Abstract
H3K27M mutations resulting in epigenetic dysfunction are frequently observed in diffuse intrinsic pontine glioma (DIPGs), an incurable pediatric cancer. We conduct a CRISPR screen revealing that knockout of KDM1A encoding lysine-specific demethylase 1 (LSD1) sensitizes DIPG cells to histone deacetylase (HDAC) inhibitors. Consistently, Corin, a bifunctional inhibitor of HDACs and LSD1, potently inhibits DIPG growth in vitro and in xenografts. Mechanistically, Corin increases H3K27me3 levels suppressed by H3K27M histones, and simultaneously increases HDAC-targeted H3K27ac and LSD1-targeted H3K4me1 at differentiation-associated genes. Corin treatment induces cell death, cell-cycle arrest, and a cellular differentiation phenotype and drives transcriptional changes correlating with increased survival time in DIPG patients. These data suggest a strategy for treating DIPG by simultaneously inhibiting LSD1 and HDACs.
Keywords:
CRISPR screen; DIPG; HDAC; Histone H3 K27M; LSD1; cancer stem cell; differentiation therapy; enhancer; epigenetic; glioma.
Copyright © 2019 Elsevier Inc. All rights reserved.
Publication types
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Research Support, N.I.H., Extramural
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Research Support, Non-U.S. Gov't
MeSH terms
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Animals
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Antineoplastic Agents / pharmacology*
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Antineoplastic Agents / therapeutic use
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Brain Stem Neoplasms / drug therapy*
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Brain Stem Neoplasms / genetics
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Brain Stem Neoplasms / mortality
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Brain Stem Neoplasms / pathology
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Cell Differentiation / drug effects
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Cell Differentiation / genetics
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Cell Line, Tumor
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Chromatin / metabolism
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DNA Methylation / drug effects
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DNA Methylation / genetics
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Epigenesis, Genetic / drug effects
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Female
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Gene Expression Regulation, Neoplastic / drug effects
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Gene Knockdown Techniques
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Glioma / drug therapy*
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Glioma / genetics
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Glioma / mortality
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Glioma / pathology
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Histone Code / drug effects
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Histone Deacetylase Inhibitors / pharmacology*
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Histone Deacetylase Inhibitors / therapeutic use
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Histone Deacetylases / metabolism
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Histone Demethylases / antagonists & inhibitors*
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Histone Demethylases / genetics
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Histone Demethylases / metabolism
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Histones / metabolism
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Humans
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Mice
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Mutation
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Pons / pathology
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RNA-Seq
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Xenograft Model Antitumor Assays
Substances
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Antineoplastic Agents
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Chromatin
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Histone Deacetylase Inhibitors
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Histones
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Histone Demethylases
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KDM1A protein, human
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Histone Deacetylases