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Updated: Feb 16, 2026

Continuous Fluorescence-Based Endonuclease-Coupled DNA Methylation Assay to Screen for DNA Methyltransferase Inhibitors
Published on: August 5, 2022
Histone methyltransferase KMT2D sustains prostate carcinogenesis and metastasis via epigenetically activating LIFR
Shidong Lv1,2, Liyan Ji2, Bin Chen3
1Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.
Abstract:
Abnormalities in epigenetic modifiers are emerging as driving events in prostate cancer (PCa). The histone methyltransferase KMT2D, a frequently aberrant epigenetic modifier in various tumors, has an undefined role in PCa. Moreover, little is known regarding KMT2D's mutation in Chinese patients or its downstream signaling pathways and targets. Here, we profiled the mutational spectrum of 32 significantly PCa-associated genes by using disease-targeted sequencing, and found that KMT2D was highly mutated (63.04%, 29/46) in Chinese patients. Moreover, high KMT2D transcription was also associated with poor prognosis in an independent cohort (n = 51). In KMT2D-knockdown PC-3 and DU145 cells, cell proliferation (P < 0.01), invasion (P < 0.001), and migration (P < 0.01) were consequently suppressed. KMT2D depletion effectively suppressed tumor growth by 92.21% in vivo. Notably, integrative analyses of RNAseq and ChIPseq characterized two crucial genes downregulated by KMT2D, leukemia inhibitory factor receptor (LIFR) and Kruppel-like factor-4 (KLF4), which are regulators in PI3K/Akt and EMT, respectively. Our present study revealed that KMT2D epigenetically activates PI3K/Akt pathway and EMT by targeting LIFR and KLF4 and thus serves as a putative epigenetic-based target for treating PCa.
Insights
The histone methyltransferase KMT2D is frequently mutated in Chinese prostate cancer (PCa) patients. KMT2D promotes PCa cell growth and metastasis by activating PI3K/Akt and EMT pathways, making it a potential therapeutic target.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Epigenetic modifiers are increasingly recognized as key drivers in prostate cancer (PCa) development.
- The specific role of the histone methyltransferase KMT2D in PCa, particularly in Chinese populations, remains largely undefined.
- Understanding KMT2D's mutations, downstream pathways, and targets is crucial for PCa research.
Purpose of the Study:
- To investigate the mutational status and prognostic significance of KMT2D in Chinese prostate cancer patients.
- To elucidate the functional role of KMT2D in PCa cell proliferation, migration, and invasion.
- To identify downstream targets and signaling pathways regulated by KMT2D in PCa.
Main Methods:
- Disease-targeted sequencing was employed to profile mutations in 32 PCa-associated genes.
- KMT2D expression levels were analyzed in relation to patient prognosis using an independent cohort.
- In vitro (cell lines) and in vivo (xenograft models) experiments were conducted to assess the functional impact of KMT2D knockdown.
- Integrative analyses of RNA sequencing (RNAseq) and chromatin immunoprecipitation sequencing (ChIPseq) were performed to identify KMT2D targets.
Main Results:
- KMT2D mutations were found in a high percentage (63.04%) of Chinese PCa patients.
- Elevated KMT2D transcription correlated with poor prognosis in an independent patient cohort.
- KMT2D knockdown significantly suppressed PCa cell proliferation, invasion, and migration in vitro.
- In vivo, KMT2D depletion markedly inhibited tumor growth by 92.21%.
- Integrative analyses identified leukemia inhibitory factor receptor (LIFR) and Kruppel-like factor-4 (KLF4) as key genes downregulated by KMT2D.
Conclusions:
- KMT2D plays a significant role in prostate cancer, particularly in the Chinese population, through high mutation rates.
- KMT2D promotes PCa progression by epigenetically activating the PI3K/Akt pathway via LIFR and the epithelial-mesenchymal transition (EMT) via KLF4.
- These findings establish KMT2D as a potential epigenetic target for novel prostate cancer therapies.
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