1. Epigenetically defined therapeutic targeting in H3.3G34R/V high-grade gliomas
- Author
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Jill Bayliss, Carl Koschmann, Chris Jones, Mariarita Santi, Nada Jabado, Daniel R. Wahl, Pooja Panwalkar, Anand Shankar, Viveka Nand Yadav, Siva Kumar Natarajan, Alexander R. Judkins, Arul M. Chinnaiyan, Amer Ghali, Selin Jessa, Tingting Qin, Stefan Sweha, Chan Chung, Marcin Cieslik, Drew Pratt, Kari Wilder-Romans, Visweswaran Ravikumar, Daniel Martinez, Suzanne J. Baker, Sriram Venneti, Timothy N. Phoenix, Andrew J. Scott, Matthew Pun, Alan L. Mackay, Arvind Rao, and Claudia L. Kleinman
- Subjects
Brain Neoplasms ,Glycine ,General Medicine ,Glioma ,Biology ,medicine.disease ,Article ,ChIP-sequencing ,Epigenesis, Genetic ,Histones ,Histone H3 ,Mice ,Histone ,Cancer research ,medicine ,biology.protein ,H3K4me3 ,Animals ,Humans ,Epigenetics ,STAT3 ,Leukemia inhibitory factor - Abstract
High-grade gliomas with arginine or valine substitutions of the histone H3.3 glycine-34 residue (H3.3G34R/V) carry a dismal prognosis, and current treatments, including radiotherapy and chemotherapy, are not curative. Because H3.3G34R/V mutations reprogram epigenetic modifications, we undertook a comprehensive epigenetic approach using ChIP sequencing and ChromHMM computational analysis to define therapeutic dependencies in H3.3G34R/V gliomas. Our analyses revealed a convergence of epigenetic alterations, including (i) activating epigenetic modifications on histone H3 lysine (K) residues such as H3K36 trimethylation (H3K36me3), H3K27 acetylation (H3K27ac), and H3K4 trimethylation (H3K4me3); (ii) DNA promoter hypomethylation; and (iii) redistribution of repressive histone H3K27 trimethylation (H3K27me3) to intergenic regions at the leukemia inhibitory factor (LIF) locus to drive increased LIF abundance and secretion by H3.3G34R/V cells. LIF activated signal transducer and activator of transcription 3 (STAT3) signaling in an autocrine/paracrine manner to promote survival of H3.3G34R/V glioma cells. Moreover, immunohistochemistry and single-cell RNA sequencing from H3.3G34R/V patient tumors revealed high STAT3 protein and RNA expression, respectively, in tumor cells with both inter- and intratumor heterogeneity. We targeted STAT3 using a blood-brain barrier–penetrable small-molecule inhibitor, WP1066, currently in clinical trials for adult gliomas. WP1066 treatment resulted in H3.3G34R/V tumor cell toxicity in vitro and tumor suppression in preclinical mouse models established with KNS42 cells, SJ-HGGx42-c cells, or in utero electroporation techniques. Our studies identify the LIF/STAT3 pathway as a key epigenetically driven and druggable vulnerability in H3.3G34R/V gliomas. This finding could inform development of targeted, combination therapies for these lethal brain tumors.
- Published
- 2021