Abstract
- Polycomb repressive complex 2 (PRC2) is the epigenetic regulator that induces histone H3 lysine 27 methylation (H3K27me3) and silences specific gene transcription. Enhancer of zeste homolog 2 (EZH2) is an enzymatic subunit of PRC2, and evidence shows that EZH2 plays an essential role in cancer initiation, development, progression, metastasis, and drug resistance. EZH2 expression is indeed regulated by various oncogenic transcription factors, tumor suppressor miRNAs, and cancer-associated non-coding RNA. EZH2 activity is also controlled by post-translational modifications, which are deregulated in cancer. The canonical role of EZH2 is gene silencing through H3K27me3, but accumulating evidence shows that EZH2 methlyates substrates other than histone and has methylase-independent functions. These non-canonical functions of EZH2 are shown to play a role in cancer progression. In this review, we summarize current information on the regulation and roles of EZH2 in cancer. We also discuss various therapeutic approaches to targeting EZH2.
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Key words: EZH2, PRC2, Neoplasms, Genetic transcription, Untranslated RNA, MicroRNAs, Post-translational protein processing
Introduction
Polycomb group proteins are initially identified as regulators controlling the establishment of body segmentation by silencing hox genes expression in Drosophila. Later, they were foun to be epigenetic regulators that are critical for multiple cellular functions, including stem cell maintenance and differentiation [1]. Polycomb group proteins are well conserved between Drosophila and humans and are involved in gene silencing. Two major polycomb repressive complexes, Polycomb repressive complex (PRC) 1 and PRC2, control gene silencing through post-translational modifications of histone proteins [2]. PRC1 consists of Bmi1, Ring1b, CBX4, and PHC subunits and induces histone 2A lysine 119 ubiquitination (H2AK119ub1). In contrast, PRC2 consists primarily of enhancer of zeste homolog 2 (EZH2), EED, SUZ12, and RbAp48 and catalyzes the methylation of histone H3 lysine 27 (H3K27) to generate trimethyl-H3K27 (H3K27me3) [3]. PRC1 enhances the effects of PRC2 by recognizing H3K27me3 and interacting with it, but these complexes can also repress gene expression independently [2]. EZH2 is the catalytic subunit of PRC2, and growing evidence demonstrates that EZH2 is essential for cancer initiation, development, progression, metastasis, and drug resistance. Therefore, EZH2 is currently considered a promising drug target, and multiple inhibitors of EZH2 have been developed, some of which are in clinical trials. In this review, we introduce current information regarding the molecular mechanisms by which EZH2 expression/activity is regulated as well as the role of EZH2 in oncogenic signaling pathways. Moreover, we focus on the therapeutic potential of EZH2 and discuss possible approaches to targeting EZH2.
Regulation of EZH2 Expression and Activity in Cancer
EZH2 is frequently overexpressed in many cancer types and is critical for cancer cell proliferation and survival. Indeed, the regulators of EZH2 expression are also critical for cell proliferation, tumorigenesis, and stem cell maintenance (Fig. 1). For example, Myc binds to EZH2 promoter and directly activates its transcription, and EZH2 expression is correlated with Myc expression in prostate cancer [4]. Myc also upregulates EZH2 expression by downregulating miRNA 101 (miR-101), miR-26a, and miR-26b [4-7]. In contrast, c-Myc expression is also positively regulated by EZH2 in glioblastoma, although the underlying mechanism is uncertain [8]. In addition to Myc, another cell cycle regulator, E2F, positively controls EZH2 transcription, and EZH2 is critical for the regulation of pRB-E2F pathway [9]. ANCCA, a co-activator of androgen receptor (AR) and binding protein of E2F, can enhance E2F-mediated EZH2 transcription in prostate cancer cells [10,11]. In Ewing tumors, EWS-FLI1 fusion oncoprotein directly regulates EZH2 gene expression [12]. SOX4, one of the key regulators of stem cells, directly regulates the expression of EZH2 mRNA, which is critical for SOX4-mediated epithelial-mesenchymal transition (EMT) [13]. Moreover, NF-Y, STAT3, and ETS transcription factors directly regulate EZH2 transcription in epithelial ovarian, colorectal, and prostate cancer cells, respectively [14-16]. Both Elk-1 and HIF1 directly regulates EZH2 transcription that is associated with aggressive breast cancer [17,18].
In addition to transcriptional regulators, multiple miRNAs have been shown to directly regulate EZH2 expression, and many of them are deregulated in cancer. So far, miR-25, -26a, -30d, -98, -101, -124, -137, -138, -144, -214, -let-7, and -let-7a have been shown to be able to downregulate EZH2 expression directly in cancer cells. The downregulation of these miRNAs and the resulting upregulation of EZH2 seem to be critical for the aggressive behaviors of various cancers. These miRNAs include miR-25 and -30d in thyroid cancer [19]; miR-26a in lymphoma, nasopharyngeal carcinoma (NPC), and breast and prostate cancer [6,7,20,21]; mR-101 in NPC, glioblastoma multiforme (GBM), and prostate, bladder, gastric, head and neck (HN), and non-small cell lung cancer (NSCLC) [22-27]; miR-138 in HN cancer, GBM, and NSCLC [28-30]; let-7s in prostate cancer and NPC [31,32]; miR-124 in hepatocellular carcinoma (HCC) and gastric cancer [33,34]; miR-98 in NPC and gastric cancer [35,36]; miR-137 in melanoma [37]; miR-144 in bladder cancer [38]; and miR214 in gastric cancer and HCC [35,39]. These miRNAs are tumor suppressor like miRNA and, interestingly, miR-26a has been also shown to be regulated by epidermal growth factor receptor-mediated Ago2 phosphorylation under hypoxia condition [40].
Interaction Partners That Regulate the Recruitment of PRC2 to Specific Loci
EZH2, EED, SUZ12, and RbAp48 are core proteins in PRC2, but their DNA binding activity is weak. Thus, PRC2 requires other factors to recruit it to specific loci. Multiple transcription factors also interact with PRC2 to recruit it to specific loci, and some of them have been shown to play a critical role in cancer. Transcription factor Yin Yang 1 (YY1) interacts with EZH2 and recruits it to the specific sites to regulate gene silencing. YY1 and PRC2 are involved in muscle differentiation [41]. In endometrioid endometrial carcinoma, EZH2 and YY1 repress tumor suppressor APC and promote cell growth [42]. Snail forms a complex with EZH2 via histone deacetylase (HDAC)1/2 and recruits it to E-cadherin promoter to suppress E-cadherin expression in NPC [43]. c-Myc interacts with EZH2 and suppresses miR-101 expression in HCC, whereas MYCN interacts with EZH2 and inhibits tumor suppressor clusterin in neuroblastoma [5,44]. In addition to oncogenic transcription factor, PRC2 interacts with tumor suppressor proteins and contributes to tumor suppressor function. For example, tumor suppressor scaffold attachment factor B1 (SAFB1) interacts with PRC2 and AR and represses AR transcription machinery via H3K27me3 in prostate cancer cells [45]. Hypermethylated in cancer 1 (HIC1), which is a tumor suppressor gene that is frequently silenced or deleted in various cancers, recruits PRC2 to its target genes [46]. PER2 can interact with PRC2 and Oct1, and recruit them to Snail Slug and Twist promoters and inhibit their gene expression, thereby using PRC2 as a tumor suppressor [47]. Other transcription factors such as E2F6, Twist-1, RUNX3, and CCCTC binding factor interact with PRC2 and recruit it to repress specific target genes, but their roles in cancer are uncertain [48-51].
In addition to proteins, noncoding RNAs (ncRNAs) interact with EZH2 and play an important role in the recruitment of EZH2 to several specific loci. In cancer, HOTAIR is one of the most well described large intervening ncRNAs that interacts with EZH2 [52]. Overexpression of HOTAIR in breast cancer cells enhances cancer cell invasion and metastasis that require PRC2, while the loss of HOTAIR reduces them. HOTAIR plays an oncogenic role in colorectal cancer, pancreatic cancer, and NSCLC [53-55]. Remarkably, HOTAIR can interact with PRC2 and the LSD1/CoREST/REST repressor complex (which is responsible for the demethylation of H3K4me2), serving as a scaffold to recruit two distinct histone modifiers to the same loci [56].
