组蛋白去乙酰化酶 8 通过去乙酰化 ETS1 增强 HIF-2α 的功能,从而降低 ccRCC 中 TKI 的敏感性。

HDAC8 Enhances the Function of HIF-2α by Deacetylating ETS1 to Decrease the Sensitivity of TKIs in ccRCC.

机构信息

Department of Urology, The Second Xiangya Hospital, Central South University, Changsha, Hunan, 410011, China.

Key Laboratory of Diabetes Immunology (Central South University), Ministry of Education, National Clinical Research Center for Metabolic Disease, Changsha, 410011, China.

出版信息

Adv Sci (Weinh). 2024 Sep;11(36):e2401142. doi: 10.1002/advs.202401142. Epub 2024 Jul 29.

Abstract

Drug resistance after long-term use of Tyrosine kinase inhibitors (TKIs) has become an obstacle for prolonging the survival time of patients with clear cell renal cell carcinoma (ccRCC). Here, genome-wide CRISPR-based screening to reveal that HDAC8 is involved in decreasing the sensitivity of ccRCC cells to sunitinib is applied. Mechanically, HDAC8 deacetylated ETS1 at the K245 site to promote the interaction between ETS1 and HIF-2α and enhance the transcriptional activity of the ETS1/HIF-2α complex. However, the antitumor effect of inhibiting HDAC8 on sensitized TKI is not very satisfactory. Subsequently, inhibition of HDAC8 increased the expression of NEK1, and up-regulated NEK1 phosphorylated ETS1 at the T241 site to promote the interaction between ETS1 and HIF-2α by impeded acetylation at ETS1-K245 site is showed. Moreover, TKI treatment increased the expression of HDAC8 by inhibiting STAT3 phosphorylation in ccRCC cells is also found. These 2 findings highlight a potential mechanism of acquired resistance to TKIs and HDAC8 inhibitors in ccRCC. Finally, HDAC8-in-PROTACs to optimize the effects of HDAC8 inhibitors through degrading HDAC8 and overcoming the resistance of ccRCC to TKIs are synthesized. Collectively, the results revealed HDAC8 as a potential therapeutic candidate for resistance to ccRCC-targeted therapies.

摘要

长期使用酪氨酸激酶抑制剂(TKI)后产生耐药性,已成为延长透明细胞肾细胞癌(ccRCC)患者生存时间的障碍。本研究应用基于全基因组 CRISPR 的筛选方法,揭示组蛋白去乙酰化酶 8(HDAC8)参与降低 ccRCC 细胞对舒尼替尼的敏感性。机制上,HDAC8 去乙酰化 ETS1 的 K245 位点,促进 ETS1 与 HIF-2α 的相互作用,增强 ETS1/HIF-2α 复合物的转录活性。然而,抑制 HDAC8 对增敏 TKI 的抗肿瘤作用并不十分令人满意。随后,抑制 HDAC8 增加了 NEK1 的表达,上调了磷酸化 ETS1 的 T241 位点,通过阻碍 ETS1-K245 位点的乙酰化,促进了 ETS1 与 HIF-2α 的相互作用。此外,还发现 TKI 治疗通过抑制 ccRCC 细胞中 STAT3 的磷酸化增加了 HDAC8 的表达。这 2 项发现突出了 ccRCC 对 TKI 和 HDAC8 抑制剂获得性耐药的潜在机制。最后,合成了 HDAC8-IN-PROTACs,通过降解 HDAC8 优化 HDAC8 抑制剂的作用,克服 ccRCC 对 TKI 的耐药性。总之,这些结果揭示了 HDAC8 作为针对 ccRCC 靶向治疗耐药的潜在治疗候选物。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/3830/11423204/5d538164ac5c/ADVS-11-2401142-g003.jpg

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