An EGFR Co-Amplified and De Novo Long Noncoding RNA HELDR Promotes Glioblastoma Malignancy through KAT7-Driven Gene

Shi-Yuan Cheng1, Xiaozhou Yu1, Xiao Song1

  • 1Northwestern University.

Research Square
|July 18, 2025
PubMed

Insights

A novel long non-coding RNA, HELDR, drives glioblastoma (GBM) by activating KAT7, independent of EGFR. Targeting HELDR or KAT7 enhances anti-EGFR therapy effectiveness in GBM.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genomics

Background:

  • Epidermal growth factor receptor (EGFR) amplification in extrachromosomal DNAs (ecDNAs) is common in glioblastoma (GBM).
  • Directly targeting EGFR has yielded limited success in GBM treatment.
  • The role of co-amplified non-coding RNAs in GBM pathogenesis remains largely unexplored.

Purpose of the Study:

  • To identify and characterize novel non-coding RNAs co-amplified with EGFR in GBM.
  • To elucidate the functional role of the identified lncRNA in GBM tumorigenesis.
  • To explore therapeutic strategies targeting this lncRNA in combination with EGFR-targeted therapies.

Main Methods:

  • Characterization of a novel glioblastoma-specific long non-coding RNA (lncRNA), HELDR, co-amplified with EGFR in ecDNAs.
  • Investigated HELDR's mechanism of action, including its interaction with p300 and its effect on KAT7 transcription.
  • Assessed the therapeutic potential of targeting HELDR or KAT7 in preclinical GBM models.

Main Results:

  • Identified HELDR, a lncRNA promoting GBM tumorigenicity independently of EGFR signaling.
  • Demonstrated that HELDR recruits p300 to the KAT7 promoter, leading to increased H3K27 acetylation and KAT7 transcription.
  • Showed that KAT7 activation drives GBM malignancy through specific histone modifications (H3K14ac, H4K12ac).
  • Found that targeting HELDR or KAT7 significantly improves the efficacy of anti-EGFR treatments in GBM.

Conclusions:

  • HELDR is a key driver in EGFR-amplified GBM, functioning through the KAT7 pathway.
  • Targeting HELDR or KAT7 represents a promising therapeutic strategy to overcome resistance to EGFR-targeted therapies in GBM.
  • This study highlights the importance of investigating lncRNAs co-amplified with oncogenes in cancer treatment strategies.

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