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Updated: Oct 14, 2025

Assays for Validating Histone Acetyltransferase Inhibitors
Published on: August 6, 2020
Inhibition of histone acetyltransferase function radiosensitizes CREBBP/EP300 mutants via repression of homologous
Manish Kumar1, David Molkentine2, Jessica Molkentine2
1Department of Biochemistry, All India Institute of Medical Sciences (AIIMS), Bilaspur, Himachal Pradesh, India.
Abstract:
Despite radiation forming the curative backbone of over 50% of malignancies, there are no genomically-driven radiosensitizers for clinical use. Herein we perform in vivo shRNA screening to identify targets generally associated with radiation response as well as those exhibiting a genomic dependency. This identifies the histone acetyltransferases CREBBP/EP300 as a target for radiosensitization in combination with radiation in cognate mutant tumors. Further in vitro and in vivo studies confirm this phenomenon to be due to repression of homologous recombination following DNA damage and reproducible using chemical inhibition of histone acetyltransferase (HAT), but not bromodomain function. Selected mutations in CREBBP lead to a hyperacetylated state that increases CBP and BRCA1 acetylation, representing a gain of function targeted by HAT inhibition. Additionally, mutations in CREBBP/EP300 are associated with recurrence following radiation in squamous cell carcinoma cohorts. These findings provide both a mechanism of resistance and the potential for genomically-driven treatment.
Insights
Targeting histone acetyltransferases CREBBP/EP300 with HAT inhibitors can sensitize tumors to radiation therapy. This approach shows promise for genomically-driven cancer treatment, particularly in tumors with specific CREBBP/EP300 mutations.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Radiation therapy is a cornerstone of cancer treatment, yet effective genomically-driven radiosensitizers are lacking.
- Understanding the molecular mechanisms of radiation response and resistance is crucial for improving therapeutic outcomes.
Purpose of the Study:
- To identify novel molecular targets for radiosensitization based on genomic dependencies.
- To investigate the role of histone acetyltransferases CREBBP/EP300 in radiation response.
Main Methods:
- In vivo shRNA screening to identify genes associated with radiation response.
- In vitro and in vivo validation of CREBBP/EP300 as radiosensitization targets.
- Assessment of homologous recombination repair and protein acetylation following DNA damage.
Main Results:
- Histone acetyltransferases CREBBP/EP300 were identified as key targets for radiosensitization in tumors with corresponding mutations.
- Inhibition of CREBBP/EP300 repressed homologous recombination after DNA damage, enhancing radiation sensitivity.
- Chemical inhibition of histone acetyltransferase (HAT) activity, but not bromodomain function, mimicked this effect.
- Specific CREBBP mutations led to increased CBP and BRCA1 acetylation, a gain-of-function targeted by HAT inhibition.
- Mutations in CREBBP/EP300 correlated with increased recurrence rates after radiation in squamous cell carcinoma.
Conclusions:
- CREBBP/EP300 are critical regulators of homologous recombination repair and radiosensitivity.
- Targeting HAT activity of CREBBP/EP300 offers a genomically-driven strategy for radiosensitization.
- These findings elucidate a mechanism of radiation resistance and suggest a novel therapeutic approach for specific cancer patient populations.
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