Unveiling the New Trick for Epigenetic Drug: Radiation Enhancement of Prostate Cancer by the EZH2 Inhibitor

Tian-Qi Du1,2,3, Yuhong Ou4, Rui-Ji Liu5

  • 1Cancer Center, People's Hospital of Yangjiang, Yangjiang, People's Republic of China.

Insights

Tazemetostat, an enhancer of zeste homologue 2 inhibitor (EZH2i), enhances radiation therapy for prostate cancer (PCa). This combination boosts DNA damage and impairs repair, improving outcomes and survival in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Enhancer of zeste homologue 2 inhibitor (EZH2i) Tazemetostat shows anti-tumor effects in various cancers.
  • Prostate cancer (PCa) treatment can be improved with novel radiosensitizing strategies.
  • Understanding EZH2 inhibition's radiosensitizing mechanisms in PCa is crucial.

Purpose of the Study:

  • To evaluate the radiosensitizing potential of Tazemetostat in prostate cancer models.
  • To elucidate the underlying mechanisms of Tazemetostat-induced radiosensitization.
  • To assess the safety and efficacy of combining Tazemetostat with irradiation in PCa.

Main Methods:

  • In vitro assays: wound healing, Transwell invasion, EdU proliferation, flow cytometry, Western blotting.
  • DNA damage assessment: comet assay, γH2AX/53BP1 foci, Western blot.
  • In vivo studies: mouse models, immunohistochemistry, TUNEL assay, safety evaluation.

Main Results:

  • Tazemetostat plus irradiation significantly suppressed PCa cell invasion, migration, and proliferation, while increasing apoptosis.
  • In vivo, the combination therapy inhibited tumor growth, reduced invasion, induced apoptosis, and extended survival.
  • EZH2 inhibition enhanced radiation-induced DNA damage, increased double-strand breaks (DSBs), and impaired DSB repair.

Conclusions:

  • Tazemetostat effectively enhances radiosensitivity in prostate cancer models.
  • The combination therapy works by augmenting DNA damage and compromising repair mechanisms.
  • These findings support the clinical translation of EZH2 inhibition as a radiosensitizing strategy for PCa patients.