دورية أكاديمية

DNA methylation-driven EMT is a common mechanism of resistance to various therapeutic agents in cancer

التفاصيل البيبلوغرافية
العنوان: DNA methylation-driven EMT is a common mechanism of resistance to various therapeutic agents in cancer
المؤلفون: Galle, Eva, Thienpont, Bernard, Cappuyns, Sarah, Venken, Tom, Busschaert, Pieter, Van Haele, Matthias, Van Cutsem, Eric, Roskams, Tania, van Pelt, Jos, Verslype, Chris, Dekervel, Jeroen, Lambrechts, Diether
المساهمون: Fonds Wetenschappelijk Onderzoek, European Research Council, Kom op tegen Kanker
المصدر: Clinical Epigenetics ; volume 12, issue 1 ; ISSN 1868-7075 1868-7083
بيانات النشر: Springer Science and Business Media LLC
سنة النشر: 2020
مصطلحات موضوعية: Genetics (clinical), Developmental Biology, Genetics, Molecular Biology
الوصف: Background Overcoming therapeutic resistance is one of the major hurdles in cancer care. One mechanism contributing to therapeutic resistance is a process in which epithelial cells switch to a mesenchymal state (epithelial-to-mesenchymal transition or EMT). The precise mechanisms driving EMT-mediated therapeutic resistance have, however, not been elucidated. Results Here, we study ten cell line pairs, for which parental cell lines were made resistant to either a targeted or chemotherapy-based treatment. First, we show by miRNA-200 overexpression that treatment resistance is driven by EMT. Next, we demonstrate that DNA methylation changes occur within each cell line pair and show that exposure to 5-azacytidine or knock down of DNA methyltransferases (DNMTs), both of which globally demethylate cells, result in EMT reversal and increased therapeutic sensitivity. This suggests DNA methylation to causally underlie EMT and treatment resistance. We also observe significant overlap in methylation profiles between resistant lines, suggesting a common epigenetic mechanism to cause resistance to therapy. In line with this hypothesis, cross-resistance to other targeted and chemotherapies is observed, while importantly, this is lost upon demethylation of the cells. Finally, we clinically validate that DNA methylation changes drive EMT-mediated resistance to sorafenib in patients with advanced hepatocellular carcinoma (HCC). Specifically, we develop a capture-based protocol to interrogate DNA methylation in low amounts of circulating tumor DNA (ctDNA). By interrogating the methylation status in liquid biopsies, longitudinally collected during sorafenib treatment, we assess whether DNA methylation changes also drive EMT and therapy resistance in a clinical setting. Particularly, by monitoring methylation changes in EMT genes, we are able to predict tumor response and acquired resistance to sorafenib. Conclusions We propose methylation changes underlying EMT to constitute a common resistance mechanism to cancer ...
نوع الوثيقة: article in journal/newspaper
اللغة: English
DOI: 10.1186/s13148-020-0821-z
DOI: 10.1186/s13148-020-0821-z.pdf
DOI: 10.1186/s13148-020-0821-z/fulltext.html
الإتاحة: https://doi.org/10.1186/s13148-020-0821-zTest
حقوق: http://creativecommons.org/licenses/by/4.0Test/ ; http://creativecommons.org/licenses/by/4.0Test/
رقم الانضمام: edsbas.5FD138FE
قاعدة البيانات: BASE