In addition to HOTAIR, several ncRNAs have been shown to interact with EZH2 and are involved in EZH2-mediated cancer aggressiveness. These include HEIH in HCC [57], PCAT-1 in prostate cancer [58], and H19 and linc-UBC1 in bladder cancer [59,60]. Several other ncRNAs such as Xist, Six3OS, Meg3, AS1DHRS4, and ANCR have been shown to interact with PRC2 and regulate X-chromosome inactivation, cell differentiation, and stem cell maintenance [61-65], but their roles in cancer have not been identified. In addition to ncRNA, miR-320 directly interacts with EZH2 and argonaute-1 (AGO1) and recruits them to the promoter region of the cell cycle gene POLR3D and silences it [66]. Moreover, EZH2 also interacts with multiple intronic RNAs. Among them, the intronic RNA for SMYD3 (H3K4 methyltransferase) reduces SMYD3 expression, cell proliferation, and xenograft tumor growth in human colorectal cancer cells [67]. Interestingly, BRCA1 negatively regulates PRC2 activity by inhibiting the association between EZH2 and HOTAIR, and the loss of BRCA1 contributes to an aggressive breast cancer phenotype [68]. EZH2-HOTAIR or EZH2-Xist interaction is also regulated by CDK-mediated phosphorylation, as described in the next section [69]. PRC2 co-factor JARID2 also mediates the interaction of PRC2 and ncRNAs such as Xist and Meg3 [65,70].
Post-translational Modification of EZH2
Growing evidence shows that EZH2 activity and stability are regulated by post-translational modifications and that these modifications are critical for the biological function of PRC2 (Fig. 2). It has been reported that Akt phosphorylates EZH2 at serine 21 (S21) and inhibits its enzyme activity for H3K27me3 [71]. Later, this phosphorylation site was shown to be critical for the H3K27me3-independent function of EZH2 [72,73]. JAK2 phosphorylates EZH2 at tyrosine 641 (Y641), which promotes the interaction of EZH2 with β-TrCP and degradation of EZH2 [74]. Y641 is frequently mutated in B-cell lymphoma, and the stability and activity of the EZH2 Y641 mutant is higher than that of wild-type EZH2. Several studies have demonstrated that CDK1/2 phosphorylates EZH2 at multiple sites, including threonine 345, T416, and T487 [69,75-78]. The role of CDK-mediated phosphorylation in EZH2 function is diverse and may depend on cell types and conditions. T345 phosphorylation promotes the association between EZH2 and HOTAIR, whereas T416 phosphorylation induces the binding of NIPP1 to EZH2, and both T345 and T416 phosphorylation are critical for the recruitment of EZH2 to specific loci [69,78]. Moreover, NIPP1 maintains EZH2 phosphorylation by inhibiting its dephosphorylation by PP1 [78]. It has been showed that CDK1 phosphorylates EZH2 at T487 and that the phosphorylation induces the dissociation of EZH2 from PRC2, resulting in the inactivation of EZH2 and a reduction in cancer cell invasion [77]. In contrast, EZH2 phosphorylation at T345 promotes cell migration and proliferation [75]. T345 and T487 phosphorylation in EZH2 also promotes EZH2 ubiquitination and degradation [76].
In neurons, ATM interacts with and phosphorylates EZH2 at S734, and S734 phosphorylation of EZH2 reduces PRC2 assembly, EZH2 stability, and cell death in neurons [79]. ATM-mediated phosphorylation of EZH2 is critical for neurodegeneration in ataxia-telangiectasia, which is caused by ATMmutation [79]. Moreover, p38 phosphorylates EZH2 at threonine 372 (T372) and promotes its interaction with YY1, which is critical for tumor necrosis factor-mediated Pax7 inhibition and muscle stem cell proliferation [80]. The role of ATM- or p38-mediated phosphorylation in cancer is not yet certain.
Recently, EZH2 was shown to interact with O-linked N-acetylglucosamine (GlcNAc) transferase (OGT) and to be O-GlcNAcylated at S75 in vivo. Interestingly, OGT upregulates cellular H3K27me3 levels, and S75 to alanine (S75A) mutant EZH2 is less stable than wild-type EZH2, suggesting that the O-GlcNAcylation of EZH2 may play a role in EZH2 stability and H3K27me3 [81]. EZH2 is also sumoylated in vivo and in vivo, but the functional significance of its sumoylation has not been determined [82]. EZH2 ubiquitination is critical for its protein stability. It has been shown that Smurf2 functions as an E3 ligase for EZH2 in human mesenchymal stem cells and promotes neuron differentiation [83]. β-TrCP and PRAJA1 also function as E3 ligases for EZH2 [74,84].
Function of EZH2 in Cancer
EZH2 is required for cancer cell proliferation, migration, invasion, and EMT, all of which are associated with cancer initiation, progression, and metastasis. More importantly, EZH2 is closely associated with stem cell properties, especially cancer stem cell properties, and tumor-initiating cell function [8,17,85].
In diffuse large B-cell lymphoma and follicular lymphoma, recurrent somatic mutations in the EZH2 gene have been identified, which changes amino acid tyrosine 641 (Y641) in EZH2, thereby altering its enzyme activity [86]. These mutations were originally considered a loss-of-function mutation because it reduces EZH2 methyltransferase activity toward an unmodified substrate. However, mono- to di- and di- to trimethylation activity is higher in Y641 mutant EZH2 than in wild-type EZH2. Y641 mutant EZH2 actually has higher activity of mono- to di- and di- to tri-methylation than wildtype EZH2 [87]. In addition, the Y641 mutation is always a heterogeneous mutation, and diffuse large B-cell lymphoma and follicular lymphoma with EZH2 mutation express both wild-type and Y641 mutant EZH2, resulting in higher H3K27me3 in mutant cancer cells than wild-type cells [87]. Thus, the EZH2 Y641 mutation is unique gain-of-function mutation. The oncogenic role of the Y641 mutation was further confirmed in an engineered mouse model in which conditional expression of mutant EZH2 in germinal center B-cells induced germinal center hyperplasia and promoted lymphoma formation in the presence of Bcl-2 overepxression [88]. In addition to Y641 mutation, A687V and A677G mutations have been identified as activating mutations of EZH2 in B-cell lymphoma [89,90]
Recently, a K27M mutation in one of the histone H3 variants, H3.3, was found in 50% of pediatric high-grade glioma [91,92]. The cells with H3.3K27M show reduced levels of global H3K27me3 because H3.3K27M binds to and inhibits EZH2. Interestingly, H3K27me3 and EZH2 were also shown to be locally increased in hundreds of genes in cells with the H3.3K27M mutation [93]. Therefore, alterations in H3K27me3 are closely associated with glioma.
Overexpression of EZH2 is frequently observed in multiple cancer types, including prostate, breast, bladder, ovarian, lung, liver, brain, kidney, gastric, esophageal, and pancreatic cancer and melanoma [94-104]. In many of these, EZH2 expression is also correlated with higher proliferation and aggressive behavior of cancer cells as well as poor prognosis. Indeed, multiple studies have shown that overexpression of EZH2 promotes cell proliferation, migration, and/or invasion in vivo [26,43,100,105]. Furthermore, overexpression of wild-type EZH2 in mammary epithelial cells in vivo results in epithelial hyperplasia and promotes mammary tumor initiation induced by human epidermal growth factor receptor 2/neu expression [106,107].
In some types of cancer, EZH2 functions as a tumor suppressor. Inactivating mutations of EZH2 are found in patients with myeloid malignancies including myelodysplastic syndrome and myeloproliferative neoplasms, and such EZH2 mutations are associated with poor patient survival [108,109]. Mice with conditional deletions of EZH2 and TET2 in hematopoietic stem cells, the mutations of which frequently co-exist in myeloid malignancies, develop myelodysplastic syndrome and myeloproliferative neoplasms [110]. In addition to myeloid malignacies, 25% of T-cell leukemia cases have been shown to have loss-of-function mutations and deletions of the EZH2 and SUZ12 genes [111]. Indeed, conditional deletion of EZH2 in bone marrow cells causes T-cell leukemia, indicating that EZH2 functions as a tumor suppressor in T-cell leukemia as well [112]. Moreover, mice with conditional deletion of EZH2 in the pancreatic epithelium also exhibit impaired pancreatic regeneration and acceleration of K-Ras-induced neoplasia [113]. Together, these results suggest that the role of EZH2 is cell context dependent, although EZH2 functions as an oncogenic factor in the majority of solid tumors.
EZH2 Targets in Cancer
So far, many EZH2 target genes have been identified, and HOX genes are well-known targets for EZH2 during embryonic development. Because EZH2 frequently functions as an oncogenic factor in many cancer types, most EZH2 targets identified in cancer are tumor suppressor genes. The INK4B-ARF-INK4A tumor suppressor locus is regulated by EZH2, PRC1, and PRC2, and the suppression of these genes is also critical for development of embryo as well as cancer [114-117]. Another critical target of EZH2 in multiple cancers is the E-cadherin gene (CHD1), the downregulation of which is critical for EMT and metastasis [118-121]. EZH2 also interacts with Snail to repress E-cadherin expression [43].
