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Repurposing Pan-HDAC Inhibitors for ARID1A-Mutated Ovarian Cancer
Takeshi Fukumoto1, Pyoung Hwa Park1, Shuai Wu1
1Gene Expression and Regulation Program, The Wistar Institute, Philadelphia, PA 19104, USA.
Abstract:
ARID1A, a subunit of the SWI/SNF complex, is among the most frequently mutated genes across cancer types. ARID1A is mutated in more than 50% of ovarian clear cell carcinomas (OCCCs), diseases that have no effective therapy. Here, we show that ARID1A mutation confers sensitivity to pan-HDAC inhibitors such as SAHA in ovarian cancers. This correlated with enhanced growth suppression induced by the inhibition of HDAC2 activity in ARID1A-mutated cells. HDAC2 interacts with EZH2 in an ARID1A status-dependent manner. HDAC2 functions as a co-repressor of EZH2 to suppress the expression of EZH2/ARID1A target tumor suppressor genes such as PIK3IP1 to inhibit proliferation and promote apoptosis. SAHA reduced the growth and ascites of the ARID1A-inactivated OCCCs in both orthotopic and genetic mouse models. This correlated with a significant improvement of survival of mice bearing ARID1A-mutated OCCCs. These findings provided preclinical rationales for repurposing FDA-approved pan-HDAC inhibitors for treating ARID1A-mutated cancers.
Insights
Mutations in ARID1A (a SWI/SNF complex subunit) make ovarian cancers sensitive to HDAC inhibitors like SAHA. This approach suppressed tumor growth and improved survival in preclinical models.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- ARID1A is frequently mutated in ovarian clear cell carcinomas (OCCCs), a cancer lacking effective treatments.
- SWI/SNF complex dysfunction, particularly ARID1A mutations, is a hallmark of various cancers.
Purpose of the Study:
- To investigate the therapeutic potential of pan-Histone Deacetylase (HDAC) inhibitors in ARID1A-mutated ovarian cancers.
- To elucidate the molecular mechanisms linking ARID1A status, HDAC2 activity, and tumor suppressor gene expression.
Main Methods:
- Assessed sensitivity of ARID1A-mutated ovarian cancer cells to SAHA (a pan-HDAC inhibitor).
- Investigated the interaction between HDAC2 and EZH2 in an ARID1A-dependent manner.
- Utilized orthotopic and genetic mouse models of ARID1A-inactivated OCCCs to evaluate SAHA efficacy.
Main Results:
- ARID1A mutations confer sensitivity to pan-HDAC inhibitors, with SAHA inducing significant growth suppression.
- HDAC2 acts as an EZH2 co-repressor, suppressing tumor suppressor genes like PIK3IP1 in an ARID1A-dependent manner.
- SAHA treatment reduced tumor growth, ascites, and improved survival in preclinical models of ARID1A-mutated OCCCs.
Conclusions:
- ARID1A inactivation sensitizes ovarian cancers to HDAC inhibition, specifically targeting HDAC2.
- Repurposing FDA-approved pan-HDAC inhibitors like SAHA presents a promising therapeutic strategy for ARID1A-mutated cancers.
- Targeting the HDAC2-EZH2 axis offers a novel therapeutic avenue for ARID1A-deficient ovarian clear cell carcinomas.
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