Abstract
Hypomethylating agents reactivate tumor suppressor genes that are epigenetically silenced in cancer. Inevitably these genes are resilenced, leading to drug resistance. Using the MLH1 tumor suppressor gene as a model, we showed that decitabine-induced re-expression was dependent upon demethylation and eviction of promoter nucleosomes. Following decitabine withdrawal, MLH1 was rapidly resilenced despite persistent promoter demethylation. Single molecule analysis at multiple time points showed that gene resilencing was initiated by nucleosome reassembly on demethylated DNA and only then was followed by remethylation and stable silencing. Taken together, these data establish the importance of nucleosome positioning in mediating resilencing of drug-induced gene reactivation and suggest a role for therapeutic targeting of nucleosome assembly as a mechanism to overcome drug resistance.
MeSH Terms
Adaptor Proteins, Signal Transducing/genetics
Azacitidine/administration & dosage,analogs & derivatives
Cell Line, Tumor
Chromatin Assembly and Disassembly/genetics
CpG Islands/genetics
DNA Methylation/drug effects,genetics
Decitabine
Drug Resistance, Neoplasm/drug effects,genetics
Gene Expression Regulation, Neoplastic/drug effects
Gene Silencing
Humans
MutL Protein Homolog 1
Nuclear Proteins/genetics
Nucleosomes/genetics,metabolism
Promoter Regions, Genetic/drug effects
Chemicals
Adaptor Proteins, Signal Transducing
MLH1 protein, human
Nuclear Proteins
Nucleosomes
Decitabine
MutL Protein Homolog 1
Azacitidine
Authors & Affiliations
7 authors, click to expand affiliations / ORCID
Hesson Luke B
Adult Cancer Program, Lowy Cancer Research Centre and Prince of Wales Clinical School, University of New South Wales, Sydney, New South Wales, Australia.
[email protected]
Patil Vibha
Sloane Mathew A
Nunez Andrea C
Liu Jia
Pimanda John E
Ward Robyn L
Conflict of Interest
The authors have declared that no competing interests exist.
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