Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML

Abstract Chemotherapy resistance is the main impediment in the treatment of acute myeloid leukaemia (AML). Despite rapid advances, the various mechanisms inducing resistance development remain to be defined in detail. Here we report that loss-of-function mutations (LOF) in the histone methyltransfer...

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Autores principales: Julia M. Kempf, Sabrina Weser, Michael D. Bartoschek, Klaus H. Metzeler, Binje Vick, Tobias Herold, Kerstin Völse, Raphael Mattes, Manuela Scholz, Lucas E. Wange, Moreno Festini, Enes Ugur, Maike Roas, Oliver Weigert, Sebastian Bultmann, Heinrich Leonhardt, Gunnar Schotta, Wolfgang Hiddemann, Irmela Jeremias, Karsten Spiekermann
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Publicado: Nature Portfolio 2021
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spelling oai:doaj.org-article:0a2238e6e69947ba9113af2e76fa12bb2021-12-02T13:16:19ZLoss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML10.1038/s41598-021-84708-62045-2322https://doaj.org/article/0a2238e6e69947ba9113af2e76fa12bb2021-03-01T00:00:00Zhttps://doi.org/10.1038/s41598-021-84708-6https://doaj.org/toc/2045-2322Abstract Chemotherapy resistance is the main impediment in the treatment of acute myeloid leukaemia (AML). Despite rapid advances, the various mechanisms inducing resistance development remain to be defined in detail. Here we report that loss-of-function mutations (LOF) in the histone methyltransferase EZH2 have the potential to confer resistance against the chemotherapeutic agent cytarabine. We identify seven distinct EZH2 mutations leading to loss of H3K27 trimethylation via multiple mechanisms. Analysis of matched diagnosis and relapse samples reveal a heterogenous regulation of EZH2 and a loss of EZH2 in 50% of patients. We confirm that loss of EZH2 induces resistance against cytarabine in the cell lines HEK293T and K562 as well as in a patient-derived xenograft model. Proteomics and transcriptomics analysis reveal that resistance is conferred by upregulation of multiple direct and indirect EZH2 target genes that are involved in apoptosis evasion, augmentation of proliferation and alteration of transmembrane transporter function. Our data indicate that loss of EZH2 results in upregulation of its target genes, providing the cell with a selective growth advantage, which mediates chemotherapy resistance.Julia M. KempfSabrina WeserMichael D. BartoschekKlaus H. MetzelerBinje VickTobias HeroldKerstin VölseRaphael MattesManuela ScholzLucas E. WangeMoreno FestiniEnes UgurMaike RoasOliver WeigertSebastian BultmannHeinrich LeonhardtGunnar SchottaWolfgang HiddemannIrmela JeremiasKarsten SpiekermannNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 11, Iss 1, Pp 1-13 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Julia M. Kempf
Sabrina Weser
Michael D. Bartoschek
Klaus H. Metzeler
Binje Vick
Tobias Herold
Kerstin Völse
Raphael Mattes
Manuela Scholz
Lucas E. Wange
Moreno Festini
Enes Ugur
Maike Roas
Oliver Weigert
Sebastian Bultmann
Heinrich Leonhardt
Gunnar Schotta
Wolfgang Hiddemann
Irmela Jeremias
Karsten Spiekermann
Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML
description Abstract Chemotherapy resistance is the main impediment in the treatment of acute myeloid leukaemia (AML). Despite rapid advances, the various mechanisms inducing resistance development remain to be defined in detail. Here we report that loss-of-function mutations (LOF) in the histone methyltransferase EZH2 have the potential to confer resistance against the chemotherapeutic agent cytarabine. We identify seven distinct EZH2 mutations leading to loss of H3K27 trimethylation via multiple mechanisms. Analysis of matched diagnosis and relapse samples reveal a heterogenous regulation of EZH2 and a loss of EZH2 in 50% of patients. We confirm that loss of EZH2 induces resistance against cytarabine in the cell lines HEK293T and K562 as well as in a patient-derived xenograft model. Proteomics and transcriptomics analysis reveal that resistance is conferred by upregulation of multiple direct and indirect EZH2 target genes that are involved in apoptosis evasion, augmentation of proliferation and alteration of transmembrane transporter function. Our data indicate that loss of EZH2 results in upregulation of its target genes, providing the cell with a selective growth advantage, which mediates chemotherapy resistance.
format article
author Julia M. Kempf
Sabrina Weser
Michael D. Bartoschek
Klaus H. Metzeler
Binje Vick
Tobias Herold
Kerstin Völse
Raphael Mattes
Manuela Scholz
Lucas E. Wange
Moreno Festini
Enes Ugur
Maike Roas
Oliver Weigert
Sebastian Bultmann
Heinrich Leonhardt
Gunnar Schotta
Wolfgang Hiddemann
Irmela Jeremias
Karsten Spiekermann
author_facet Julia M. Kempf
Sabrina Weser
Michael D. Bartoschek
Klaus H. Metzeler
Binje Vick
Tobias Herold
Kerstin Völse
Raphael Mattes
Manuela Scholz
Lucas E. Wange
Moreno Festini
Enes Ugur
Maike Roas
Oliver Weigert
Sebastian Bultmann
Heinrich Leonhardt
Gunnar Schotta
Wolfgang Hiddemann
Irmela Jeremias
Karsten Spiekermann
author_sort Julia M. Kempf
title Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML
title_short Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML
title_full Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML
title_fullStr Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML
title_full_unstemmed Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML
title_sort loss-of-function mutations in the histone methyltransferase ezh2 promote chemotherapy resistance in aml
publisher Nature Portfolio
publishDate 2021
url https://doaj.org/article/0a2238e6e69947ba9113af2e76fa12bb
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