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Published on: September 1, 2019
Inhibiting H3K27 Demethylases Downregulates CREB-CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic
Juan Lazaro-Navarro1,2, Clara Alcon3,4, Mathurin Dorel5
1Department of Pediatric Oncology/Hematology, Charité-Universitätsmedizin Berlin, Berlin, Germany.
Background:
CREB binding protein (CREBBP) is a key epigenetic regulator, altered in a fifth of relapsed cases of acute lymphoblastic leukemia (ALL). Selectively targeting epigenetic signaling may be an effective novel therapeutic approach to overcome drug resistance. Anti-tumor effects have previously been demonstrated for GSK-J4, a selective H3K27 histone demethylase inhibitor, in several animal models of cancers.
Methods:
To characterize the effect of GSK-J4, drug response profiling, CRISPR-Dropout Screening, BH3 profiling and immunoblotting were carried out in ALL cell lines or patient derived samples.
Results:
Here we provide evidence that GSK-J4 downregulates cyclic AMP-responsive element-binding protein (CREB) and CREBBP in B-cell precursor-ALL cell lines and patient samples. High CREBBP expression in BCP-ALL cell lines correlated with high GSK-J4 sensitivity and low dexamethasone sensitivity. GSK-J4 treatment also induced Bcl-2 and Bcl-XL dependency and apoptosis.
Conclusions:
This study proposes H3K27 demethylase inhibition as a potential treatment strategy for patients with treatment-resistant ALL, using CREBBP as a biomarker for drug response and combining GSK-J4 with venetoclax and navitoclax as synergistic partners.
Insights
This study shows that inhibiting H3K27 demethylase with GSK-J4 can overcome drug resistance in acute lymphoblastic leukemia (ALL). High CREBBP expression predicts sensitivity to GSK-J4, suggesting it as a biomarker for treatment.
Area of Science:
- Epigenetics
- Cancer Biology
- Hematology
Background:
- CREB binding protein (CREBBP) is a crucial epigenetic regulator implicated in relapsed acute lymphoblastic leukemia (ALL).
- Targeting epigenetic signaling offers a novel strategy to combat drug resistance in ALL.
- GSK-J4, an H3K27 histone demethylase inhibitor, has demonstrated anti-tumor effects in preclinical cancer models.
Purpose of the Study:
- To investigate the therapeutic potential of GSK-J4 in ALL.
- To characterize the molecular mechanisms underlying GSK-J4's anti-leukemic effects.
- To identify biomarkers for predicting response to GSK-J4 treatment.
Main Methods:
- Drug response profiling, CRISPR-Dropout Screening, BH3 profiling, and immunoblotting were employed.
- Experiments were conducted on ALL cell lines and patient-derived samples.
- Analysis focused on the effects of GSK-J4 on CREB, CREBBP, and apoptosis-related proteins.
Main Results:
- GSK-J4 was found to downregulate CREB and CREBBP in B-cell precursor-ALL (BCP-ALL).
- High CREBBP expression correlated with increased sensitivity to GSK-J4 and decreased sensitivity to dexamethasone.
- GSK-J4 treatment induced dependency on Bcl-2 and Bcl-XL, leading to apoptosis.
Conclusions:
- H3K27 demethylase inhibition represents a promising treatment strategy for refractory ALL.
- CREBBP serves as a potential biomarker for predicting patient response to GSK-J4.
- Combination therapy with GSK-J4, venetoclax, and navitoclax demonstrated synergistic effects.
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