Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore
Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore.
Gut. 2023 Sep;72(9):1651-1663. doi: 10.1136/gutjnl-2022-328332. Epub 2023 Mar 14.
OBJECTIVE: Gastric cancer (GC) is a leading cause of cancer mortality, with being the second most frequently mutated driver gene in GC. We sought to decipher -specific GC regulatory networks and examine therapeutic vulnerabilities arising from loss. DESIGN: Genomic profiling of GC patients including a Singapore cohort (>200 patients) was performed to derive mutational signatures of inactivation across molecular subtypes. Single-cell transcriptomic profiles of -mutated GCs were analysed to examine tumour microenvironmental changes arising from loss. Genome-wide ARID1A binding and chromatin profiles (H3K27ac, H3K4me3, H3K4me1, ATAC-seq) were generated to identify gastric-specific epigenetic landscapes regulated by ARID1A. Distinct cancer hallmarks of -mutated GCs were converged at the genomic, single-cell and epigenomic level, and targeted by pharmacological inhibition. RESULTS: We observed prevalent inactivation across GC molecular subtypes, with distinct mutational signatures and linked to a NFKB-driven proinflammatory tumour microenvironment. -depletion caused loss of H3K27ac activation signals at -occupied distal enhancers, but unexpectedly gain of H3K27ac at ARID1A-occupied promoters in genes such as and . Promoter activation in -mutated GCs was associated with enhanced gene expression, increased BRD4 binding, and reduced HDAC1 and CTCF occupancy. Combined targeting of promoter activation and tumour inflammation via bromodomain and NFKB inhibitors confirmed therapeutic synergy specific to -genomic status. CONCLUSION: Our results suggest a therapeutic strategy for -mutated GCs targeting both tumour-intrinsic (BRD4-assocatiated promoter activation) and extrinsic (NFKB immunomodulation) cancer phenotypes.
目的:胃癌(GC)是癌症死亡的主要原因, 是 GC 中第二常见的突变驱动基因。我们试图破译 特异性 GC 调控网络,并研究 缺失引起的治疗弱点。
设计:对包括新加坡队列(>200 例患者)在内的 GC 患者进行基因组分析,以得出 失活的突变特征在分子亚型中。分析 -突变 GC 的单细胞转录组谱,以检查 缺失引起的肿瘤微环境变化。生成 ARID1A 结合和染色质图谱(H3K27ac、H3K4me3、H3K4me1、ATAC-seq),以鉴定由 ARID1A 调控的胃特异性表观遗传景观。-突变 GC 的不同癌症特征在基因组、单细胞和表观基因组水平上收敛,并通过药物抑制靶向。
结果:我们观察到 失活在 GC 分子亚型中普遍存在,具有不同的突变特征,并与 NFKB 驱动的促炎肿瘤微环境相关。 -缺失导致 -占据的远端增强子上的 H3K27ac 激活信号丢失,但出乎意料的是,在 基因(如 和 )中 ARID1A 占据的启动子上获得 H3K27ac。-突变 GC 中的启动子激活与增强的基因表达、增加的 BRD4 结合以及减少的 HDAC1 和 CTCF 占据相关。通过溴结构域和 NFKB 抑制剂联合靶向启动子激活和肿瘤炎症,证实了针对 -基因组状态的特定治疗协同作用。
结论:我们的结果表明了一种针对 -突变 GC 的治疗策略,该策略靶向肿瘤内在(BRD4 相关的启动子激活)和外在(NFKB 免疫调节)癌症表型。
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