In addition to these proteins, multiple EZH2 target genes have been shown to be involved in EZH2-mediated cancer aggressiveness. These target genes include stathmin and Wnt antagonists in HCC [122,123]; bone morphogenetic protein receptor 1B in GBM [85]; p57 in breast and ovarian cancers [124,125]; DAB2IP, SLIT2, TIMP2/3, and CCN3/NOV in prostate cancer [126-129]; FOXC1, HOXC10, and RAD51 in breast cancer [130-132]; CXXC4 in gastric cancer [133]; MyoD in rhabdomyosarcoma [134]; rap1GAP in HN cancer [25]; CASZ1 in neuroblastoma [135]; and RUNX3 and KLF2 in multiple cancer types [136,137]. In addition, several molecules such as Bim, TRAIL, and FBXO32 play a role in apoptosis induced by the inhibition of EZH2 [138-140]. Vasohibin1 is regulated by EZH2 in tumor-associated endothelial cells, and this regulation plays a role in tumor angiogenesis [141]. EZH2 also regulates the expression other epigenetic regulators by silencing multiple miRNAs, which are critical for the oncogenic function of EZH2 [142,143].
H3K27me3-Independent Functions of EZH2
Although the primary function of EZH2 is gene silencing through the methylation of H3K27, accumulating evidence shows that EZH2 functions independently of H3K27me3 in various cancers (Fig. 3). Several reports have shown that EZH2 functions as a transcription activator. For example, EZH2 interacts with estrogen receptor (ER) α and β-catenin, and the complex regulates c-Myc and cyclin D1 expression in breast cancer cells [144]. Moreover, in a transgenic mouse model, EZH2 was shown to interact with β-catenin and promote its nuclear accumulation and activation in mammary epithelial cells [107]. In colon cancer cells, the DNA repair protein proliferating cell nuclear antigen (PCNA)-associated factor interacts with EZH2 and β-catenin and increases β-catenin target gene expression [145]. The effect of EZH2 on PCNA-associated factor-mediated activation of β-catenin does not require EZH2 methyltransferase activity. EZH2 also functions as a transcriptional co-activator with AR in castration-resistant prostate cancer cells [72]. Interestingly, this functional switch from a transcription silencer to an activator requires S21 phosphorylation of EZH2 by Akt, and activation of AR depends on EZH2 methyltransferase activity. In ER-negative basal-like breast cancer cells, EZH2 interacts with RelA/RelB and functions as a transcription co-activator of nuclear factor-kappa B. In contrast, EZH2 interacts with ER and represses nuclear factor-kappa B target gene expression by inducing H3K27me3 on their promoters in ER-positive luminal-like breast cancer cells [146]. In natural killer/T-cell lymphoma, EZH2, which is upregulated via Myc-mediated miRNA inhibition, directly activates cyclin D transcription and promotes cell proliferation independent of methyltransferase activity [147].
EZH2 also methylates proteins other than histone H3 and modulates their functions (Fig. 3). For example, EZH2 interacts with and methylates STAT3, resulting in increased tyrosine phosphorylation and activation of STAT3 [73]. Strikingly, AKT-mediated phosphorylation at S21 in EZH2 is critical for the interaction of EZH2 with STAT3, and this AKT-EZH2-STAT3 pathway is critical for the maintenance of glioblastoma stem cells and tumor progression. EZH2 also mono-methylates tumor suppressor, retinoic acid-related orphan nuclear receptor α (RORα) [148]. Mono-methylated RORα is recognized by the DCAF1/DDB1/CUL4 E3 ubiquitin ligase complex and undergoes ubiquitination and degradation. EZH2 also methylates GATA4 and inhibits its activity by inhibiting its interaction with p300 [149], although the role of this methylation in cancer has not been established.
EZH2 also regulates cellular functions other than transcription. Cytosolic EZH2, the level of which is higher in prostate cancer cells than in normal prostate cells, regulates actin polymerization [150,151]. However, the underlying molecular mechanism has not yet been identified. In addition, PRC2 is recruited to sites of DNA damage in a poly(ADP-ribose) polymerase-dependent manner and is involved in DNA damage repair [152]. EZH2 knockdown reduces DNA double-strand break repair and sensitizes cells to ionizing radiation. Interestingly, EZH2 and BRCA1 regulate each other and are involved in several cellular functions. Knockdown of EZH2 upregulates BRCA1 protein, which is important for the downregulation of proliferation induced by the inhibition of EZH2 in ER-negative breast cancer [153]. Consistently, EZH2 induces BRCA1 nuclear exclusion and inhibits its activity, which contributes to chromosome instability in breast cancer [154]. In contrast, BRCA1 also regulates EZH2 activity. BRCA1 inhibits EZH2-HOTAIR interaction as previously described herein [68]. Moreover BRCA1-deficient cells have higher EZH2 expression and are thereby more sensitive to EZH2 inhibition than BRCA1-proficient cells [155]. Thus, EZH2-BRCA1 interaction is complicated, and further studies may be necessary.
Therapeutic Implications of EZH2
Because EZH2 is a central regulator of proliferation, migration, invasion and stem cell properties of cancer cells, it is considered a potential drug target. 3-Deazaneplanocin A (DZNep), which is an inhibitor of S-adenosylhomocysteine hydrolase, downregulates PRC2 proteins including EZH2 and inhibits PRC2 activity [139]. DZNep treatment indeed induces the downregulation of H3K27me3, reactivates PRC2 target genes, and effectively induces apoptosis in cancer cells but not in normal cells [139]. This compound has been widely used in preclinical and in vitro studies to investigate the function of EZH2 in cancer and has been shown to effectively inhibit cell proliferation and tumor growth in various cancers [156-159]. Remarkably, the killing effect of DZNep is about 20-fold greater in BRCA1-deficient cells than in BRCA1-proficient mammary tumor cells although the underlying mechanism is not known [155]. DZNep was recently shown to induce erythroid differentiation independent of EZH2, suggesting that the effects of DZNep may be partially independent of EZH2 inhibition [160]. However, because DZNep downregulates EZH2 protein levels, it is expected to inhibit the methylation-independent functions of EZH2 [147].
Recently, several highly selective small molecule inhibitors against EZH2, such as GSK126, EPZ005687, EI1, and EPZ-6438, have been developed [161-164]. These inhibitors exhibit higher effects against the lymphoma with Y641 activation mutation of EZH2 than the one with wild-type EZH2. Currently, EPZ-6438 is being tested in clinical trials of patients with B-cell lymphoma and advanced solid tumors.
In addition to specific EZH2 inhibitors, several other drugs and compounds have been reported to be able to downregulate EZH2, and the downregulation of EZH2 is critical for their anti-cancer activity. These include curcumin [165,166], omega-3 polyunsaturated fatty acids [167], and sorafenib [168]. Moreover, inhibition of EZH2 also sensitizes cancer cells to various other anti-cancer drugs, such as HDAC inhibitors, imatinib, gemcitabine, paclitaxel, and cisplatin [27,98,140,169-174].
Conclusion
EZH2 is a critical regulator of cell proliferation, migration/invasion, and stemness in cancer and functions as an oncogenic factor in most solid tumors. Indeed, EZH2 inhibitors have shown promising anti-cancer activity against EZH2-active or -overexpressing cancer cells in multiple preclinical studies, and EPZ-6438 is currently under clinical trials. Inhibition of EZH2 also enhances several existing anticancer drugs, suggesting the potential for combination therapy using EZH2 inhibitors. Moreover, EZH2 is frequently overexpressed in multiple cancer types and is associated with poor prognosis. Therefore, EZH2 may serve as a valuable prognostic marker. In the future, additional studies will be required to establish effective combination treatment strategies and identify appropriate biomarkers in various cancer types to predict sensitivity to EZH2 inhibitors.
Herein, we introduced multiple mechanisms of EZH2 regulation, including transcriptional regulation, mRNA regulation by miRNAs, accessibility to DNA via DNA binding proteins and ncRNAs, and post-translational modifications. Because these upstream regulators of EZH2 most likely control multiple targets other than EZH2, the inhibition of these mechanisms may be an alternative approach to targeting EZH2 and even more effective than EZH2 inhibitors alone. For instance, the kinases that phosphorylate EZH2 also phosphorylate many substrates and activate other signaling pathways. Indeed, CDK inhibitors have shown anti-tumor activity in preclinical studies and are currently being tested in clinical trials. The effects of CDK inhibitors may be achieved partially through the attenuation of EZH2 activity, and EZH2 may serve as a biomarker for these drugs. Thus, the identification of upstream regulators of EZH2 may lead to effective therapeutic strategies for various cancers.
