Advances in genome sequencing revealed that recurrent mutations in chromatin regulators are a common feature in malignancy, including multiple myeloma (MM). Among these lesions, mutations in histone methyltransferases (HMTs) and histone demethylases are prominent. These mutations may yield global, genome-wide dysfunction of chromatin, strongly affecting gene regulation and possibly influencing other chromatin-dependent processes. The balance between histone 3 lysine 27 trimethylation (H3K27me3), associated with gene silencing and H3K4 methylation, linked to gene activation, is critical for normal gene expression. The PRC2 complex (Polycomb Repressive Complex 2) contains at its core a H3K27-specifc HMT, EZH2. Loss of function mutations of EZH2 or partner proteins such as ASXL1 lead to global loss of H3K27me3, while gain of function mutations of EZH2 in lymphoma increases H3K27me3. The importance of this residue was underscored by discovery of H3K27->M mutation in pediatric brain tumors, precluding histone modification 20 and blocking EZH2 action 21. Furthermore, we found that overexpression of MMSET, an H3K36-specific HMT, in MM causes a genome-wide decrease in H3K27me3. Gene activation requires the removal of the H3K27 mark and placement of the H3K4me modification at gene promoters and enhancers. This is accomplished by a multi-protein complex containing the H3K27- specific histone demethylase UTX, (Ubiquitously transcribed Tetratricopeptide repeat, X chromosome), members of the MLL (Mixed Lineage Leukemia) family of HMTs (including MLL2 and MLL3), histone acetyltransferases p300 and CREBBP, and members of the SWI/SNF chromatin remodeling machinery. Almost all members of these complexes can be mutated in lymphoid malignancies. Specifically, UTX (Official gene name KDM6A) is mutated or deleted in up to 30% of MM. Moreover, MLL2 and especially MLL3 display inactivating mutations in MM. We hypothesize that UTX and MLL3 mutations have a similar function in MM pathogenesis to cause an aberrant imbalance of H3K27me/H3K4me and suppression of critical target genes. Accordingly, an EZH2 inhibitor that decreases H3K27 methylation is in preclinical and early clinical development may be able to rebalance chromatin modifications and offer a new therapeutic approach. To test these ideas we propose the following specific Aims: 1) Determine the Importance of UTX and MLL3 in the Control of Chromatin Structure, Cell Growth and Homeostasis of MM and Lymphoid Cells 2) Determine the Genetic Targets and Pathways Affected by Loss of UTX and MLL3 in MM 3) Determine the Importance of UTX in B Cell Maturation and in the Development of MM

Public Health Relevance

In this project we will study how acquired mutations in critical regulators of the DNA/protein complex called chromatin may lead to multiple myeloma, a tumor of the immune system. We believe these mutations lead to abnormal chemical modification of chromatin, leading to major shifts in the normal pattern of gene expression in lymphocytes, uninhibited cell regulated growth and the development of malignancy. Understanding these pathways should lead to new ideas as to how to therapeutically target multiple myeloma and other tumors harboring similar mutations.

Agency
National Institute of Health (NIH)
Institute
National Cancer Institute (NCI)
Type
Research Project (R01)
Project #
5R01CA180475-06
Application #
9652806
Study Section
Molecular Oncogenesis Study Section (MONC)
Program Officer
Howcroft, Thomas K
Project Start
2014-09-01
Project End
2021-02-28
Budget Start
2019-03-01
Budget End
2021-02-28
Support Year
6
Fiscal Year
2019
Total Cost
Indirect Cost
Name
University of Florida
Department
Internal Medicine/Medicine
Type
Schools of Medicine
DUNS #
969663814
City
Gainesville
State
FL
Country
United States
Zip Code
32611
Licht, Jonathan D (2018) DISORDERED HISTONE METHYLATION IN HEMATOLOGICAL MALIGNANCIES THE CASE OF UTX/KDM6A. Trans Am Clin Climatol Assoc 129:24-36
Fantini, Damiano; Glaser, Alexander P; Rimar, Kalen J et al. (2018) A Carcinogen-induced mouse model recapitulates the molecular alterations of human muscle invasive bladder cancer. Oncogene 37:1911-1925
Bennett, Richard L; Licht, Jonathan D (2018) Targeting Epigenetics in Cancer. Annu Rev Pharmacol Toxicol 58:187-207
Ezponda, Teresa; Dupéré-Richer, Daphné; Will, Christine M et al. (2017) UTX/KDM6A Loss Enhances the Malignant Phenotype of Multiple Myeloma and Sensitizes Cells to EZH2 inhibition. Cell Rep 21:628-640
Dupéré-Richer, Daphné; Licht, Jonathan D (2017) Epigenetic regulatory mutations and epigenetic therapy for multiple myeloma. Curr Opin Hematol 24:336-344
Arcipowski, Kelly M; Bulic, Marinka; Gurbuxani, Sandeep et al. (2016) Loss of Mll3 Catalytic Function Promotes Aberrant Myelopoiesis. PLoS One 11:e0162515
Nichol, J N; Dupéré-Richer, D; Ezponda, T et al. (2016) H3K27 Methylation: A Focal Point of Epigenetic Deregulation in Cancer. Adv Cancer Res 131:59-95