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Updated: Aug 21, 2026

In Vitro Selection of Engineered Transcriptional Repressors for Targeted Epigenetic Silencing
Published on: May 5, 2023
Targeting epigenetic regulators induces transcription-replication conflicts to overcome ATR inhibitor resistance
Samah W Awwad1,2, Holly Barber1,3, Josie Coulthard1
1Cancer Research UK Cambridge Institute, University of Cambridge, Cambridge CB2 0RE, United Kingdom.
Abstract:
Many cancer cells exhibit elevated replication stress and are highly dependent on ataxia telangiectasia and Rad3-related (ATR) kinase activity to maintain genomic stability and survival. While ATR inhibitors (ATRi) have great promise as therapeutic agents, intrinsic or acquired resistance will likely be a significant challenge. We previously showed that loss of the RNA polymerase II Mediator subunits CDK8 and Cyclin C (CCNC) confers resistance to ATRi by suppressing transcription-dependent replication stress. To identify vulnerabilities that could be exploited to restore ATRi sensitivity in these resistant settings, we performed genome-wide CRISPR screens in wild-type and CDK8-deficient cells. These screens revealed impairment of epigenetic components HDAC3 or the PRC2 complex as synthetic vulnerabilities that enhance ATRi sensitivity, particularly in contexts of loss of CDK8 or CCNC. This ATRi sensitivity is driven by the induction of transcriptional dysregulation, leading to increased transcription-replication collisions, replication stress, and apoptosis upon ATR inhibition. Importantly, we show that HDAC3 loss limits growth of ATRi-resistant tumours in vivo. Moreover, pharmacological inhibition of HDAC3 or PRC2 phenocopies their genetic loss. Collectively, our findings highlight the therapeutic potential of targeting epigenetic regulators to induce transcriptional dysregulation and ensuing replication stress to overcome ATRi resistance.
Insights
Targeting epigenetic regulators like HDAC3 or PRC2 can restore sensitivity to ataxia telangiectasia and Rad3-related (ATR) kinase inhibitors (ATRi) in resistant cancers. This approach induces transcriptional dysregulation and replication stress, offering a new strategy against ATRi resistance.
Area of Science:
- Cancer Biology
- Epigenetics
- Genomic Stability
Background:
- Cancer cells rely on ATR kinase for survival amid replication stress.
- Resistance to ATR inhibitors (ATRi) is a major therapeutic challenge.
- Loss of CDK8/CCNC subunits confers ATRi resistance by reducing transcription-dependent replication stress.
Purpose of the Study:
- Identify vulnerabilities to restore ATRi sensitivity in resistant cancer cells.
- Explore the role of epigenetic regulators in ATRi resistance.
- Validate therapeutic strategies targeting epigenetic pathways.
Main Methods:
- Genome-wide CRISPR screens in wild-type and CDK8-deficient cells.
- Assessing ATRi sensitivity upon impairment of epigenetic components.
- In vivo tumor growth studies following HDAC3 loss.
- Pharmacological inhibition of HDAC3 and PRC2.
Main Results:
- Impairment of HDAC3 or PRC2 enhances ATRi sensitivity, especially in CDK8/CCNC-deficient cells.
- This sensitivity is driven by transcriptional dysregulation, increased transcription-replication collisions, and replication stress.
- HDAC3 loss significantly limits the growth of ATRi-resistant tumors in vivo.
- Pharmacological inhibition of HDAC3/PRC2 mimics genetic loss effects.
Conclusions:
- Targeting epigenetic regulators like HDAC3 and PRC2 is a promising strategy to overcome ATRi resistance.
- Inducing transcriptional dysregulation and replication stress can re-sensitize resistant cancers to ATRi.
- Pharmacological targeting of epigenetic pathways offers a viable therapeutic approach for ATRi-resistant cancers.
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