Histone demethylase KDM4C confers temozolomide resistance to glioblastoma cells by epigenetically regulating E2F6

Go Woon Kim1, Dong Hoon Lee1, Jung Yoo1

  • 1College of Pharmacy, Yonsei Institute of Pharmaceutical Sciences, Yonsei University, 85 Songdogwahak-Ro, Yeonsu-Gu, Incheon, 21983, Republic of Korea.

PubMed

Insights

Targeting KDM4C epigenetically upregulates E2F6, overcoming temozolomide (TMZ) resistance in glioblastoma (GBM). Inhibiting KDM4C with SD70 synergizes with TMZ, restoring sensitivity and offering a new GBM treatment strategy.

Area of Science:

  • Neuro-oncology
  • Epigenetics
  • Cancer Pharmacology

Background:

  • Glioblastoma (GBM) is an aggressive brain tumor with limited treatment options.
  • Temozolomide (TMZ) resistance is a major challenge, leading to treatment failure.
  • Identifying novel therapeutic targets is crucial for overcoming GBM chemoresistance.

Purpose of the Study:

  • To identify an epigenetic target to overcome temozolomide (TMZ) resistance in glioblastoma (GBM).
  • To investigate the role of KDM4C in TMZ resistance.
  • To evaluate KDM4C inhibition as a therapeutic strategy for GBM.

Main Methods:

  • Established TMZ-resistant GBM cell lines.
  • Conducted KDM inhibitor screening.
  • Utilized pharmacological inhibition (SD70) and genetic approaches.
  • Analyzed gene expression (E2F6, ABCG2, STAT3, Bax) and protein interactions.
  • Performed cell viability, proliferation, and stem-like property assays.

Main Results:

  • TMZ-resistant GBM cells showed increased E2F6, ABCG2, p-STAT3, and decreased Bax.
  • KDM4C was identified as a key therapeutic target.
  • KDM4C inhibition (SD70) reduced viability, proliferation, and stem-like properties of resistant cells.
  • Combination treatment with SD70 and TMZ demonstrated synergistic effects, restoring TMZ sensitivity.
  • KDM4C directly regulated E2F6 expression by binding to its promoter.

Conclusions:

  • KDM4C drives TMZ resistance in GBM by epigenetically upregulating E2F6.
  • Targeting KDM4C represents a promising strategy to overcome TMZ resistance in GBM.
  • Combination therapy with KDM4C inhibitors and TMZ may enhance treatment efficacy.

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