NOTES
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Conflict of interest relevant to this article was not reported.
Acknowledgements- This work was supported by the following grants: National Institutes of Health (CA109311, CA099031); Ministry of Health and Welfare, China Medical University Hospital Cancer Research Center of Excellence (MOHW103-TD-B-111; Taiwan), the Program for Stem Cell and Regenerative Medicine Frontier Research (NSC102-2321-B-039; Taiwan).
Fig. 1.Regulators of EZH2 expression and DNA targeting in cancer. EZH2 expression is regulated by various oncogenic transcription factors and tumor suppressor miRNAs. Access to the specific DNA sites is regulated by various transcription factors and noncoding RNAs (ncRNAs).
Fig. 2.Post-translational modifications of EZH2. EZH2 is phosphorylated at S21, T345, T372, T416, T487, Y641, and S734 by the indicated kinases. S75 is glycosylated by O-linked N-acetylglucosamine transferase (OGT). In addition, EZH2 is ubiquitinated by Smurf2, β-TrCP, and PRAJA1 and undergoes degradation.
Fig. 3.Various functions of EZH2 in human cancer. EZH2 silences multiple tumor suppressors such as INK4A/ARF and E-cadherin via canonical H3K27me3. EZH2 also methylates substrates other than H3K27, such as STAT3 and RORα. Furthermore, EZH2 has a methylase-independent function.
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DNA and Cell Biology.2021; 40(3): 499. CrossRef - Potential of enhancer of zeste homolog 2 inhibitors for the treatment of SWI/SNF mutant cancers and tumor microenvironment modulation
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Drug Development Research.2021; 82(6): 730. CrossRef - The noncanonical role of EZH2 in cancer
Jinhua Huang, Hongwei Gou, Jia Yao, Kaining Yi, Zhigang Jin, Masao Matsuoka, Tiejun Zhao
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Genomics, Proteomics & Bioinformatics.2021; 19(4): 534. CrossRef - Diagnostic Utility of BAP1, EZH2 and Survivin in Differentiating Pleural Epithelioid Mesothelioma and Reactive Mesothelial Hyperplasia: Immunohistochemical Study
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Pathology and Oncology Research.2021;[Epub] CrossRef - Clinical and Genomic Characteristics of Adult Diffuse Midline Glioma
Changhee Park, Tae Min Kim, Jeong Mo Bae, Hongseok Yun, Jin Wook Kim, Seung Hong Choi, Soon-Tae Lee, Joo Ho Lee, Sung-Hye Park, Chul-Kee Park
Cancer Research and Treatment.2021; 53(2): 389. CrossRef - Epigenomic and Metabolomic Integration Reveals Dynamic Metabolic Regulation in Bladder Cancer
Alba Loras, Cristina Segovia, José Luis Ruiz-Cerdá
Cancers.2021; 13(11): 2719. CrossRef - The Biological Function, Mechanism, and Clinical Significance of m6A RNA Modifications in Head and Neck Carcinoma: A Systematic Review
Feng-Yang Jing, Li-Ming Zhou, Yu-Jie Ning, Xiao-Juan Wang, You-Ming Zhu
Frontiers in Cell and Developmental Biology.2021;[Epub] CrossRef - Clinical Perspectives to Overcome Acquired Resistance to Anti–Programmed Death-1 and Anti–Programmed Death Ligand-1 Therapy in Non-Small Cell Lung Cancer
Yong Jun Lee, Jii Bum Lee, Sang-Jun Ha, Hye Ryun Kim
Molecules and Cells.2021; 44(5): 363. CrossRef - Horizontal transfer of the stemness-related markers EZH2 and GLI1 by neuroblastoma-derived extracellular vesicles in stromal cells
Aranzazu Villasante, Amandine Godier-Furnemont, Alberto Hernandez-Barranco, Johanne Le Coq, Jasminka Boskovic, Hector Peinado, Jaume Mora, Josep Samitier, Gordana Vunjak-Novakovic
Translational Research.2021; 237: 82. CrossRef - PBDEs affect inflammatory and oncosuppressive mechanisms via the EZH2 methyltransferase in airway epithelial cells
Giulia Anzalone, Monica Moscato, Angela Marina Montalbano, Giusy Daniela Albano, Rosalia Gagliardo, Roberto Marchese, Alberto Fucarino, Chiara Lo Nigro, Gaspare Drago, Mirella Profita
Life Sciences.2021; 282: 119827. CrossRef - Overexpression of miR-378 Alleviates Chronic Sciatic Nerve Injury by Targeting EZH2
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Neurochemical Research.2021; 46(12): 3213. CrossRef - Involvement of EZH2 inhibition in lenalidomide and pomalidomide-mediated growth suppression in HTLV-1-infected cells
Nobuyo Kondo, Yoshiko Nagano, Atsuhiko Hasegawa, Miku Ishizawa, Kuniko Katagiri, Takeru Yoneda, Takao Masuda, Mari Kannagi
Biochemical and Biophysical Research Communications.2021; 574: 104. CrossRef - Discovery of IHMT-EZH2-115 as a Potent and Selective Enhancer of Zeste Homolog 2 (EZH2) Inhibitor for the Treatment of B-Cell Lymphomas
Bin Zhou, Xiaofei Liang, Husheng Mei, Shuang Qi, Zongru Jiang, Aoli Wang, Fengming Zou, Qingwang Liu, Juan Liu, Wenliang Wang, Chen Hu, Yongfei Chen, Zuowei Wang, Beilei Wang, Li Wang, Jing Liu, Qingsong Liu
Journal of Medicinal Chemistry.2021; 64(20): 15170. CrossRef - EZH1/2 inhibition augments the anti-tumor effects of sorafenib in hepatocellular carcinoma
Yuko Kusakabe, Tetsuhiro Chiba, Motohiko Oshima, Shuhei Koide, Ola Rizq, Kazumasa Aoyama, Junjie Ao, Tatsuya Kaneko, Hiroaki Kanzaki, Kengo Kanayama, Takahiro Maeda, Tomoko Saito, Ryo Nakagawa, Kazufumi Kobayashi, Soichiro Kiyono, Masato Nakamura, Sadahis
Scientific Reports.2021;[Epub] CrossRef - Histone Demethylase UTX/KDM6A Regulates Glioblastoma Progression Through Modulating the Tumor Microenvironment
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SSRN Electronic Journal .2021;[Epub] CrossRef - LncRNA-ANCR down-regulation suppresses invasion and migration of colorectal cancer cells by regulating EZH2 expression
Zhao-Yang Yang, Fang Yang, Ying-Li Zhang, Bao Liu, Meng Wang, Xuan Hong, Yan Yu, Yao-Hui Zhou, Hai Zeng
Cancer Biomarkers.2020; 18(1): 95. CrossRef - Targeting mTOR suppressed colon cancer growth through 4EBP1/eIF4E/PUMA pathway
Huanan Wang, Yeying Liu, Jie Ding, Yuan Huang, Jing Liu, Nannan Liu, Yue Ao, Yi Hong, Lefeng Wang, Lingling Zhang, Jiangang Wang, Yingjie Zhang
Cancer Gene Therapy.2020; 27(6): 448. CrossRef - Utility of histone H3K27me3 and H4K20me as diagnostic indicators of melanoma
Lauren E. Davis, Sara C. Shalin, Alan J. Tackett
Melanoma Research.2020; 30(2): 159. CrossRef - Genetic or pharmacologic blockade of enhancer of zeste homolog 2 inhibits the progression of peritoneal fibrosis
Yingfeng Shi, Min Tao, Yi Wang, Xiujuan Zang, Xiaoyan Ma, Andong Qiu, Shougang Zhuang, Na Liu
The Journal of Pathology.2020; 250(1): 79. CrossRef - Inhibition of EZH2 Catalytic Activity Selectively Targets a Metastatic Subpopulation in Triple-Negative Breast Cancer
Shira Yomtoubian, Sharrell B. Lee, Akanksha Verma, Franco Izzo, Geoffrey Markowitz, Hyejin Choi, Leandro Cerchietti, Linda Vahdat, Kristy A. Brown, Eleni Andreopoulou, Olivier Elemento, Jenny Chang, Giorgio Inghirami, Dingcheng Gao, Seongho Ryu, Vivek Mit
Cell Reports.2020; 30(3): 755. CrossRef - HOXC10 promotes cell migration, invasion, and tumor growth in gastric carcinoma cells through upregulating proinflammatory cytokines
Jingzhang Li, Gangling Tong, Cheng Huang, Yunsheng Luo, Shubin Wang, Ying Zhang, Boran Cheng, Zhihong Zhang, Xuan Wu, Qiumei Liu, Min Li, Laiqing Li, Bingqiang Ni
Journal of Cellular Physiology.2020; 235(4): 3579. CrossRef - A TGF-β-MTA1-SOX4-EZH2 signaling axis drives epithelial–mesenchymal transition in tumor metastasis
Lina Li, Jian Liu, Hongsheng Xue, Chunxiao Li, Qun Liu, Yantong Zhou, Ting Wang, Haijuan Wang, Haili Qian, Tao Wen
