TERT upstream promoter methylation regulates TERT expression and acts as a therapeutic target in TERT promoter mutation-negative thyroid cancer

IF 5.3 2区 医学 Q1 ONCOLOGY Cancer Cell International Pub Date : 2024-08-03 DOI:10.1186/s12935-024-03459-2
Shiyong Li, Guanghui Hu, Yulu Chen, Ye Sang, Qin Tang, Rengyun Liu
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Abstract

DNA hypermethylation and hotspot mutations were frequently observed in the upstream and core promoter of telomerase reverse transcriptase (TERT), respectively, and they were associated with increased TERT expression and adverse clinical outcomes in thyroid cancer. In TERT promoter mutant cancer cells, the hypomethylated TERT mutant allele was active and the hypermethylated TERT wild-type allele was silenced. However, whether and how the upstream promoter methylation regulates TERT expression in TERT mutation-negative cells were largely unknown. DNA demethylating agents 5-azacytidine and decitabine and a genomic locus-specific demethylation system based on dCas9-TET1 were used to assess the effects of TERT upstream promoter methylation on TERT expression, cell growth and apoptosis of thyroid cancer cells. Regulatory proteins binding to TERT promoter were identified by CRISPR affinity purification in situ of regulatory elements (CAPTURE) combined with mass spectrometry. The enrichments of selected regulatory proteins and histone modifications were evaluated by chromatin immunoprecipitation. The level of DNA methylation at TERT upstream promoter and expression of TERT were significantly decreased after treatment with 5-azacytidine or decitabine in TERT promoter wild-type thyroid cancer cells. Genomic locus-specific demethylation of TERT upstream promoter induced TERT downregulation, along with cell apoptosis and growth inhibition. Consistently, demethylating agents sharply inhibited the growth of thyroid cancer cells harboring hypermethylated TERT but had little effect on cells with TERT hypomethylation. Moreover, we identified that the chromatin remodeling protein CHD4 binds to methylated TERT upstream promoter and promotes its transcription by suppressing the enrichment of H3K9me3 and H3K27me3 at TERT promoter. This study uncovered the mechanism of promoter methylation mediated TERT activation in TERT promoter mutation-negative thyroid cancer cells and indicated TERT upstream promoter methylation as a therapeutic target for thyroid cancer.
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TERT 上游启动子甲基化调控 TERT 的表达,并成为 TERT 启动子突变阴性甲状腺癌的治疗靶点
在端粒酶逆转录酶(TERT)的上游启动子和核心启动子中经常分别观察到DNA高甲基化和热点突变,它们与TERT表达的增加和甲状腺癌的不良临床结果有关。在TERT启动子突变的癌细胞中,低甲基化的TERT突变等位基因是活跃的,而高甲基化的TERT野生型等位基因是沉默的。然而,上游启动子甲基化是否以及如何调控TERT突变阴性细胞中的TERT表达,在很大程度上还是未知数。研究人员利用DNA去甲基化药物5-氮杂胞苷和地西他滨以及基于dCas9-TET1的基因组位点特异性去甲基化系统,评估了TERT上游启动子甲基化对甲状腺癌细胞TERT表达、细胞生长和凋亡的影响。通过 CRISPR 亲和纯化原位调控元件(CAPTURE)并结合质谱分析,鉴定了与 TERT 启动子结合的调控蛋白。染色质免疫沉淀法评估了所选调控蛋白和组蛋白修饰的富集情况。用 5-azacytidine 或地西他滨处理 TERT 启动子野生型甲状腺癌细胞后,TERT 上游启动子的 DNA 甲基化水平和 TERT 的表达均显著下降。TERT上游启动子的基因组位点特异性去甲基化诱导TERT下调,同时导致细胞凋亡和生长抑制。同样,去甲基化药物能显著抑制TERT高甲基化的甲状腺癌细胞的生长,但对TERT低甲基化的细胞影响甚微。此外,我们还发现染色质重塑蛋白CHD4与甲基化的TERT上游启动子结合,并通过抑制TERT启动子上H3K9me3和H3K27me3的富集来促进其转录。该研究揭示了TERT启动子突变阴性甲状腺癌细胞中启动子甲基化介导的TERT激活机制,并指出TERT上游启动子甲基化是甲状腺癌的治疗靶点。
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来源期刊
CiteScore
10.90
自引率
1.70%
发文量
360
审稿时长
1 months
期刊介绍: Cancer Cell International publishes articles on all aspects of cancer cell biology, originating largely from, but not limited to, work using cell culture techniques. The journal focuses on novel cancer studies reporting data from biological experiments performed on cells grown in vitro, in two- or three-dimensional systems, and/or in vivo (animal experiments). These types of experiments have provided crucial data in many fields, from cell proliferation and transformation, to epithelial-mesenchymal interaction, to apoptosis, and host immune response to tumors. Cancer Cell International also considers articles that focus on novel technologies or novel pathways in molecular analysis and on epidemiological studies that may affect patient care, as well as articles reporting translational cancer research studies where in vitro discoveries are bridged to the clinic. As such, the journal is interested in laboratory and animal studies reporting on novel biomarkers of tumor progression and response to therapy and on their applicability to human cancers.
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