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Epigenetic regulation of cell adhesion-mediated drug resistance acquisition in multiple myeloma
Yusuke Furukawa1, Jiro Kikuchi
1Division of Stem Cell Regulation, Center for Molecular Medicine, Jichi Medical University.
Abstract:
Elucidation of the epigenetic mechanisms underlying drug resistance may greatly contribute to the advancement of cancer therapies. In the present study, we identified trimethylation of histone H3 at lysine-27 (H3K27me3) as a critical histone modification for cell adhesion-mediated drug resistance (CAM-DR), which is the most important form of drug resistance in multiple myeloma. Cell adhesion counteracted drug-induced hypermethylation of H3K27 via inactivating phosphorylation of EZH2, leading to sustained expression of anti-apoptotic genes including IGF1, BCL2 and HIF1A. Inhibition of the IGF-1R/PI3K/Akt pathway reversed CAM-DR by promoting EZH2 dephosphorylation and H3K27 hypermethylation both in vitro and in refractory murine myeloma models. To our knowledge, this is the first demonstration of an epigenetic mechanism underlying CAM-DR and provides a rationale for the inclusion of kinase inhibitors counteracting EZH2 phosphorylation in combination chemotherapy aimed at increasing the therapeutic index.
Insights
This study reveals histone H3 lysine-27 trimethylation (H3K27me3) is key to multiple myeloma drug resistance. Targeting the IGF-1R/PI3K/Akt pathway can reverse resistance by restoring H3K27me3 epigenetic marks.
Area of Science:
- Epigenetics
- Cancer Biology
- Molecular Oncology
Background:
- Cell adhesion-mediated drug resistance (CAM-DR) is a major challenge in multiple myeloma treatment.
- Epigenetic modifications, particularly histone methylation, play crucial roles in cancer progression and drug resistance.
Purpose of the Study:
- To elucidate the epigenetic mechanisms driving CAM-DR in multiple myeloma.
- To identify specific histone modifications and signaling pathways involved in CAM-DR.
Main Methods:
- Investigated histone H3 lysine-27 trimethylation (H3K27me3) as a critical epigenetic mark.
- Examined the role of EZH2 phosphorylation and its impact on H3K27me3.
- Utilized in vitro and in vivo murine myeloma models.
- Assessed the effect of inhibiting the IGF-1R/PI3K/Akt pathway.
Main Results:
- Identified H3K27me3 as a critical epigenetic regulator of CAM-DR.
- Demonstrated that cell adhesion inactivates EZH2 via phosphorylation, preventing H3K27 hypermethylation and sustaining anti-apoptotic gene expression (IGF1, BCL2, HIF1A).
- Showed that inhibiting the IGF-1R/PI3K/Akt pathway reversed CAM-DR by promoting EZH2 dephosphorylation and H3K27 hypermethylation.
Conclusions:
- This study provides the first evidence of an epigenetic mechanism underlying CAM-DR in multiple myeloma.
- Targeting EZH2 phosphorylation through kinase inhibitors offers a potential therapeutic strategy to overcome drug resistance.
- Combination chemotherapy including kinase inhibitors may enhance the therapeutic index in multiple myeloma treatment.
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