Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Computational and Systems Biology Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
Nat Genet. 2020 Feb;52(2):198-207. doi: 10.1038/s41588-019-0554-0. Epub 2020 Jan 13.
Mutations in ARID1A, a subunit of the SWI/SNF chromatin remodeling complex, are the most common alterations of the SWI/SNF complex in estrogen-receptor-positive (ER) breast cancer. We identify that ARID1A inactivating mutations are present at a high frequency in advanced endocrine-resistant ER breast cancer. An epigenome CRISPR-CAS9 knockout (KO) screen identifies ARID1A as the top candidate whose loss determines resistance to the ER degrader fulvestrant. ARID1A inactivation in cells and in patients leads to resistance to ER degraders by facilitating a switch from ER-dependent luminal cells to ER-independent basal-like cells. Cellular plasticity is mediated by loss of ARID1A-dependent SWI/SNF complex targeting to genomic sites of the luminal lineage-determining transcription factors including ER, forkhead box protein A1 (FOXA1) and GATA-binding factor 3 (GATA3). ARID1A also regulates genome-wide ER-FOXA1 chromatin interactions and ER-dependent transcription. Altogether, we uncover a critical role for ARID1A in maintaining luminal cell identity and endocrine therapeutic response in ER breast cancer.
ARID1A 基因突变是雌激素受体阳性(ER)乳腺癌中 SWI/SNF 染色质重塑复合物最常见的改变。我们发现 ARID1A 失活突变在晚期内分泌耐药的 ER 乳腺癌中高频出现。表观基因组 CRISPR-CAS9 敲除(KO)筛选确定 ARID1A 是顶级候选基因,其缺失决定了对 ER 降解剂氟维司群的耐药性。细胞和患者中的 ARID1A 失活通过促进从 ER 依赖性腔细胞向 ER 非依赖性基底样细胞的转变,导致对 ER 降解剂的耐药性。细胞可塑性是由 ARID1A 依赖性 SWI/SNF 复合物靶向包括 ER、叉头框蛋白 A1(FOXA1)和 GATA 结合因子 3(GATA3)在内的腔系决定转录因子的基因组位点的丧失介导的。ARID1A 还调节全基因组 ER-FOXA1 染色质相互作用和 ER 依赖性转录。总之,我们揭示了 ARID1A 在维持 ER 乳腺癌腔细胞特征和内分泌治疗反应中的关键作用。