Lu Bingfeng, Chen Shuo, Guan Xue, Chen Xi, Du Yuping, Yuan Jing, Wang Jielin, Wu Qinghua, Zhou Lingfeng, Huang Xiangchun, Zhao Yang
Department of Obstetrics and Gynecology, Department of Gynecologic Oncology Research Office, Guangzhou Key Laboratory of Targeted Therapy for Gynecologic Oncology, Guangdong Provincial Key Laboratory of Major Obstetric Diseases, Guangdong Provincial Clinical Research Center for Obstetrics and Gynecology, Guangdong-Hong Kong-Macao Greater Bay Area Higher Education Joint Laboratory of Maternal-Fetal Medicine, The Third Affiliated Hospital, Guangzhou Medical University, No.63 Duobao Raod, Liwan District, Guangzhou, Guangdong Province, P. R. China.
Cancer Hospital of China Medical University, Cancer Hospital of Dalian University of Technology, Liaoning Cancer Hospital & Institute, Shenyang, China.
Mol Cancer. 2025 Mar 19;24(1):83. doi: 10.1186/s12943-025-02295-w.
Ovarian cancer is a gynecological malignancy with the highest recurrence and mortality rates. Although niraparib can effectively affect its progression, the challenge of drug resistance remains. Herein, niraparib-resistant ovarian cancer cell lines were constructed to identify the abnormally activated enhancers and associated target genes via RNA in situ conformation sequencing. Notably, the target gene RAD23A was markedly upregulated in niraparib-resistant cells, and inhibiting RAD23A restored their sensitivity. Additionally, abnormal activation of glycolysis in niraparib-resistant cells induced lactate accumulation, which promoted the lactylation of histone H4K12 lysine residues. Correlation analysis showed that key glycolysis enzymes such as pyruvate kinase M and lactate dehydrogenase A were significantly positively correlated with RAD23A expression in ovarian cancer. Additionally, H4K12la activated the super-enhancer (SE) of niraparib and RAD23A expression via MYC transcription factor, thereby enhancing the DNA damage repair ability and promoting the drug resistance of ovarian cancer cells. Overall, the findings of this study indicate that lactic acid accumulation leads to lactylation of histone H4K12la, thereby upregulating SE-mediated abnormal RAD23A expression and promoting niraparib resistance in ovarian cancer cells, suggesting RAD23A as a potential therapeutic target for niraparib-resistant ovarian cancer.
卵巢癌是一种复发率和死亡率最高的妇科恶性肿瘤。尽管尼拉帕利可有效影响其进展,但耐药性问题依然存在。在此,构建了对尼拉帕利耐药的卵巢癌细胞系,通过RNA原位构象测序来鉴定异常激活的增强子及相关靶基因。值得注意的是,靶基因RAD23A在对尼拉帕利耐药的细胞中显著上调,抑制RAD23A可恢复其敏感性。此外,对尼拉帕利耐药的细胞中糖酵解的异常激活导致乳酸积累,从而促进组蛋白H4赖氨酸12位点的乳酸化。相关性分析表明,丙酮酸激酶M和乳酸脱氢酶A等关键糖酵解酶与卵巢癌中RAD23A的表达显著正相关。此外,H4K12la通过MYC转录因子激活尼拉帕利和RAD23A表达的超级增强子(SE),从而增强DNA损伤修复能力并促进卵巢癌细胞的耐药性。总体而言,本研究结果表明乳酸积累导致组蛋白H4K12la乳酸化,从而上调SE介导的异常RAD23A表达并促进卵巢癌细胞对尼拉帕利的耐药性,提示RAD23A作为对尼拉帕利耐药的卵巢癌的潜在治疗靶点。