Targeting lysine methyltransferase 2C deficiency: New frontiers in breast cancer therapy and prognosis
Shuangmei Tong1, Qiu Wang1,2, Yun Chen1
1Department of Clinical Pharmacy, Shanghai General Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Abstract:
Loss-of-function mutations in lysine methyltransferase 2 (KMT2C) are frequently observed in breast cancer and are significantly associated with enhanced tumour heterogeneity, aggressive clinical behaviour, and poor prognosis. Although KMT2C has been established as a tumour suppressor, the precise molecular mechanisms by which its deficiency drives metastasis and therapy resistance remain incompletely understood. This review comprehensively examines the multifaceted roles of KMT2C in breast cancer pathogenesis, with a particular emphasis on its interplay with critical oncogenic signalling networks and functional axes, including the IFNγ-EMT/MET axis, the MAPK/ERK and RAS/PI3K/AKT/mTOR pathways, and the KDM6A-MMP3 regulatory circuit. Furthermore, we discuss emerging therapeutic strategies for KMT2C-deficient breast cancers, such as epigenetic modulators (EZH2 inhibitors, KDM6A inhibitors, and BET inhibitors), DNA damage response (DDR)-targeting agents, and pathway-specific inhibitors. These insights not only elucidate the complex biological functions of KMT2C in breast cancer but also provide a rationale for developing precision therapies tailored to KMT2C-mutant tumours.
Insights
Loss-of-function mutations in lysine methyltransferase 2 (KMT2C) promote breast cancer metastasis and therapy resistance. Understanding KMT2C
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Loss-of-function mutations in lysine methyltransferase 2 (KMT2C) are common in breast cancer.
- KMT2C mutations correlate with increased tumor heterogeneity, aggressive behavior, and poor prognosis.
- The exact mechanisms by which KMT2C deficiency drives metastasis and therapy resistance are not fully understood.
Purpose of the Study:
- To review the complex roles of KMT2C in breast cancer pathogenesis.
- To highlight KMT2C's interactions with key oncogenic signaling pathways.
- To discuss potential therapeutic strategies for KMT2C-deficient breast cancers.
Main Methods:
- Comprehensive literature review of KMT2C's functions in breast cancer.
- Analysis of KMT2C's interplay with signaling networks like IFNγ-EMT/MET, MAPK/ERK, and PI3K/AKT/mTOR.
- Examination of KMT2C's interaction with the KDM6A-MMP3 regulatory circuit.
Main Results:
- KMT2C deficiency influences critical oncogenic signaling networks.
- KMT2C interacts with pathways including IFNγ-EMT/MET, MAPK/ERK, PI3K/AKT/mTOR, and KDM6A-MMP3.
- These interactions contribute to tumor progression and therapeutic challenges.
Conclusions:
- KMT2C plays a crucial role as a tumor suppressor in breast cancer.
- Understanding KMT2C's molecular mechanisms provides rationale for targeted therapies.
- Precision therapies targeting KMT2C-mutant tumors are a promising avenue.
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