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Enhancer Extrachromosomal Circular DNA ANKRD28 Elicits Drug Resistance via POU2F2-Mediated Transcriptional Network in
Binzhen Chen1, Jia Liu1, Yaoxin Zhang2,3
1Department of Hematology, Renji Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200127, China.
Abstract:
Multiple myeloma (MM) remains an incurable disease primarily due to the emergence of drug resistance, and the underlying mechanisms remain unclear. Extrachromosomal circular DNAs (eccDNAs) are prevalent in cancer genomes of both coding and non-coding regions. However, the role of non-coding eccDNA regions that serve as enhancers has been largely overlooked. Here, genome-wide profiling of serum eccDNAs from donors and MM patients who responded well or poorly to bortezomib-lenalidomide-dexamethasone (VRd) therapy is characterized. A high copy number of eccDNA ANKRD28 (eccANKRD28) predicts poor therapy response and prognosis but enhanced transcriptional activity. Established VRd-resistant MM cell lines exhibit a higher abundance of eccANKRD28, and CRISPR/Cas9-mediated elevation of eccANKRD28 desensitizes bortezomib and lenalidomide treatment both in vitro and in vivo. Integrated multi-omics analysis (H3K27ac ChIP-seq, scRNA-seq, scATAC-seq, CUT&Tag, et al.) identifies eccANKRD28 as an active enhancer involved in drug resistance driven by the key transcription factor, POU class 2 homeobox 2 (POU2F2). POU2F2 interacts with sequence-specific eccANKRD28 as well as RUNX1 and RUNX2 motifs to form the protein complex, which activates the promoter of oncogenes, including IRF4, JUNB, IKZF3, RUNX3, and BCL2. This study elucidates the potential transcriptional network of enhancer eccANKRD28 in MM drug resistance from a previously unrecognized epigenetic perspective.
Insights
Extrachromosomal circular DNA ANKRD28 (eccANKRD28) drives multiple myeloma drug resistance by activating oncogenes. Targeting eccANKRD28 may improve treatment outcomes for patients with this incurable cancer.
Area of Science:
- Genomics
- Epigenetics
- Cancer Biology
Background:
- Multiple myeloma (MM) is an incurable blood cancer characterized by drug resistance.
- Extrachromosomal circular DNAs (eccDNAs) are found in cancer genomes, but their role as enhancers in non-coding regions is understudied.
- Mechanisms of drug resistance in MM remain unclear.
Purpose of the Study:
- To investigate the role of non-coding eccDNAs, specifically enhancer eccDNAs, in multiple myeloma drug resistance.
- To characterize serum eccDNAs in MM patients with varying responses to bortezomib-lenalidomide-dexamethasone (VRd) therapy.
- To identify novel epigenetic mechanisms contributing to therapeutic failure in MM.
Main Methods:
- Genome-wide profiling of serum eccDNAs from MM patients and healthy donors.
- Analysis of eccDNA abundance in VRd-sensitive and VRd-resistant MM cell lines.
- CRISPR/Cas9-mediated manipulation of eccANKRD28 levels.
- Integrated multi-omics analyses including ChIP-seq, scRNA-seq, and scATAC-seq.
- Identification of transcription factor interactions and target oncogenes.
Main Results:
- A high copy number of eccDNA ANKRD28 (eccANKRD28) was associated with poor VRd therapy response and prognosis.
- VRd-resistant MM cell lines showed increased eccANKRD28 abundance.
- Elevating eccANKRD28 desensitized MM cells to bortezomib and lenalidomide in vitro and in vivo.
- eccANKRD28 functions as an active enhancer regulated by POU class 2 homeobox 2 (POU2F2).
- POU2F2, with RUNX1/RUNX2, activates oncogene promoters (IRF4, JUNB, IKZF3, RUNX3, BCL2).
Conclusions:
- eccANKRD28 is a key enhancer driving multiple myeloma drug resistance.
- The POU2F2-eccANKRD28 regulatory network represents a novel epigenetic mechanism in MM therapeutic failure.
- Targeting eccANKRD28 and its associated transcriptional network offers a potential strategy to overcome drug resistance in MM.
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