Class IIa HDACs forced degradation allows resensitization of oxaliplatin-resistant FBXW7-mutated colorectal cancer

Vanessa Tolotto1, Nicolò Gualandi1, Ylenia Cortolezzis1

  • 1Laboratory of Biochemistry, Department of Medicine, Università Degli Studi di Udine, Italy.

Molecular Oncology
|November 1, 2025
PubMed

Insights

Histone deacetylase 4 (HDAC4) degradation drives resistance to oxaliplatin in colorectal cancer with FBXW7 mutations. Restoring HDAC4 levels resensitizes tumors to this chemotherapy, offering a new therapeutic strategy.

Area of Science:

  • Oncology
  • Epigenetics
  • Molecular Biology

Background:

  • Tumor evolution involves epigenetic plasticity and chromatin remodeling, leading to therapy resistance.
  • Class IIa histone deacetylases (HDACs) regulate chromatin remodeling and are potential oncology targets.
  • Oxaliplatin (OXPT) resistance is a significant challenge in colorectal cancer (CRC) treatment.

Purpose of the Study:

  • Investigate the role of HDAC4 in OXPT resistance in CRC.
  • Identify mechanisms of HDAC4 regulation and potential therapeutic interventions.
  • Develop biomarkers for predicting OXPT response.

Main Methods:

  • Proteasomal degradation assays for HDAC4.
  • Genetic screening to identify E3 ligase involved in HDAC4 degradation.
  • PROTAC technology for targeted protein degradation.
  • Analysis of patient-derived organoids (PDOs) and mouse models.
  • Epigenetic profiling of super-enhancers.
  • CRC patient data analysis.

Main Results:

  • HDAC4 is degraded by the proteasome in OXPT-treated cancer cells with impaired DNA repair.
  • FBXW7 was identified as the E3 ligase responsible for HDAC4 degradation.
  • FBXW7 loss-of-function mutations, common in CRC, correlate with OXPT resistance.
  • PROTAC-mediated degradation of Class IIa HDACs restored OXPT sensitivity in resistant CRC models.
  • HDAC4 removal in resistant cells mimicked the epigenetic state of sensitive cells.
  • Epigenetic profiling of HDAC4-controlled super-enhancers identified OXPT-resistant patients.

Conclusions:

  • HDAC4 is a key mediator of OXPT resistance in FBXW7-mutated CRC.
  • Targeting HDAC4 degradation presents a therapeutic strategy to overcome OXPT resistance.
  • Remodeling of super-enhancers by HDAC4 is crucial for OXPT resensitization.
  • Epigenetic biomarkers based on HDAC4 activity can predict platinum response in CRC.