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Updated: Jan 16, 2026

Continuous Fluorescence-Based Endonuclease-Coupled DNA Methylation Assay to Screen for DNA Methyltransferase Inhibitors
Published on: August 5, 2022
Roles of KDM5 demethylases in therapeutic resistance of cancers
Xiaobo Chen1,2, Manjun Chen2, Xingkun Gu2
1Lung Cancer Center/Lung Cancer Institute, West China Hospital, Sichuan University, No. 37 Guoxue Alley, Sichuan, 610065, Chengdu, P. R. China.
Abstract:
Epigenetic modifications, including the regulation of histone H3 lysine 4 methylation (H3K4me2/3), play critical roles in maintaining normal tissue homeostasis and influencing the progression of cancer, including growth, invasion, metastasis, and therapeutic resistance. The demethylation of H3K4me2/3 is orchestrated by the KDM5 demethylase family, comprising KDM5A, KDM5B, KDM5C, and KDM5D. Recent studies have highlighted the pivotal role of KDM5 demethylases in mediating resistance to cancer therapies, encompassing chemoresistance, radioresistance, immune evasion, and targeted therapy resistance. This review provides a comprehensive overview of the regulatory mechanisms by which KDM5 demethylases contribute to these resistance pathways, with a focus on their molecular targets and interactions within the tumor microenvironment. Furthermore, we discuss emerging therapeutic strategies aimed at overcoming treatment resistance by targeting KDM5 demethylases. These insights provide a foundation for the development of innovative therapeutic interventions to enhance the efficacy of existing cancer treatments, offering a transformative approach to improving long-term patient survival and quality of life.
Insights
Histone modifications like H3K4me2/3 are key in cancer. KDM5 demethylases drive resistance to cancer therapies, but targeting them offers new treatment strategies.
Area of Science:
- Epigenetics
- Cancer Biology
- Molecular Oncology
Background:
- Histone H3 lysine 4 methylation (H3K4me2/3) is crucial for tissue homeostasis and cancer progression.
- The KDM5 demethylase family (KDM5A-D) regulates H3K4me2/3 demethylation.
- KDM5 demethylases are increasingly recognized for their role in cancer therapy resistance.
Purpose of the Study:
- To review the mechanisms by which KDM5 demethylases contribute to cancer therapy resistance.
- To explore the molecular targets and tumor microenvironment interactions of KDM5 demethylases.
- To discuss novel therapeutic strategies targeting KDM5 demethylases to overcome resistance.
Main Methods:
- Literature review of epigenetic regulation in cancer.
- Analysis of KDM5 demethylase family functions in cancer progression and resistance.
- Synthesis of current research on therapeutic targeting of KDM5 demethylases.
Main Results:
- KDM5 demethylases mediate resistance to chemotherapy, radiotherapy, immunotherapy, and targeted therapies.
- These enzymes impact cancer growth, invasion, metastasis, and immune evasion.
- Specific molecular targets and interactions within the tumor microenvironment are implicated.
Conclusions:
- KDM5 demethylases are critical regulators of diverse cancer therapy resistance mechanisms.
- Targeting KDM5 demethylases presents a promising strategy to enhance existing cancer treatments.
- Further research into KDM5 demethylase pathways can lead to improved patient survival and quality of life.
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