Oncogene.2020; 39(10): 2125. CrossRef - Network-Based Genetic Profiling Reveals Cellular Pathway Differences Between Follicular Thyroid Carcinoma and Follicular Thyroid Adenoma
Md. Ali Hossain, Tania Akter Asa, Md. Mijanur Rahman, Shahadat Uddin, Ahmed A. Moustafa, Julian M. W. Quinn, Mohammad Ali Moni
International Journal of Environmental Research and Public Health.2020; 17(4): 1373. CrossRef - Design, Synthesis, and Pharmacological Evaluation of Second Generation EZH2 Inhibitors with Long Residence Time
Avinash Khanna, Alexandre Côté, Shilpi Arora, Ludivine Moine, Victor S. Gehling, Jehrod Brenneman, Nico Cantone, Jacob I. Stuckey, Shruti Apte, Ashwin Ramakrishnan, Kamil Bruderek, William D. Bradley, James E. Audia, Richard T. Cummings, Robert J. Sims, P
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Archana P. Thankamony, Kritika Saxena, Reshma Murali, Mohit Kumar Jolly, Radhika Nair
Frontiers in Molecular Biosciences.2020;[Epub] CrossRef - Acquired resistance to DZNep-mediated apoptosis is associated with copy number gains of AHCY in a B-cell lymphoma model
Chidimma Agatha Akpa, Karsten Kleo, Elisabeth Oker, Nancy Tomaszewski, Clemens Messerschmidt, Cristina López, Rabea Wagener, Kathrin Oehl-Huber, Katja Dettmer, Anne Schoeler, Dido Lenze, Peter J. Oefner, Dieter Beule, Reiner Siebert, David Capper, Lora Di
BMC Cancer.2020;[Epub] CrossRef - Long noncoding RNA ANRIL promotes the malignant progression of cholangiocarcinoma by epigenetically repressing ERRFI1 expression
Yang Yu, Qiaoyu Chen, Xunlei Zhang, Jian Yang, Kaibo Lin, Congfei Ji, Aibing Xu, Lei Yang, Lin Miao
Cancer Science.2020; 111(7): 2297. CrossRef - CAMK2A supported tumor initiating cells of lung adenocarcinoma by upregulating SOX2 through EZH2 phosphorylation
Si-Qi Wang, Jing Liu, Jing Qin, Yun Zhu, Vicky Pui-Chi Tin, Judy Wai Ping Yam, Maria Pik Wong, Zhi-Jie Xiao
Cell Death & Disease.2020;[Epub] CrossRef - INI-1 (SMARCB1)–Deficient Undifferentiated Sinonasal Carcinoma: Novel Paradigm of Molecular Testing in the Diagnosis and Management of Sinonasal Malignancies
Khvaramze Shaverdashvili, Elham Azimi-Nekoo, Perry Cohen, Nadeem Akbar, Thomas J. Ow, Balazs Halmos, Enrico Castellucci
The Oncologist.2020; 25(9): 738. CrossRef - Genomic profiling in renal cell carcinoma
Nazli Dizman, Errol J. Philip, Sumanta K. Pal
Nature Reviews Nephrology.2020; 16(8): 435. CrossRef - The Roles of the Histone Protein Modifier EZH2 in the Uterus and Placenta
Ana M. Mesa, Cheryl S. Rosenfeld, Geetu Tuteja, Theresa I. Medrano, Paul S. Cooke
Epigenomes.2020; 4(3): 20. CrossRef - FOXC1-mediated LINC00301 facilitates tumor progression and triggers an immune-suppressing microenvironment in non-small cell lung cancer by regulating the HIF1α pathway
Cheng-Cao Sun, Wei Zhu, Shu-Jun Li, Wei Hu, Jian Zhang, Yue Zhuo, Han Zhang, Juan Wang, Yu Zhang, Shao-Xin Huang, Qi-Qiang He, De-Jia Li
Genome Medicine.2020;[Epub] CrossRef - The long non‐coding RNA SNHG1 promotes bladder cancer progression by interacting with miR‐143‐3p and EZH2
Wei Xiang, Lei Lyu, Tao Huang, Fuxin Zheng, Jingdong Yuan, Chuanhua Zhang, Guosong Jiang
Journal of Cellular and Molecular Medicine.2020; 24(20): 11858. CrossRef - Elevated expression of RUNX3 co-expressing with EZH2 in esophageal cancer patients from India
Asad Ur Rehman, Mohammad Askandar Iqbal, Real Sumayya Abdul Sattar, Snigdha Saikia, Mohammad Kashif, Wasif Mohammad Ali, Subhash Medhi, Sundeep Singh Saluja, Syed Akhtar Husain
Cancer Cell International.2020;[Epub] CrossRef - MicroRNA-33b Suppresses Epithelial–Mesenchymal Transition Repressing the MYC–EZH2 Pathway in HER2+ Breast Carcinoma
Birlipta Pattanayak, Iris Garrido-Cano, Anna Adam-Artigues, Eduardo Tormo, Begoña Pineda, Paula Cabello, Elisa Alonso, Begoña Bermejo, Cristina Hernando, María Teresa Martínez, Ana Rovira, Joan Albanell, Federico Rojo, Octavio Burgués, Juan Miguel Cejalvo
Frontiers in Oncology.2020;[Epub] CrossRef - Inhibition of EZH2 via the STAT3/HOTAIR signalling axis contributes to cell cycle arrest and apoptosis induced by polyphyllin I in human non-small cell lung cancer cells
Hok Shing Li, Yao Xu
Steroids.2020; 164: 108729. CrossRef - EZH2 overexpression dampens tumor-suppressive signals via an EGR1 silencer to drive breast tumorigenesis
Xiaowen Guan, Houliang Deng, Un Lam Choi, Zhengfeng Li, Yiqi Yang, Jianming Zeng, Yunze Liu, Xuanjun Zhang, Gang Li
Oncogene.2020; 39(48): 7127. CrossRef - RETRACTED: Exosome-Delivered LncHEIH Promotes Gastric Cancer Progression by Upregulating EZH2 and Stimulating Methylation of the GSDME Promoter
Yan Lu, Kaiqing Hou, Mengsen Li, Xiaobin Wu, Shaochun Yuan
Frontiers in Cell and Developmental Biology.2020;[Epub] CrossRef - Impact of the Tumor Microenvironment on Tumor Heterogeneity and Consequences for Cancer Cell Plasticity and Stemness
Ralf Hass, Juliane von der Ohe, Hendrik Ungefroren
Cancers.2020; 12(12): 3716. CrossRef - The EZH2–PHACTR2–AS1–Ribosome Axis induces Genomic Instability and Promotes Growth and Metastasis in Breast Cancer
Wenhui Chu, Xi Zhang, Lihua Qi, Yenan Fu, Peng Wang, Wei Zhao, Juan Du, Jing Zhang, Jun Zhan, Yunling Wang, Wei-Guo Zhu, Yu Yu, Hongquan Zhang
Cancer Research.2020; 80(13): 2737. CrossRef - Inhibition of EZH2 Enhances the Antitumor Efficacy of Metformin in Prostate Cancer
Yifan Kong, Yanquan Zhang, Fengyi Mao, Zhuangzhuang Zhang, Zhiguo Li, Ruixin Wang, Jinghui Liu, Xiaoqi Liu
Molecular Cancer Therapeutics.2020; 19(12): 2490. CrossRef - Aberrant differential expression of EZH2 and H3K27me3 in extranodal NK/T-cell lymphoma, nasal type, is associated with disease progression and prognosis
Jumei Liu, Li Liang, Sixia Huang, Lin Nong, Dong Li, Bo Zhang, Ting Li
Human Pathology.2019; 83: 166. CrossRef - Retracted: Long noncoding RNA TALNEC2 plays an oncogenic role in breast cancer by binding to EZH2 to target p57KIP2 and involving in p‐p38 MAPK and NF‐κB pathways
Enqi Qiao, Daobao Chen, Qinglin Li, Weiliang Feng, Xingfei Yu, Xiping Zhang, Liang Xia, Ju Jin, Hongjian Yang
Journal of Cellular Biochemistry.2019; 120(3): 3978. CrossRef - Interaction of EZH2 and P65 is involved in the arsenic trioxide-induced anti-angiogenesis in human triple-negative breast cancer cells
Fei Jiang, Yuan Li, Lu Si, Zengli Zhang, Zhong Li
Cell Biology and Toxicology.2019; 35(4): 361. CrossRef - lncRNA SNHG6 regulates EZH2 expression by sponging miR-26a/b and miR-214 in colorectal cancer
Mu Xu, Xiaoxiang Chen, Kang Lin, Kaixuan Zeng, Xiangxiang Liu, Xueni Xu, Bei Pan, Tao Xu, Li Sun, Bangshun He, Yuqin Pan, Huiling Sun, Shukui Wang
Journal of Hematology & Oncology.2019;[Epub] CrossRef - Genome-wide expression analysis reveals six contravened targets of EZH2 associated with breast cancer patient survival
Kanchan Kumari, Biswajit Das, Amit K. Adhya, Arabinda K. Rath, Sandip K. Mishra
Scientific Reports.2019;[Epub] CrossRef - LncRNA ADAMTS9-AS2 promotes tongue squamous cell carcinoma proliferation, migration and EMT via the miR-600/EZH2 axis
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Biomedicine & Pharmacotherapy.2019; 112: 108719. CrossRef - New directions in treating peripheral T-cell lymphomas (PTCL): leveraging epigenetic modifiers alone and in combination
Helen Ma, Owen A. O’Connor, Enrica Marchi
Expert Review of Hematology.2019; 12(3): 137. CrossRef - iPS-Cell Technology and the Problem of Genetic Instability—Can It Ever Be Safe for Clinical Use?
