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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.
Abstract:
Glioblastoma (GBM) is the most aggressive and deadliest type of primary brain tumor, treated with temozolomide (TMZ) as first-line chemotherapy. However, temozolomide resistance remains a critical therapeutic hurdle in GBM, often resulting in treatment failure and tumor recurrence. Here, we aimed to identify an epigenetic target to overcome TMZ resistance in GBM. We established TMZ-resistant GBM cell lines, which exhibited increased expression of resistance markers such as E2F6, ABCG2, and phosphorylated STAT3, and decreased Bax expression. Through KDM inhibitor screening with these cells, we identified KDM4C as a key therapeutic target. Pharmacological inhibition of KDM4C via SD70 significantly reduced the viability, proliferation, and stem-like properties of TMZ-resistant GBM cells. Notably, combination treatment with SD70 and TMZ showed a synergistic effect, restoring TMZ sensitivity. Mechanistically, KDM4C directly bound to the promoter of E2F6, a transcription factor associated with poor prognosis and chemoresistance of GBM. Moreover, genetic and pharmacological inhibition of KDM4C reduced E2F6 expression. Collectively, our findings reveal that KDM4C drives TMZ resistance in GBM by epigenetically upregulating E2F6, and suggest that targeting KDM4C may be a potential approach to overcome TMZ resistance in GBM.
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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