Multiple functions of the lysine methyltransferase KMT5a in cancer: potential targets for innovative therapies
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Updated: Jan 16, 2026

Specificity Analysis of Protein Lysine Methyltransferases Using SPOT Peptide Arrays
Published on: November 29, 2014
Rosa Della Monica1, Michela Buonaiuto2,3, Mariella Cuomo2,3
1CEINGE-Advanced Biotechnologies "Franco Salvatore", Via G. Salvatore 486, 80145, Naples, Italy. dellamonica@ceinge.unina.it.
Abstract:
Lysine methyltransferase 5a (KMT5a) plays a key role in the pathogenesis of many human diseases. Here, we review the diverse impacts of KMT5a activity on human cancer development and progression. First, KMT5a is the only Mammalian enzyme that specifically induces monomethylation of histone 4 (H4) on lysine 20, thus regulating chromatin organization and, in turn, the transcription of several oncogenes and tumor suppressor genes. KMT5a, by inducing H4 methylation, also critically establishes the choice between different pathways of DNA double-strand break repair, with important consequences for genomic instability and cancer origin. Finally, KMT5a also methylates lysine residues on nonhistone proteins, and KMT5a-induced methylation of key oncogenic and tumor suppressor proteins, including TP53, strongly affects cancer cell functions. Overall, KMT5a is overexpressed in a high percentage and wide variety of human cancers and has protumorigenic activity, which makes it a target for innovative therapy.
Insights
Lysine methyltransferase 5a (KMT5a) regulates gene transcription and DNA repair, impacting cancer development. This enzyme
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Lysine methyltransferase 5a (KMT5a) is implicated in human disease pathogenesis.
- KMT5a's role in cancer development and progression is multifaceted.
Purpose of the Study:
- To review the diverse impacts of KMT5a activity on human cancer.
- To highlight KMT5a as a potential therapeutic target.
Main Methods:
- Review of existing literature on KMT5a function in cancer.
- Analysis of KMT5a's roles in histone modification, DNA repair, and nonhistone protein methylation.
Main Results:
- KMT5a specifically monomethylates histone 4 (H4) at lysine 20, affecting chromatin organization and oncogene/tumor suppressor gene transcription.
- KMT5a influences DNA double-strand break repair pathways, impacting genomic instability.
- KMT5a methylates nonhistone proteins like TP53, affecting cancer cell functions.
- KMT5a is overexpressed in various human cancers, exhibiting protumorigenic activity.
Conclusions:
- KMT5a plays a significant role in cancer development and progression through epigenetic and protein modification mechanisms.
- KMT5a's overexpression and protumorigenic activity establish it as a promising target for novel cancer therapies.
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