Stephen W. Attwood, Michael J. Edel
Journal of Clinical Medicine.2019; 8(3): 288. CrossRef - Protein dynamics analysis reveals that missense mutations in cancer‐related genes appear frequently on hinge‐neighboring residues
Jan Fehmi Sayılgan, Türkan Haliloğlu, Mehmet Gönen
Proteins: Structure, Function, and Bioinformatics.2019; 87(6): 512. CrossRef - Enhancer of Zeste 2 Polycomb Repressive Complex 2 Subunit Is Required for Uterine Epithelial Integrity
Xin Fang, Nan Ni, John P. Lydon, Ivan Ivanov, Kayla J. Bayless, Monique Rijnkels, Qinglei Li
The American Journal of Pathology.2019; 189(6): 1212. CrossRef - Prolactin Receptor Signaling Regulates a Pregnancy-Specific Transcriptional Program in Mouse Islets
Mark E Pepin, Hayden H Bickerton, Maigen Bethea, Chad S Hunter, Adam R Wende, Ronadip R Banerjee
Endocrinology.2019; 160(5): 1150. CrossRef - Targeting EZH2 histone methyltransferase activity alleviates experimental intestinal inflammation
Jie Zhou, Shuo Huang, Zhongyu Wang, Jiani Huang, Liang Xu, Xuefeng Tang, Yisong Y. Wan, Qi-jing Li, Alistair L. J. Symonds, Haixia Long, Bo Zhu
Nature Communications.2019;[Epub] CrossRef - Silencing of microRNA-708 promotes cell growth and epithelial-to-mesenchymal transition by activating the SPHK2/AKT/β-catenin pathway in glioma
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Cell Death & Disease.2019;[Epub] CrossRef - EZH2 upregulates the PI3K/AKT pathway through IGF1R and MYC in clinically aggressive chronic lymphocytic leukaemia
Subazini Thankaswamy Kosalai, Mohammad Hamdy Abdelrazak Morsy, Nikos Papakonstantinou, Larry Mansouri, Niki Stavroyianni, Chandrasekhar Kanduri, Kostas Stamatopoulos, Richard Rosenquist, Meena Kanduri
Epigenetics.2019; 14(11): 1125. CrossRef - Current state of melanoma diagnosis and treatment
Lauren E. Davis, Sara C. Shalin, Alan J. Tackett
Cancer Biology & Therapy.2019; 20(11): 1366. CrossRef - DZNep-mediated apoptosis in B-cell lymphoma is independent of the lymphoma type, EZH2 mutation status and MYC, BCL2 or BCL6 translocations
Chidimma Agatha Akpa, Karsten Kleo, Dido Lenze, Elisabeth Oker, Lora Dimitrova, Michael Hummel, Francesco Bertolini
PLOS ONE.2019; 14(8): e0220681. CrossRef - HO-1 promotes resistance to an EZH2 inhibitor through the pRB-E2F pathway: correlation with the progression of myelodysplastic syndrome into acute myeloid leukemia
Zhengchang He, Siyu Zhang, Dan Ma, Qin Fang, Liping Yang, Shaoxian Shen, Ying Chen, Lingli Ren, Jishi Wang
Journal of Translational Medicine.2019;[Epub] CrossRef - Hematopoietic Differentiation of Human Pluripotent Stem Cells: HOX and GATA Transcription Factors as Master Regulators
Khaled Alsayegh, Lorena V. Cortés-Medina, Gerardo Ramos-Mandujano, Heba Badraiq, Mo Li
Current Genomics.2019; 20(6): 438. CrossRef - Long non‐coding small nucleolar RNA host genes in digestive cancers
Huan Yang, Zheng Jiang, Shuang Wang, Yongbing Zhao, Xiaomei Song, Yufeng Xiao, Shiming Yang
Cancer Medicine.2019; 8(18): 7693. CrossRef - Aberrant Expression of EZH2 in Pediatric Patients with Myelodysplastic Syndrome: A Potential Biomarker of Leukemic Evolution
Teresa de Souza Fernandez, Tatiana Fonseca Alvarenga, Elaiza Almeida Antônio de Kós, Viviane Lamim Lovatel, Rita de Cássia Tavares, Elaine Sobral da Costa, Cecília de Souza Fernandez, Eliana Abdelhay
BioMed Research International.2019; 2019: 1. CrossRef - Epigenetics of Bladder Cancer: Where Biomarkers and Therapeutic Targets Meet
Victor G. Martinez, Ester Munera-Maravilla, Alejandra Bernardini, Carolina Rubio, Cristian Suarez-Cabrera, Cristina Segovia, Iris Lodewijk, Marta Dueñas, Mónica Martínez-Fernández, Jesus Maria Paramio
Frontiers in Genetics.2019;[Epub] CrossRef - Cigarette smoke affects the onco-suppressor DAB2IP expression in bronchial epithelial cells of COPD patients
Giulia Anzalone, Giuseppe Arcoleo, Fabio Bucchieri, Angela M. Montalbano, Roberto Marchese, Giusy D. Albano, Caterina Di Sano, Monica Moscato, Rosalia Gagliardo, Fabio L. M. Ricciardolo, Mirella Profita
Scientific Reports.2019;[Epub] CrossRef - Stratifying nonfunctional pituitary adenomas into two groups distinguished by macrophage subtypes
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Oncotarget.2019; 10(22): 2212. CrossRef - Genome‑wide analysis reveals the emerging roles of long non‑coding RNAs in cancer (Review)
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Oncology Letters.2019;[Epub] CrossRef - EZH2 contributes to the response to PARP inhibitors through its PARP-mediated poly-ADP ribosylation in breast cancer
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Oncogene.2018; 37(2): 208. CrossRef - Optimization of Orally Bioavailable Enhancer of Zeste Homolog 2 (EZH2) Inhibitors Using Ligand and Property-Based Design Strategies: Identification of Development Candidate (R)-5,8-Dichloro-7-(methoxy(oxetan-3-yl)methyl)-2-((4-methoxy-6-methyl-2-oxo-1,2-d
Pei-Pei Kung, Patrick Bingham, Alexei Brooun, Michael Collins, Ya-Li Deng, Dac Dinh, Connie Fan, Ketan S. Gajiwala, Rita Grantner, Hovhannes J. Gukasyan, Wenyue Hu, Buwen Huang, Robert Kania, Susan E. Kephart, Cody Krivacic, Robert A. Kumpf, Penney Khamph
Journal of Medicinal Chemistry.2018; 61(3): 650. CrossRef - Nicotine associated breast cancer in smokers is mediated through high level of EZH2 expression which can be reversed by methyltransferase inhibitor DZNepA
Kanchan Kumari, Biswajit Das, Amit Adhya, Sanjib Chaudhary, Shantibhusan Senapati, Sandip K. Mishra
Cell Death & Disease.2018;[Epub] CrossRef - Long noncoding RNA GAS5 promotes bladder cancer cells apoptosis through inhibiting EZH2 transcription
Miao Wang, Chen Guo, Liang Wang, Gang Luo, Chao Huang, Yawei Li, Dong Liu, Fuqing Zeng, Guosong Jiang, Xingyuan Xiao
Cell Death & Disease.2018;[Epub] CrossRef - Valproic Acid Promotes Apoptosis and Cisplatin Sensitivity Through Downregulation of H19 Noncoding RNA in Ovarian A2780 Cells
Zahre Sajadpoor, Zeinab Amini-Farsani, Hossein Teimori, Mehdi Shamsara, Mohammad Hossein Sangtarash, Payam Ghasemi-Dehkordi, Farrokh Yadollahi
Applied Biochemistry and Biotechnology.2018; 185(4): 1132. CrossRef - Epigenetic dysregulation of key developmental genes in radiation‐induced rat mammary carcinomas
Kazuhiro Daino, Mayumi Nishimura, Tatsuhiko Imaoka, Masaru Takabatake, Takamitsu Morioka, Yukiko Nishimura, Yoshiya Shimada, Shizuko Kakinuma
International Journal of Cancer.2018; 143(2): 343. CrossRef - The role of enhancer of zeste homolog 2: From viral epigenetics to the carcinogenesis of hepatocellular carcinoma
Luca Sanna, Irene Marchesi, Mariarosa A. B. Melone, Luigi Bagella
Journal of Cellular Physiology.2018; 233(9): 6508. CrossRef - Decreased expression of microRNA-26b in locally advanced and inflammatory breast cancer
Qingqing Ding, Yan Wang, Zhuang Zuo, Yun Gong, Savitri Krishnamurthy, Chia-Wei Li, Yun-Ju Lai, Wei Wei, Jing Wang, Ganiraju C. Manyam, Lixia Diao, Xinna Zhang, Feng Lin, William F. Symmans, Li Sun, Chang-Gong Liu, Xiuping Liu, Bisrat G. Debeb, Naoto T. Ue
