Loss of KDM6A activates super-enhancers to induce gender-specific squamous-like pancreatic cancer and confers sensitivity to BET inhibitors
Open accessAbstract
KDM6A, an X chromosome-encoded histone demethylase and member of the COMPASS-like complex, is frequently mutated in a broad spectrum of malignancies and contributes to oncogenesis with poorly characterized mechanisms. We found that KDM6A loss induced squamous-like, metastatic pancreatic cancer selectively in females through deregulation of the COMPASS-like complex and aberrant activation of super-enhancers regulating ΔNp63, MYC, and RUNX3 oncogenes. This subtype of tumor developed in males had concomitant loss of UTY and KDM6A, suggesting overlapping roles, and points to largely demethylase independent tumor suppressor functions. We also demonstrate that KDM6A-deficient pancreatic cancer is selectively sensitive to BET inhibitors, which reversed squamous differentiation and restrained tumor growth in vivo, highlighting a therapeutic niche for patient tailored therapies.
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Deletion of KDM6A in GEMMs results in accelerated tumorigenesis and acquisition of an aggressive transcriptional subtype.
“deletion of KDM6A results in accelerated tumorigenesis and acquisition of an aggressive transcriptional subtype95–97.”
From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [97]
TP63 can promote more aggressive PDAC subtypes and can be induced by KDM6A loss.
“several candidate regulators such as TP63136, which can be induced by KDM6A loss97, can promote more aggressive subtypes”
From Pancreatic cancer: Advances and challenges (2023) · cites this paper as [97]
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References 79 · Cited by 320
- Authors
- Andricovich, J., Perkail, S., Kai, Y., Casasanta, N., Peng, W., & Tzatsos, A.
- Affiliations
- George Washington University (US)
- Corresponding author
- Tzatsos, Alexandros
- Venue
- Cancer Cell
- Publisher
- Elsevier BV
- Published
- 2018-03
- Volume
- 33
- Issue
- 3
- Pages
- 512-526.e8
- ISSN
- 1535-6108 (ISSN-L)
- PMC
- PMC5854186
- OpenAlex
- W2791796258
- Cited by
- 320
- References
- 79
- Citations by year
- 2026: 28 · 2025: 42 · 2024: 32 · 2023: 43 · 2022: 40 · 2021: 53 · 2020: 39 · 2019: 26 · 2018: 16
- FWCI
- 11.91
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Cancer Cell (publishedVersion)
- PubMed (publishedVersion)
- Europe PMC (PubMed Central) (acceptedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Institute for Biomedical Sciences
- Columbian College of Arts and Sciences
- GWU Cross-Disciplinary Research Fund
- NIAID (R21AI113806, R01AI121080)
- Hirshberg Foundation for Pancreatic Cancer Research
- GWU Cancer Center
- National Cancer Institute (R00CA158582, R21CA182662, R03CA212068)
- Topics
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Chromatin Remodeling and Cancer
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Molecular Biology › Epigenetics and DNA Methylation
- Health Sciences › Medicine › Oncology › Pancreatic and Hepatic Oncology Research
- Keywords
- KDM6A, pancreatic cancer, super-enhancers, histone demethylase, ΔNp63, c-Myc, RUNX3, UTY, BET inhibitors, tumor suppressor function, squamous differentiation, metastatic pancreatic cancer
- MeSH terms
- Animals, Carcinoma, Squamous Cell, Humans, Mutation, Nuclear Proteins, Pancreatic Neoplasms, Gene Expression Regulation, Neoplastic, Xenograft Model Antitumor Assays, Cell Line, Tumor, Cell Proliferation, Mice, Histone Demethylases
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