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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.
Abstract:
PRC2/EZH2 inhibitors (PRC2i/EZH2i) are promising for the treatment of advanced cancers including metastatic prostate cancer. Here, we show that PRC2i/EZH2i alone or in combination with androgen receptor (AR) inhibitors induced diverse cell state programs (CSPs) (e.g., response to stress or IFN, MYC targets, stem cells, EMT lineage plasticity, and multiple developmental programs), which led to increased tumor cell invasion, metastasis, and resistance to other drugs, in addition to modest suppression of tumor growth. In contrast to the current perception, our comprehensive, integrated genomics and epigenomics profiling of patient-derived xenografts (PDXs) and clinical tumors revealed that PRC2/EZH2 suppressed CSP genes by maintaining chromatin bivalency. Hyperactive Wnt/β-catenin signaling and inhibitors of polycomb-repressive complex 2/enhancer of zeste homolog 2 (PRC2/EZH2) and the AR alter chromatin bivalency through antagonism of PRC2 and stimulation of MLL2/KMT2B in a feed-forward manner. The circadian rhythm regulator REV-ERBα unexpectedly reprogrammed β-catenin in promoting bivalency resolution and CSP gene expression. Dual targeting of Wnt/β-catenin and EZH2 diminished diverse cell states by restoring bivalency and effectively blocked tumor growth. Our findings provide unexpected insights into chromatin bivalency and dysregulated circadian rhythms in the control of cell state diversity and identify alternative therapeutic strategies that target PRC2/EZH2 for advanced malignancies.
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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