Human Pathology.2018; 77: 121. CrossRef - EZH2 induces the expression of miR-1301 as a negative feedback control mechanism in triple negative breast cancer
Qiuju Wu, Zekun Chen, Guihua Zhang, Wenhui Zhou, You Peng, Rong Liu, Ceshi Chen, Jing Feng
Acta Biochimica et Biophysica Sinica.2018; 50(7): 693. CrossRef - Impact of OGT deregulation on EZH2 target genes FOXA1 and FOXC1 expression in breast cancer cells
Ewa Forma, Paweł Jóźwiak, Piotr Ciesielski, Agnieszka Zaczek, Katarzyna Starska, Magdalena Bryś, Anna Krześlak, Gokul M. Das
PLOS ONE.2018; 13(6): e0198351. CrossRef - Anti-tumor and anti-metastasis activities of honey bee larvae powder by suppressing the expression of EZH2
Masakatsu Kageyama, Kejuan Li, Shuang Sun, Guoqing Xing, Ran Gao, Zhongfang Lei, Zhenya Zhang
Biomedicine & Pharmacotherapy.2018; 105: 690. CrossRef - Epigenetic silencing of tumor suppressor gene CDKN1A by oncogenic long non-coding RNA SNHG1 in cholangiocarcinoma
Yang Yu, Mingjiong Zhang, Ni Wang, Quanpeng Li, Jian Yang, Shuai Yan, Xuezhi He, Guozhong Ji, Lin Miao
Cell Death & Disease.2018;[Epub] CrossRef - Emerging roles of Myc in stem cell biology and novel tumor therapies
Go J. Yoshida
Journal of Experimental & Clinical Cancer Research.2018;[Epub] CrossRef - The long noncoding RNA SNHG1 regulates colorectal cancer cell growth through interactions with EZH2 and miR-154-5p
Mu Xu, Xiaoxiang Chen, Kang Lin, Kaixuan Zeng, Xiangxiang Liu, Bei Pan, Xueni Xu, Tao Xu, Xiuxiu Hu, Li Sun, Bangshun He, Yuqin Pan, Huiling Sun, Shukui Wang
Molecular Cancer.2018;[Epub] CrossRef - Long noncoding RNA PCAT6 functions as an oncogene by binding to EZH2 and suppressing LATS2 in non-small-cell lung cancer
Xuefei Shi, Zhili Liu, Zhicong Liu, Xueren Feng, Feng Hua, Xixian Hu, Bin Wang, Kaihua Lu, Fengqi Nie
EBioMedicine.2018; 37: 177. CrossRef - DUXAP8, a pseudogene derived lncRNA, promotes growth of pancreatic carcinoma cells by epigenetically silencing CDKN1A and KLF2
Yifan Lian, Jiebin Yang, Yikai Lian, Chuangxing Xiao, Xuezhen Hu, Hongzhi Xu
Cancer Communications.2018; 38(1): 1. CrossRef - EZH2, HIF-1, and Their Inhibitors: An Overview on Pediatric Cancers
Marco Papale, Elisabetta Ferretti, Giuseppe Battaglia, Diana Bellavia, Antonello Mai, Marco Tafani
Frontiers in Pediatrics.2018;[Epub] CrossRef - Long Noncoding RNA ANRIL Supports Proliferation of Adult T-Cell Leukemia Cells through Cooperation with EZH2
Zaowen Song, Wencai Wu, Mengyun Chen, Wenzhao Cheng, Juntao Yu, Jinyong Fang, Lingling Xu, Jun-ichirou Yasunaga, Masao Matsuoka, Tiejun Zhao, Viviana Simon
Journal of Virology.2018;[Epub] CrossRef - MET/ERK and MET/JNK Pathway Activation Is Involved in BCR-ABL Inhibitor-resistance in Chronic Myeloid Leukemia
Masanobu Tsubaki
YAKUGAKU ZASSHI.2018; 138(12): 1461. CrossRef - EZH2 inhibitors sensitize myeloma cell lines to panobinostat resulting in unique combinatorial transcriptomic changes
Taylor Harding, Jessica Swanson, Brian Van Ness
Oncotarget.2018; 9(31): 21930. CrossRef - The untold stories of the speech gene, the FOXP2 cancer gene
Maria Jesus Herrero, Yorick Gitton
Genes & Cancer.2018; 9(1-2): 11. CrossRef - SKP2 loss destabilizes EZH2 by promoting TRAF6-mediated ubiquitination to suppress prostate cancer
W Lu, S Liu, B Li, Y Xie, M G Izban, B R Ballard, S A Sathyanarayana, S E Adunyah, R J Matusik, Z Chen
Oncogene.2017; 36(10): 1364. CrossRef - Circ100284, via miR-217 regulation of EZH2, is involved in the arsenite-accelerated cell cycle of human keratinocytes in carcinogenesis
Junchao Xue, Yang Liu, Fei Luo, Xiaolin Lu, Hui Xu, Xinlu Liu, Lu Lu, Qianlei Yang, Chao Chen, Weimin Fan, Qizhan Liu
Biochimica et Biophysica Acta (BBA) - Molecular Basis of Disease.2017; 1863(3): 753. CrossRef - Regulation of cancer epigenomes with a histone-binding synthetic transcription factor
David B. Nyer, Rene M. Daer, Daniel Vargas, Caroline Hom, Karmella A. Haynes
npj Genomic Medicine.2017;[Epub] CrossRef - Metastatic biomarkers in synovial sarcoma
Rosalia de Necochea-Campion, Lee M. Zuckerman, Hamid R. Mirshahidi, Shahrzad Khosrowpour, Chien-Shing Chen, Saied Mirshahidi
Biomarker Research.2017;[Epub] CrossRef - Interplay of DNA methyltransferase 1 and EZH2 through inactivation of Stat3 contributes to β-elemene-inhibited growth of nasopharyngeal carcinoma cells
JingJing Wu, Qing Tang, LiJuan Yang, YuQing Chen, Fang Zheng, Swei Sunny Hann
Scientific Reports.2017;[Epub] CrossRef - Regulation of the JMJD3 (KDM6B) histone demethylase in glioblastoma stem cells by STAT3
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PLOS ONE.2017; 12(4): e0174775. CrossRef - Modulation of HAT activity by the BRCA2 N372H variation is a novel mechanism of paclitaxel resistance in breast cancer cell lines
Woo Sun Kwon, Sun Young Rha, Hei-Cheul Jeung, Tae Soo Kim, Hyun Cheol Chung
Biochemical Pharmacology.2017; 138: 163. CrossRef - Expression and inhibition of BRD4, EZH2 and TOP2A in neurofibromas and malignant peripheral nerve sheath tumors
Azadeh Amirnasr, Rob M. Verdijk, Patricia F. van Kuijk, Walter Taal, Stefan Sleijfer, Erik A. C. Wiemer, Marta M. Alonso
PLOS ONE.2017; 12(8): e0183155. CrossRef - Morphoproteomics, E6/E7 in-situ hybridization, and biomedical analytics define the etiopathogenesis of HPV-associated oropharyngeal carcinoma and provide targeted therapeutic options
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Journal of Otolaryngology - Head & Neck Surgery.2017;[Epub] CrossRef - Epigenetic Silencing of miRNA-34a in Human Cholangiocarcinoma via EZH2 and DNA Methylation
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The American Journal of Pathology.2017; 187(10): 2288. CrossRef - The role of EZH2 in overall survival of colorectal cancer: a meta-analysis
Laura Vilorio-Marqués, Vicente Martín, Cristina Diez-Tascón, María Francisca González-Sevilla, Tania Fernández-Villa, Emiliano Honrado, Veronica Davila-Batista, Antonio J. Molina
Scientific Reports.2017;[Epub] CrossRef - Identification of coexistence of BRAF V600E mutation and EZH2 gain specifically in melanoma as a promising target for combination therapy
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Oncology Letters.2017; 14(2): 1550. CrossRef - Contributions of MET activation to BCR-ABL1 tyrosine kinase inhibitor resistance in chronic myeloid leukemia cells
Masanobu Tsubaki, Tomoya Takeda, Toshiki Kino, Kazuko Sakai, Tatsuki Itoh, Motohiro Imano, Takashi Nakayama, Kazuto Nishio, Takao Satou, Shozo Nishida
Oncotarget.2017; 8(24): 38717. CrossRef - Methylation-mediated silencing of microRNA-211 promotes cell growth and epithelial to mesenchymal transition through activation of the AKT/β-catenin pathway in GBM
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Oncotarget.2017; 8(15): 25167. CrossRef - EZH2 inhibition suppresses endometrial cancer progression via miR-361/Twist axis
