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EZH2 inhibition suppresses endometrial cancer progression via miR-361/Twist axis
Kei Ihira1, Peixin Dong2, Ying Xiong3
1Department of Gynecology, Hokkaido University School of Medicine, Hokkaido University, Sapporo 0608638, Japan.
Abstract:
EZH2 inhibition and reactivation of tumor suppressor microRNAs (miRNAs) represent attractive anti-cancer therapeutic strategies. We found that EZH2-suppressed let 7b and miR-361, two likely tumor suppressors, inhibited endometrial cancer (EC) cell proliferation and invasion, and abrogated cancer stem cell-like properties. In EC cells, EZH2 induced and functioned together with YY1 to epigenetically suppress miR-361, which upregulated Twist, a direct target of miR-361. Treating EC cells with GSK343, a specific EZH2 inhibitor, mimicked the effects of siRNA-mediated EZH2 knockdown, upregulating miR-361 and downregulating Twist expression. Combining GSK343 with 5 AZA-2'-deoxycytidine synergistically suppressed cell proliferation and invasion in vitro, and decreased tumor size and weight in EC cell xenografted mice. Quantitative real-time PCR analysis of 24 primary EC tissues showed that lower let-7b and miR-361 levels were associated with worse patient outcomes. These results were validated in a larger EC patient dataset from The Cancer Genome Atlas. Our findings suggest that EZH2 drives EC progression by regulating miR-361/Twist signaling, and support EZH2 inhibition as a promising anti-EC therapeutic strategy.
Insights
EZH2 inhibition reactivates tumor suppressor microRNAs (miRNAs) in endometrial cancer. This approach suppressed cancer cell growth and invasion, offering a promising new therapeutic strategy.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Enhancer of Zeste Homolog 2 (EZH2) is implicated in cancer progression.
- MicroRNAs (miRNAs) can function as tumor suppressors.
- Targeting EZH2 and reactivating tumor suppressor miRNAs are potential anti-cancer strategies.
Purpose of the Study:
- To investigate the role of EZH2 in regulating specific tumor suppressor miRNAs in endometrial cancer (EC).
- To evaluate the therapeutic potential of EZH2 inhibition in EC.
- To explore the miR-361/Twist signaling pathway in EC progression.
Main Methods:
- Utilized EZH2 inhibitors (GSK343) and siRNA in EC cell lines.
- Assessed miRNA and gene expression levels (e.g., miR-361, Twist) using quantitative real-time PCR.
- Evaluated effects on cell proliferation, invasion, and cancer stem cell properties in vitro.
- Investigated therapeutic efficacy in EC cell xenograft mouse models.
- Analyzed miRNA expression in primary EC tissues and The Cancer Genome Atlas (TCGA) dataset.
Main Results:
- EZH2 suppresses tumor suppressors let-7b and miR-361 in EC cells.
- EZH2, with YY1, epigenetically silences miR-361, leading to Twist upregulation.
- EZH2 inhibition (GSK343) upregulates miR-361 and downregulates Twist.
- Combined EZH2 inhibition and hypomethylating agents synergistically reduced EC cell proliferation and invasion.
- Lower let-7b and miR-361 levels correlate with poorer patient outcomes in EC.
- EZH2 inhibition decreased tumor growth in vivo.
Conclusions:
- EZH2 drives EC progression via regulation of the miR-361/Twist axis.
- EZH2 inhibition demonstrates significant anti-cancer effects in endometrial cancer.
- Targeting EZH2 represents a promising therapeutic strategy for endometrial cancer treatment.
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