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EZH2: An Accomplice of Gastric Cancer
Wuhan Yu1,2, Ning Liu1,3, Xiaogang Song1,4
1The Second Hospital of Lanzhou University, Lanzhou 730030, China.
Abstract:
Gastric cancer is the fifth most common cancer and the third leading cause of cancer deaths worldwide. Understanding the factors influencing the therapeutic effects in gastric cancer patients and the molecular mechanism behind gastric cancer is still facing challenges. In addition to genetic alterations and environmental factors, it has been demonstrated that epigenetic mechanisms can also induce the occurrence and progression of gastric cancer. Enhancer of zeste homolog 2 (EZH2) is the catalytic subunit of the polycomb repressor complex 2 (PRC2), which trimethylates histone 3 at Lys-27 and regulates the expression of downstream target genes through epigenetic mechanisms. It has been found that EZH2 is overexpressed in the stomach, which promotes the progression of gastric cancer through multiple pathways. In addition, targeted inhibition of EZH2 expression can effectively delay the progression of gastric cancer and improve its resistance to chemotherapeutic agents. Given the many effects of EZH2 in gastric cancer, there are no studies to comprehensively describe this mechanism. Therefore, in this review, we first introduce EZH2 and clarify the mechanisms of abnormal expression of EZH2 in cancer. Secondly, we summarize the role of EZH2 in gastric cancer, which includes the association of the EZH2 gene with genetic susceptibility to GC, the correlation of the EZH2 gene with gastric carcinogenesis and invasive metastasis, the resistance to chemotherapeutic drugs of gastric cancer mediated by EZH2 and the high expression of EZH2 leading to poor prognosis of gastric cancer patients. Finally, we also clarify some of the current statuses of drug development regarding targeted inhibition of EZH2/PRC2 activity.
Insights
Enhancer of zeste homolog 2 (EZH2) promotes gastric cancer progression and chemoresistance. Targeting EZH2 offers a promising therapeutic strategy for improving patient outcomes in gastric cancer treatment.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Gastric cancer is a leading cause of cancer deaths globally.
- Epigenetic mechanisms, including Enhancer of zeste homolog 2 (EZH2) activity, play a crucial role in gastric cancer development.
- Understanding EZH2's role is vital for effective gastric cancer therapy.
Purpose of the Study:
- To comprehensively review the multifaceted roles of EZH2 in gastric cancer.
- To elucidate the mechanisms of EZH2 overexpression in cancer.
- To summarize EZH2's impact on gastric cancer susceptibility, carcinogenesis, metastasis, drug resistance, and prognosis.
Main Methods:
- Literature review of studies on EZH2 and gastric cancer.
- Analysis of EZH2's epigenetic regulatory mechanisms.
- Synthesis of evidence linking EZH2 to gastric cancer progression and therapeutic resistance.
Main Results:
- EZH2 is overexpressed in gastric cancer, promoting tumor progression via multiple pathways.
- EZH2 is associated with genetic susceptibility, carcinogenesis, and invasive metastasis.
- EZH2-mediated chemoresistance and its link to poor prognosis are significant findings.
Conclusions:
- EZH2 is a key epigenetic regulator implicated in gastric cancer pathogenesis.
- Targeting EZH2 presents a viable strategy to overcome chemoresistance and improve patient prognosis.
- Further research into EZH2/PRC2 inhibition is crucial for developing novel gastric cancer therapies.
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