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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.
Abstract:
The enhancer of zeste homologue 2 inhibitor (EZH2i) Tazemetostat (EPZ-6438) has demonstrated antitumour efficacy in various malignancies. This study aims to evaluate its radiosensitising potential and underlying mechanisms in prostate cancer (PCa). In vitro functional assays, including wound healing, Transwell invasion, EdU proliferation, flow cytometry, and Western blotting, were employed to assess invasion, migration, proliferation, and apoptosis. DNA damage was evaluated via comet assay, immunofluorescence staining of γH2AX/53BP1 foci, and Western blot. In vivo effects on tumour progression and survival were examined in mouse models using immunohistochemistry and TUNEL apoptosis assays. Safety was also systematically evaluated. The combination of Tazemetostat and irradiation significantly suppressed PCa cell invasion, migration, and proliferation, and promoted apoptosis compared to radiation alone. In vivo, the combination group showed inhibited tumour growth, reduced invasion, induced apoptosis, and extended survival. Mechanistically, EZH2 inhibition enhanced radiation-induced DNA damage, increased double-strand breaks (DSBs), and impaired DSB repair capacity. The combination therapy exhibited a favourable safety profile without observable systemic toxicity. Tazemetostat effectively enhances radiosensitivity in PCa models by augmenting DNA damage and compromising repair mechanisms. These results support the clinical translation of EZH2 inhibition as a novel radiosensitising strategy for PCa patients.
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.
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