 permanently without dividing, but remain metabolically active
  3. Undergo apoptosis to eliminate the damaged cell
  4. Differentiate into a nondividing cell type
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Correct answer: Undergo apoptosis to eliminate the damaged cell

If DNA damage is detected at the G2/M checkpoint and cannot be repaired, the cell is often directed toward apoptosis to prevent propagation of genetic errors — a safeguard against potential malignancy.

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