Merkel Cell Carcinoma Sensitivity to EZH2 Inhibition Is Mediated by SIX1 Derepression.

Merkel Cell Carcinoma Sensitivity to EZH2 Inhibition Is Mediated by SIX1 Derepression.
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DOI:
10.1016/j.jid.2022.03.008
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发表时间:
2022-10
影响因子:
6.5
通讯作者:
DeCaprio, James A.
DeCaprio, James A.
中科院分区:
医学1区
文献类型:
--
作者:
Gartin, Ashley K.;Frost, Thomas C.;Cushman, Camille H.;Leeper, Brittaney A.;Gokhale, Prafulla C.;DeCaprio, James A.

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Polycomb repressive complex 2 (PRC2) has a critical role in the maintenance of bivalent promoters and is often perturbed in cancer, including neuroendocrine tumors. Here we investigate the susceptibility of Merkel cell carcinoma (MCC), a neuroendocrine carcinoma of the skin, to inhibitors of the PRC2 catalytic subunit EZH2. We show that a subset of MCC cell lines is sensitive to EZH2 inhibitor-induced cell viability loss. We find that inhibitor treatment of susceptible cells derepresses the PRC2 target SIX1, a transcription factor in the PAX-SIX-EYA-DACH network (PSEDN) normally involved in inner ear hair cell development, and that PSEDN transcription factors are critical contributors to EZH2 inhibitor-induced MCC cell viability loss. Furthermore, we show the EZH2 inhibitor tazemetostat slows the growth of MCC xenografts and derepresses SIX1 and its downstream inner ear target gene MYO6 in vivo. We propose that EZH2 inhibition in MCC leads to SIX1 derepression, with dysregulation of hearing-related transcriptional programs and growth inhibition. This study provides evidence that MCC tumors may be specifically susceptible to EZH2 inhibitors while giving mechanistic insight into the transcriptional programs these inhibitors perturb in MCC, and potentially in other neuroendocrine cancers.
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