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Molecular Cancer Research.2017; 15(8): 1029. CrossRef - TET-Mediated Sequestration of miR-26 Drives EZH2 Expression and Gastric Carcinogenesis
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Cancer Research.2017; 77(22): 6069. CrossRef - The role of the polycomb repressive complex pathway in T and NK cell lymphoma: biological and prognostic implications
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Tumor Biology.2016; 37(2): 2037. CrossRef - Interference with endogenous EZH2 reverses the chemotherapy drug resistance in cervical cancer cells partly by up-regulating Dicer expression
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Tumor Biology.2016; 37(5): 6359. CrossRef - The Ezh2 polycomb group protein drives an aggressive phenotype in melanoma cancer stem cells and is a target of diet derived sulforaphane
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Molecular Carcinogenesis.2016; 55(12): 2024. CrossRef - Problems of glioblastoma multiforme drug resistance
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Biochemistry (Moscow).2016; 81(2): 91. CrossRef - High EZH2 Protein Expression Is Associated with Poor Overall Survival in Patients with Luminal A Breast Cancer
Si-Hyong Jang, Jong Eun Lee, Mee-Hye Oh, Ji-Hye Lee, Hyun Deuk Cho, Kyung-Ju Kim, Sung Yong Kim, Sun Wook Han, Han Jo Kim, Sang Byung Bae, Hyun Ju Lee
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Frontiers in Immunology.2016;[Epub] CrossRef - Role of EZH2 histone methyltrasferase in melanoma progression and metastasis
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The American Journal of Pathology.2016; 186(7): 1724. CrossRef - Epigenetic mechanisms of cell adhesion-mediated drug resistance in multiple myeloma
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International Journal of Hematology.2016; 104(3): 281. CrossRef - Down-Regulation of TSLP After EZH2 Silencing in ESCC Cell Line
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Journal of Medicinal Chemistry.2016; 59(21): 9928. CrossRef - MiR-101 Targets the EZH2/Wnt/β-Catenin the Pathway to Promote the Osteogenic Differentiation of Human Bone Marrow-Derived Mesenchymal Stem Cells
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Scientific Reports.2016;[Epub] CrossRef - EZH2 mediates lidamycin-induced cellular senescence through regulating p21 expression in human colon cancer cells
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PLOS ONE.2016; 11(6): e0156128. CrossRef - Non-Canonical EZH2 Transcriptionally Activates RelB in Triple Negative Breast Cancer
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Reproductive Sciences.2016; 23(10): 1314. CrossRef - The relationship between EZH2 expression and microRNA-31 in colorectal cancer and the role in evolution of the serrated pathway
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Oncotarget.2016; 7(11): 12704. CrossRef - The histone methyltransferase EZH2 as a novel prosurvival factor in clinically aggressive chronic lymphocytic leukemia
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Oncotarget.2016; 7(24): 35946. CrossRef - Proximal and distal regulation of the HYAL1 gene cluster by the estrogen receptor α in breast cancer cells
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Oncotarget.2016; 7(47): 77276. CrossRef - Overexpression of EZH2 is associated with the poor prognosis in osteosarcoma and function analysis indicates a therapeutic potential
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Oncotarget.2016; 7(25): 38333. CrossRef - GSK3β inactivation promotes the oncogenic functions of EZH2 and enhances methylation of H3K27 in human breast cancers
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Immunological Reviews.2015; 263(1): 224. CrossRef - The roles of chromatin-remodelers and epigenetic modifiers in kidney cancer
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Cancer Genetics.2015; 208(5): 206. CrossRef - The role of aberrant proteolysis in lymphomagenesis
Anagh A. Sahasrabuddhe, Kojo S.J. Elenitoba-Johnson
Current Opinion in Hematology.2015; 22(4): 369. CrossRef - Small Molecule Inhibitors of EZH2: the Emerging Translational Landscape
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Epigenomics.2015; 7(3): 337. CrossRef - Enhancer of zeste homolog 2 silencing inhibits tumor growth and lung metastasis in osteosarcoma
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Scientific Reports.2015;[Epub] CrossRef - Characterization and pharmacologic targeting of EZH2, a fetal retinal protein and epigenetic regulator, in human retinoblastoma
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Laboratory Investigation.2015; 95(11): 1278. CrossRef - Methyltransferase expression and tumor suppressor gene methylation in sporadic and familial colorectal cancer
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Genes, Chromosomes and Cancer.2015; 54(12): 776. CrossRef - Phosphorylation-mediated EZH2 inactivation promotes drug resistance in multiple myeloma
Jiro Kikuchi, Daisuke Koyama, Taeko Wada, Tohru Izumi, Peter O. Hofgaard, Bjarne Bogen, Yusuke Furukawa
Journal of Clinical Investigation.2015; 125(12): 4375. CrossRef - Overexpression of enhancer of zeste homolog 2 (EZH2) characterizes an aggressive subset of prostate cancers and predicts patient prognosis independently from pre- and postoperatively assessed clinicopathological parameters
Nathaniel Melling, Erik Thomsen, Maria Christina Tsourlakis, Martina Kluth, Claudia Hube-Magg, Sarah Minner, Christina Koop, Markus Graefen, Hans Heinzer, Corinna Wittmer, Guido Sauter, Waldemar Wilczak, Hartwig Huland, Ronald Simon, Thorsten Schlomm, Ste
Carcinogenesis.2015; 36(11): 1333. CrossRef - EZH2 in Bladder Cancer, a Promising Therapeutic Target
Mónica Martínez-Fernández, Carolina Rubio, Cristina Segovia, Fernando López-Calderón, Marta Dueñas, Jesús Paramio
International Journal of Molecular Sciences.2015; 16(11): 27107. CrossRef - siRNA Silencing EZH2 Reverses Cisplatin-resistance of Human Non-small Cell Lung and Gastric Cancer Cells
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Asian Pacific Journal of Cancer Prevention.2015; 16(6): 2425. CrossRef - H3K27me3 is an Epigenetic Mark of Relevance in Endometriosis
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Reproductive Sciences.2015; 22(9): 1134. CrossRef - A Gene Regulatory Program in Human Breast Cancer
Renhua Li, John Campos, Joji Iida
Genetics.2015; 201(4): 1341. CrossRef - MiR-101 reverses the hypomethylation of the LMO3 promoter in glioma cells
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Oncotarget.2015; 6(10): 7930. CrossRef - Enhancer of zeste acts as a major developmental regulator ofCiona intestinalisembryogenesis
Emilie Le Goff, Camille Martinand-Mari, Marianne Martin, Jérôme Feuillard, Yvan Boublik, Nelly Godefroy, Paul Mangeat, Stephen Baghdiguian, Giacomo Cavalli
Biology Open.2015; 4(9): 1109. CrossRef