CDK4/6 inhibition reprograms the breast cancer enhancer landscape by stimulating AP-1 transcriptional activity

April C Watt1,2, Paloma Cejas3,4,5, Molly J DeCristo6

  • 1Peter MacCallum Cancer Centre, Melbourne, Victoria, Australia.

Nature Cancer
|May 17, 2021
PubMed

Insights

Cyclin-dependent kinase 4 and 6 (CDK4/6) inhibitors remodel cancer cell chromatin by activating enhancers, influencing cell differentiation and immune responses. This chromatin remodeling, driven by increased Activator Protein-1 (AP-1) levels, offers new insights into CDK4/6 inhibitor mechanisms.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Pharmacologic inhibitors targeting cyclin-dependent kinases 4 and 6 (CDK4/6) are primarily used to induce cancer cell cycle arrest.
  • Emerging evidence suggests CDK4/6 inhibitors also modulate cancer cell immunogenicity, apoptosis, and differentiation.

Purpose of the Study:

  • To investigate the mechanisms by which CDK4/6 inhibitors influence cancer cell phenotypes beyond cell cycle arrest.
  • To elucidate the role of chromatin remodeling and enhancer activation in mediating these effects.

Main Methods:

  • Utilized cell-based and mouse models of breast cancer.
  • Analyzed clinical specimens.
  • Investigated chromatin remodeling and enhancer activity.
  • Assessed transcription factor protein levels, including Activator Protein-1 (AP-1).

Main Results:

  • CDK4/6 inhibitors induce significant cancer cell chromatin remodeling with widespread enhancer activation.
  • Activated enhancers include super-enhancers promoting luminal differentiation and apoptotic evasion.
  • A distinct set of enhancers near endogenous retroviral elements, enriched for interferon-driven genes, were also identified.
  • CDK4/6 inhibition increases Activator Protein-1 (AP-1) protein levels, contributing to enhancer activity.

Conclusions:

  • CDK4/6 inhibitors induce pleiotropic effects through chromatin remodeling and enhancer activation.
  • Findings provide novel insights into CDK4/6 pathway biology.
  • Results may guide the future development of CDK4/6 inhibitors in cancer therapy.

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