靶向增强子切换可克服急性髓系白血病的非遗传性药物耐药性。
Targeting enhancer switching overcomes non-genetic drug resistance in acute myeloid leukaemia.
机构信息
Cancer Research Division, Peter MacCallum Cancer Centre, Melbourne, VIC, Australia.
Sir Peter MacCallum Department of Oncology, University of Melbourne, Melbourne, VIC, Australia.
出版信息
Nat Commun. 2019 Jun 20;10(1):2723. doi: 10.1038/s41467-019-10652-9.
Non-genetic drug resistance is increasingly recognised in various cancers. Molecular insights into this process are lacking and it is unknown whether stable non-genetic resistance can be overcome. Using single cell RNA-sequencing of paired drug naïve and resistant AML patient samples and cellular barcoding in a unique mouse model of non-genetic resistance, here we demonstrate that transcriptional plasticity drives stable epigenetic resistance. With a CRISPR-Cas9 screen we identify regulators of enhancer function as important modulators of the resistant cell state. We show that inhibition of Lsd1 (Kdm1a) is able to overcome stable epigenetic resistance by facilitating the binding of the pioneer factor, Pu.1 and cofactor, Irf8, to nucleate new enhancers that regulate the expression of key survival genes. This enhancer switching results in the re-distribution of transcriptional co-activators, including Brd4, and provides the opportunity to disable their activity and overcome epigenetic resistance. Together these findings highlight key principles to help counteract non-genetic drug resistance.
非遗传药物耐药性在各种癌症中日益受到重视。目前对这一过程的分子机制了解甚少,也不清楚是否可以克服稳定的非遗传耐药性。本研究通过对配对的初治和耐药 AML 患者样本进行单细胞 RNA 测序和独特的非遗传耐药性小鼠模型中的细胞条形码技术,证明了转录可塑性驱动稳定的表观遗传耐药性。通过 CRISPR-Cas9 筛选,我们确定了增强子功能的调节因子是耐药细胞状态的重要调节剂。我们发现 LSD1(Kdm1a)抑制剂能够通过促进先驱因子 Pu.1 和共因子 Irf8 结合来启动新的增强子,从而调节关键生存基因的表达,从而克服稳定的表观遗传耐药性。这种增强子转换导致转录共激活因子(包括 Brd4)的重新分布,并为抑制其活性和克服表观遗传耐药性提供了机会。这些发现共同强调了克服非遗传药物耐药性的关键原则。
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