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Publication : KMT2C mediates the estrogen dependence of breast cancer through regulation of ERα enhancer function.

First Author  Gala K Year  2018
Journal  Oncogene Volume  37
Issue  34 Pages  4692-4710
PubMed ID  29755131 Mgi Jnum  J:316063
Mgi Id  MGI:6833854 Doi  10.1038/s41388-018-0273-5
Citation  Gala K, et al. (2018) KMT2C mediates the estrogen dependence of breast cancer through regulation of ERalpha enhancer function. Oncogene 37(34):4692-4710
abstractText  Estrogen receptor alpha (ERalpha) is a ligand-activated nuclear receptor that directs proliferation and differentiation in selected cancer cell types including mammary-derived carcinomas. These master-regulatory functions of ERalpha require trans-acting elements such as the pioneer factor FOXA1 to establish a genomic landscape conducive to ERalpha control. Here, we identify the H3K4 methyltransferase KMT2C as necessary for hormone-driven ERalpha activity and breast cancer proliferation. KMT2C knockdown suppresses estrogen-dependent gene expression and causes H3K4me1 and H3K27ac loss selectively at ERalpha enhancers. Correspondingly, KMT2C loss impairs estrogen-driven breast cancer proliferation but has no effect on ER- breast cells. Whereas KMT2C loss disrupts estrogen-driven proliferation, it conversely promotes tumor outgrowth under hormone-depleted conditions. In accordance, KMT2C is one of the most frequently mutated genes in ER-positive breast cancer with KMT2C deletion correlating with significantly shorter progression-free survival on anti-estrogen therapy. From a therapeutic standpoint, KMT2C-depleted cells that develop hormone-independence retain their dependence on ERalpha, displaying ongoing sensitivity to ERalpha antagonists. We conclude that KMT2C is a key regulator of ERalpha activity whose loss uncouples breast cancer proliferation from hormone abundance.
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