Targeting Wnt/β-catenin and circadian regulator restores PRC2/EZH2-controlled chromatin bivalency and suppresses cell

Yatian Yang1, Xiong Zhang1, Varadha Balaji Venkadakrishnan2,3

  • 1Department of Biochemistry and Molecular Medicine, School of Medicine, UCD, Sacramento, California, USA.

Insights

Polycomb repressive complex 2 inhibitors (PRC2i) can unexpectedly promote cancer cell invasion and metastasis by altering cell states. Dual targeting of Wnt/β-catenin and EZH2 restores normal cell states, blocking tumor growth in advanced cancers.

Area of Science:

  • Epigenetics
  • Cancer Biology
  • Chromatin Biology

Background:

  • Polycomb repressive complex 2 inhibitors (PRC2i/EZH2i) show promise for treating advanced cancers, including metastatic prostate cancer.
  • Current understanding suggests PRC2/EZH2 primarily suppresses gene expression, but its role in diverse cell state programs (CSPs) is complex.

Purpose of the Study:

  • To investigate the effects of PRC2/EZH2 inhibitors (PRC2i/EZH2i) alone or with androgen receptor (AR) inhibitors on cancer cell states.
  • To elucidate the mechanisms by which PRC2/EZH2 regulates CSPs and chromatin bivalency.
  • To explore novel therapeutic strategies targeting PRC2/EZH2 and Wnt/β-catenin signaling.

Main Methods:

  • Integrated genomics and epigenomics profiling of patient-derived xenografts (PDX) and clinical tumors.
  • Analysis of cell state programs, including stress response, interferon response, MYC targets, stem cell, epithelial-mesenchymal transition (EMT), and developmental programs.
  • Investigating the roles of Wnt/β-catenin signaling, MLL2/KMT2B, and circadian rhythm regulator REV-ERBα in chromatin bivalency and CSPs.

Main Results:

  • PRC2i/EZH2i alone or with AR inhibitors induced diverse CSPs, leading to increased invasion, metastasis, and drug resistance.
  • PRC2/EZH2 was found to suppress CSP genes by maintaining chromatin bivalency, contrary to previous perceptions.
  • Hyperactive Wnt/β-catenin signaling and PRC2i/EZH2i/AR inhibitors altered chromatin bivalency by antagonizing PRC2 and stimulating MLL2/KMT2B.
  • REV-ERBα reprogrammed β-catenin to promote bivalency resolution and CSP gene expression.
  • Dual targeting of Wnt/β-catenin and EZH2 restored bivalency, diminished diverse cell states, and effectively blocked tumor growth.

Conclusions:

  • PRC2/EZH2 plays a critical role in suppressing diverse cell state programs through chromatin bivalency.
  • Dysregulated circadian rhythm and Wnt/β-catenin signaling contribute to altered cell state diversity.
  • Dual inhibition of Wnt/β-catenin and EZH2 represents a promising therapeutic strategy for advanced malignancies by restoring chromatin bivalency and blocking tumor growth.

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