SMARCA4 loss reprograms p300 chromatin occupancy to subvert p53-mediated transcriptional repression in ovarian small

Giulio Aceto1,2, Kexin Liu1,2, Azadeh Arabzadeh1,2

  • 1Department of Biochemistry, McGill University, Montreal, Canada.

Nature Communications
|June 15, 2026
PubMed

Insights

Small cell carcinoma of the ovary, hypercalcemic type (SCCOHT) is driven by SMARCA4 loss. This rewires gene expression, promoting cancer growth, but p300 inhibition offers a potential therapeutic strategy.

Area of Science:

  • Oncology
  • Epigenetics
  • Cancer Genomics

Background:

  • Small cell carcinoma of the ovary, hypercalcemic type (SCCOHT) is a rare and aggressive malignancy.
  • SCCOHT is characterized by biallelic inactivation of SMARCA4 (BRG1), a key component of the SWI/SNF chromatin remodeling complex.
  • Despite its aggressive nature, SCCOHT has a low mutation burden and retains wild-type p53.

Purpose of the Study:

  • To elucidate the molecular mechanisms driving SCCOHT pathogenesis following SMARCA4 loss.
  • To investigate the interplay between SMARCA4, p53, and chromatin remodeling in SCCOHT.
  • To identify potential therapeutic targets for SCCOHT.

Main Methods:

  • Integrative omics analysis (genomics, epigenomics, transcriptomics).
  • Chromatin immunoprecipitation assays to assess protein occupancy.
  • Functional studies involving SMARCA4 restoration and p300 inhibition.
  • Assessment of tumor growth in response to genetic and pharmacologic interventions.

Main Results:

  • SMARCA4 loss leads to the redistribution of the p300 acetyltransferase to cell cycle progression gene promoters.
  • This redistribution increases histone H3 lysine 27 acetylation (H3K27ac) and promotes oncogenic transcription, counteracting p53-mediated repression.
  • SMARCA4 restoration or p300 inhibition suppressed SCCOHT growth, with effects reversed by p53 deletion.

Conclusions:

  • SMARCA4 loss drives SCCOHT by reprogramming p300 binding to promote cell cycle gene transcription, overriding p53-mediated suppression.
  • This chromatin-based mechanism highlights a critical vulnerability in SCCOHT.
  • p300 represents a promising therapeutic target for treating SCCOHT.

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