BLM-deficient cells exhibit high levels of ROS, oxidative DNA damage, and ROS-dependent reduction of DNA replication speed. (A) Flow cytometry measurement of cellular superoxide levels in GM00637 (BLM+/+) and KSVS1452 (BLMKO) cells stained with the super-oxide specific probe dihydroethidium (DHE). Analysis was performed in triplicate and mean ± SD is shown. (B) Fluorescence measurements of 2′,7′-dichlorofluorescin diacetate (DCFA)-stained BLM-proficient GM00637 (BLM+/+) cells, Bloom-syndrome-patient-derived GM08505 (BLM−/−) cells, BLM-knockout cells KSVS1452 (BLMKO) and BLM-complemented cells KSVS1454, indicating cellular ROS. Analysis was performed in triplicate and mean ± SD is shown. (C) Flow cytometry measurements of MitoSOX-stained (mitochondrial ROS) BLM-proficient GM00637 (BLM+/+) cells, Bloom-syndrome-patient-derived GM08505 (BLM−/−) cells, BLM-knockout cell line KSVS1452 (BLMKO) and BLM-complemented cell line KSVS1454. Analysis was performed in triplicate and mean ± SD is shown. (D) Representative fluorescence microscopy images of live GM00637 (BLM+/+), GM08505 (BLM−/−) and KSVS1452 (BLMKO) cells stained with MitoSOX (red foci), indicating mitochondrial ROS, and with Hoechst 33342 (blue). Scale bars 10 µm. (E) Confocal microscopy images of fixed GM00637 (BLM+/+), GM08505 (BLM−/−) and KSVS1452 (BLMKO) cells immunostained for oxidative damage to DNA (antibody 8-oxo-dG, 15A3, SCBT). GM00637 (BLM+/+) cells exposed to 100 µM H2O2 for 2 h served as a positive control for oxidative nucleotide damage. Scale bars 10 µm. (F) Median fluorescence intensity was determined by flow cytometry in fixed GM00637 (BLM+/+), GM08505 (BLM−/−) and KSVS1452 (BLMKO) cells immunostained with antibody 8-oxo-dG 15A3 (SCBT). Analysis was performed in triplicate and mean ± SD is shown. (G) Fluorescence measurements of 2′,7′-dichlorofluorescin diacetate (DCFA)-stained BLM-proficient GM00637 (BLM+/+) cells and BLM-knockout cells KSVS1452 (BLMKO) either treated with 5 mM antioxidant N-acetyl-cysteine (NAC) for 24 h, or untreated. Analysis was performed in triplicate and mean ± SD is shown. (H) Measurement of DNA replication speed in GM00637 (BLM+/+) cells and BLM-knockout cells KSVS1452 (BLMKO) either treated with 5 mM antioxidant N-acetyl-cysteine (NAC) for 24 h, or untreated, prior to DNA fiber analysis. Significance of differences was determined by a Student’s t-test and is reported as *p ≤ 0.05, **p ≤ 0.01, ***p ≤ 0.001; ns, not significant. Flow cytometry data were analyzed with FlowJo v. 10.7 software (BD Life Sciences, https://www.flowjo.com/solutions/flowjo/downloads).