Activation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia

Abstract The FDA-approved DNA hypomethylating agents (DHAs) like 5-azacytidine (5AC) and decitabine (DAC) demonstrate efficacy in the treatment of hematologic malignancies. Despite previous reports that showed histone acetylation changes upon using these agents, the exact mechanism underpinning thes...

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Autores principales: Hetty E. Carraway, Sridhar A. Malkaram, Yana Cen, Aymen Shatnawi, Jun Fan, Hamdy E. A. Ali, Zakaria Y. Abd Elmageed, Thomm Buttolph, James Denvir, Donald A. Primerano, Tamer E. Fandy
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Publicado: Nature Portfolio 2020
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spelling oai:doaj.org-article:d954e9fb12024afa8636559b800189b62021-12-02T17:45:12ZActivation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia10.1038/s41598-020-67170-82045-2322https://doaj.org/article/d954e9fb12024afa8636559b800189b62020-06-01T00:00:00Zhttps://doi.org/10.1038/s41598-020-67170-8https://doaj.org/toc/2045-2322Abstract The FDA-approved DNA hypomethylating agents (DHAs) like 5-azacytidine (5AC) and decitabine (DAC) demonstrate efficacy in the treatment of hematologic malignancies. Despite previous reports that showed histone acetylation changes upon using these agents, the exact mechanism underpinning these changes is unknown. In this study, we investigated the relative potency of the nucleoside analogs and non-nucleoside analogs DHAs on DNA methylation reversal using DNA pyrosequencing. Additionally, we screened their effect on the enzymatic activity of the histone deacetylase sirtuin family (SIRT1, SIRT2, SIRT3, SIRT5 and SIRT6) using both recombinant enzymes and nuclear lysates from leukemia cells. The nucleoside analogs (DAC, 5AC and zebularine) were the most potent DHAs and increased the enzymatic activity of SIRT6 without showing any significant increase in other sirtuin isoforms. ChIP-Seq analysis of bone marrow cells derived from six acute myeloid leukemia (AML) patients and treated with the nucleoside analog DAC induced genome-wide acetylation changes in H3K9, the physiological substrate for SIRT6. Data pooling from the six patients showed significant acetylation changes in 187 gene loci at different chromosomal regions including promoters, coding exons, introns and distal intergenic regions. Signaling pathway analysis showed that H3K9 acetylation changes are linked to AML-relevant signaling pathways like EGF/EGFR and Wnt/Hedgehog/Notch. To our knowledge, this is the first report to identify the nucleoside analogs DHAs as activators of SIRT6. Our findings provide a rationale against the combination of the nucleoside analogs DHAs with SIRT6 inhibitors or chemotherapeutic agents in AML due to the role of SIRT6 in maintaining genome integrity and DNA repair.Hetty E. CarrawaySridhar A. MalkaramYana CenAymen ShatnawiJun FanHamdy E. A. AliZakaria Y. Abd ElmageedThomm ButtolphJames DenvirDonald A. PrimeranoTamer E. FandyNature PortfolioarticleMedicineRScienceQENScientific Reports, Vol 10, Iss 1, Pp 1-10 (2020)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Hetty E. Carraway
Sridhar A. Malkaram
Yana Cen
Aymen Shatnawi
Jun Fan
Hamdy E. A. Ali
Zakaria Y. Abd Elmageed
Thomm Buttolph
James Denvir
Donald A. Primerano
Tamer E. Fandy
Activation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia
description Abstract The FDA-approved DNA hypomethylating agents (DHAs) like 5-azacytidine (5AC) and decitabine (DAC) demonstrate efficacy in the treatment of hematologic malignancies. Despite previous reports that showed histone acetylation changes upon using these agents, the exact mechanism underpinning these changes is unknown. In this study, we investigated the relative potency of the nucleoside analogs and non-nucleoside analogs DHAs on DNA methylation reversal using DNA pyrosequencing. Additionally, we screened their effect on the enzymatic activity of the histone deacetylase sirtuin family (SIRT1, SIRT2, SIRT3, SIRT5 and SIRT6) using both recombinant enzymes and nuclear lysates from leukemia cells. The nucleoside analogs (DAC, 5AC and zebularine) were the most potent DHAs and increased the enzymatic activity of SIRT6 without showing any significant increase in other sirtuin isoforms. ChIP-Seq analysis of bone marrow cells derived from six acute myeloid leukemia (AML) patients and treated with the nucleoside analog DAC induced genome-wide acetylation changes in H3K9, the physiological substrate for SIRT6. Data pooling from the six patients showed significant acetylation changes in 187 gene loci at different chromosomal regions including promoters, coding exons, introns and distal intergenic regions. Signaling pathway analysis showed that H3K9 acetylation changes are linked to AML-relevant signaling pathways like EGF/EGFR and Wnt/Hedgehog/Notch. To our knowledge, this is the first report to identify the nucleoside analogs DHAs as activators of SIRT6. Our findings provide a rationale against the combination of the nucleoside analogs DHAs with SIRT6 inhibitors or chemotherapeutic agents in AML due to the role of SIRT6 in maintaining genome integrity and DNA repair.
format article
author Hetty E. Carraway
Sridhar A. Malkaram
Yana Cen
Aymen Shatnawi
Jun Fan
Hamdy E. A. Ali
Zakaria Y. Abd Elmageed
Thomm Buttolph
James Denvir
Donald A. Primerano
Tamer E. Fandy
author_facet Hetty E. Carraway
Sridhar A. Malkaram
Yana Cen
Aymen Shatnawi
Jun Fan
Hamdy E. A. Ali
Zakaria Y. Abd Elmageed
Thomm Buttolph
James Denvir
Donald A. Primerano
Tamer E. Fandy
author_sort Hetty E. Carraway
title Activation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia
title_short Activation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia
title_full Activation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia
title_fullStr Activation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia
title_full_unstemmed Activation of SIRT6 by DNA hypomethylating agents and clinical consequences on combination therapy in leukemia
title_sort activation of sirt6 by dna hypomethylating agents and clinical consequences on combination therapy in leukemia
publisher Nature Portfolio
publishDate 2020
url https://doaj.org/article/d954e9fb12024afa8636559b800189b6
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