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Updated: May 14, 2026

An Engineered Split-TET2 Enzyme for Chemical-inducible DNA Hydroxymethylation and Epigenetic Remodeling
Published on: December 18, 2017
Chromatin remodeling by rosuvastatin normalizes TSC2-/meth cell phenotype through the expression of tuberin
Elena Lesma1, Silvia Ancona, Emanuela Orpianesi
1Laboratories of Pharmacology, Department of Health Sciences, Università degli Studi di Milano, via di Rudini', 8, 20142 Milano, Italy. elena.lesma@unimi.it
Abstract:
Tuberous sclerosis complex (TSC) is a multi-systemic syndrome caused by mutations in TSC1 or TSC2 gene. In TSC2-null cells, Rheb, a member of the Ras family of GTPases, is constitutively activated. Statins inhibit 3-hydroxy-3-methylglutaryl coenzyme A reductase and block the synthesis of isoprenoid lipids with inhibition of Rheb farnesylation and RhoA geranylgeranylation. The effects of rosuvastatin on the function of human TSC2(-/-) and TSC2(-/meth) α-actin smooth muscle (ASM) cells have been investigated. The TSC2(-/-) and TSC2(-/meth) ASM cells, previously isolated in our laboratory from the renal angiomyolipoma of two TSC patients, do not express tuberin and bear loss of heterozigosity caused by a double hit on TSC2 and methylation of TSC2 promoter, respectively. Exposure to rosuvastatin affected TSC2(-/meth) ASM cell growth and promoted tuberin expression by acting as a demethylating agent. This occurred without changes in interleukin release. Rosuvastatin also reduced RhoA activation in TSC2(-/meth) ASM cells, and it required coadministration with the specific mTOR (mammalian target of rapamycin) inhibitor rapamycin to be effective in TSC2(-/-) ASM cells. Rapamycin enhanced rosuvastatin effect in inhibiting cell proliferation in TSC2(-/-) and TSC2(-/meth) ASM cells. Rosuvastatin alone did not alter phosphorylation of S6 and extracellular signal-regulated kinase (ERK), and at the higher concentration, rosuvastatin and rapamycin slightly decreased ERK phosphorylation. These results suggest that rosuvastatin may potentially represent a treatment adjunct to the therapy with mTOR inhibitors now in clinical development for TSC. In particular, rosuvastatin appears useful when the disease is originated by epigenetic defects.
Insights
Rosuvastatin may help treat tuberous sclerosis complex (TSC), especially when caused by epigenetic defects. It shows promise as an add-on therapy with mTOR inhibitors by affecting cell growth and gene expression in TSC2-deficient cells.
Area of Science:
- Cell Biology
- Genetics
- Pharmacology
Background:
- Tuberous sclerosis complex (TSC) is a genetic disorder caused by mutations in TSC1 or TSC2 genes, leading to uncontrolled cell growth.
- In TSC2-deficient cells, Rheb GTPase is constitutively active, driving cellular proliferation.
- Statins, like rosuvastatin, inhibit HMG-CoA reductase, impacting isoprenoid synthesis and potentially modulating Rheb and RhoA activity.
Purpose of the Study:
- To investigate the effects of rosuvastatin on human TSC2-null (TSC2(-/-)) and TSC2-methylated (TSC2(-/meth)) smooth muscle cells.
- To explore rosuvastatin's potential as an adjunct therapy for TSC, particularly in cases with epigenetic defects.
Main Methods:
- Cultured human TSC2(-/-) and TSC2(-/meth) alpha-actin smooth muscle cells derived from TSC patients.
- Treated cells with rosuvastatin alone or in combination with the mTOR inhibitor rapamycin.
- Assessed cell growth, tuberin expression, interleukin release, RhoA activation, and phosphorylation of S6 and ERK.
Main Results:
- Rosuvastatin promoted tuberin expression and affected cell growth in TSC2(-/meth) cells, acting as a demethylating agent without altering IL release.
- Rosuvastatin reduced RhoA activation in TSC2(-/meth) cells; its efficacy in TSC2(-/-) cells required co-administration with rapamycin.
- Combined rosuvastatin and rapamycin inhibited cell proliferation in both cell types and slightly decreased ERK phosphorylation at higher concentrations.
Conclusions:
- Rosuvastatin demonstrates therapeutic potential as an adjunct to mTOR inhibitors for TSC treatment, especially in TSC originating from epigenetic defects.
- The drug's ability to modulate tuberin expression and cell signaling pathways in TSC cells warrants further investigation for clinical application.
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