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Epigenetic activation of the drug transporter OCT2 sensitizes renal cell carcinoma to oxaliplatin.

Abstract
Renal cell carcinoma (RCC) is known for its multidrug resistance. Using data obtained from the cancer transcriptome database Oncomine and the proteome database The Human Protein Atlas, we identified the repression of organic cation transporter OCT2 as a potential factor contributing to oxaliplatin resistance in RCC. By analyzing OCT2 expression in collected patient tissues and commercial tissue microarray specimens, we demonstrated OCT2 repression in RCC at both transcription and protein levels. Epigenetic analysis revealed that the repressed OCT2 promoter in RCC is characterized by hypermethylated CpG islands and the absence of H3K4 methylation. Further mechanistic studies showed that DNA hypermethylation blocked MYC activation of OCT2 by disrupting its interaction with the E-Box motif, which prevented MYC from recruiting MLL1 to catalyze H3K4me3 at the OCT2 promoter and resulted in repressed OCT2 transcription. Targeting this mechanism, we designed a sequential combination therapy and demonstrated that epigenetic activation of OCT2 by decitabine sensitizes RCC cells to oxaliplatin both in vitro and in xenografts. Our study highlights the potential of translating "omics" data into the development of targeted therapies.
AuthorsYanqing Liu, Xiaoli Zheng, Qinqin Yu, Hua Wang, Fuqing Tan, Qianying Zhu, Lingmin Yuan, Huidi Jiang, Lushan Yu, Su Zeng
JournalScience translational medicine (Sci Transl Med) Vol. 8 Issue 348 Pg. 348ra97 (07 20 2016) ISSN: 1946-6242 [Electronic] United States
PMID27440728 (Publication Type: Journal Article)
CopyrightCopyright © 2016, American Association for the Advancement of Science.
Chemical References
  • Organic Cation Transporter 2
  • Organoplatinum Compounds
  • Oxaliplatin
Topics
  • Carcinoma, Renal Cell (genetics)
  • CpG Islands (drug effects, genetics)
  • DNA Methylation (drug effects, genetics)
  • Epigenomics (methods)
  • Humans
  • Immunohistochemistry
  • In Vitro Techniques
  • Organic Cation Transporter 2 (genetics, metabolism)
  • Organoplatinum Compounds (pharmacology)
  • Oxaliplatin
  • Promoter Regions, Genetic (drug effects, genetics)
  • Tissue Array Analysis

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