Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic Leukemia

ABSTRACT Background CREB binding protein (CREBBP) is a key epigenetic regulator, altered in a fifth of relapsed cases of acute lymphoblastic leukemia (ALL). Selectively targeting epigenetic signaling may be an effective novel therapeutic approach to overcome drug resistance. Anti‐tumor effects have...

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Main Authors: Juan Lazaro‐Navarro, Clara Alcon, Mathurin Dorel, Lina Alasfar, Lorenz Bastian, Claudia Baldus, Kathy Astrahantseff, Marie‐Laure Yaspo, Joan Montero, Cornelia Eckert
Format: Article
Language:English
Published: Wiley 2025-01-01
Series:Cancer Medicine
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Online Access:https://doi.org/10.1002/cam4.70596
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author Juan Lazaro‐Navarro
Clara Alcon
Mathurin Dorel
Lina Alasfar
Lorenz Bastian
Claudia Baldus
Kathy Astrahantseff
Marie‐Laure Yaspo
Joan Montero
Cornelia Eckert
author_facet Juan Lazaro‐Navarro
Clara Alcon
Mathurin Dorel
Lina Alasfar
Lorenz Bastian
Claudia Baldus
Kathy Astrahantseff
Marie‐Laure Yaspo
Joan Montero
Cornelia Eckert
author_sort Juan Lazaro‐Navarro
collection DOAJ
description ABSTRACT Background CREB binding protein (CREBBP) is a key epigenetic regulator, altered in a fifth of relapsed cases of acute lymphoblastic leukemia (ALL). Selectively targeting epigenetic signaling may be an effective novel therapeutic approach to overcome drug resistance. Anti‐tumor effects have previously been demonstrated for GSK‐J4, a selective H3K27 histone demethylase inhibitor, in several animal models of cancers. Methods To characterize the effect of GSK‐J4, drug response profiling, CRISPR‐Dropout Screening, BH3 profiling and immunoblotting were carried out in ALL cell lines or patient derived samples. Results Here we provide evidence that GSK‐J4 downregulates cyclic AMP‐responsive element‐binding protein (CREB) and CREBBP in B‐cell precursor‐ALL cell lines and patient samples. High CREBBP expression in BCP‐ALL cell lines correlated with high GSK‐J4 sensitivity and low dexamethasone sensitivity. GSK‐J4 treatment also induced Bcl‐2 and Bcl‐XL dependency and apoptosis. Conclusions This study proposes H3K27 demethylase inhibition as a potential treatment strategy for patients with treatment‐resistant ALL, using CREBBP as a biomarker for drug response and combining GSK‐J4 with venetoclax and navitoclax as synergistic partners.
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spelling doaj-art-4f41db4e65a74ff4b1eac8b7e7ebef072025-01-13T13:22:39ZengWileyCancer Medicine2045-76342025-01-011411710.1002/cam4.70596Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic LeukemiaJuan Lazaro‐Navarro0Clara Alcon1Mathurin Dorel2Lina Alasfar3Lorenz Bastian4Claudia Baldus5Kathy Astrahantseff6Marie‐Laure Yaspo7Joan Montero8Cornelia Eckert9Department of Pediatric Oncology/Hematology Charité‐Universitätsmedizin Berlin Berlin GermanyDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences University of Barcelona Barcelona SpainMax Planck Institute for Molecular Genetics Berlin GermanyDepartment of Pediatric Oncology/Hematology Charité‐Universitätsmedizin Berlin Berlin GermanyMedical Department II, Hematology/Oncology University Medical Center Schleswig‐Holstein Campus Kiel GermanyMedical Department II, Hematology/Oncology University Medical Center Schleswig‐Holstein Campus Kiel GermanyDepartment of Pediatric Oncology/Hematology Charité‐Universitätsmedizin Berlin Berlin GermanyMax Planck Institute for Molecular Genetics Berlin GermanyDepartment of Biomedical Sciences, Faculty of Medicine and Health Sciences University of Barcelona Barcelona SpainDepartment of Pediatric Oncology/Hematology Charité‐Universitätsmedizin Berlin Berlin GermanyABSTRACT Background CREB binding protein (CREBBP) is a key epigenetic regulator, altered in a fifth of relapsed cases of acute lymphoblastic leukemia (ALL). Selectively targeting epigenetic signaling may be an effective novel therapeutic approach to overcome drug resistance. Anti‐tumor effects have previously been demonstrated for GSK‐J4, a selective H3K27 histone demethylase inhibitor, in several animal models of cancers. Methods To characterize the effect of GSK‐J4, drug response profiling, CRISPR‐Dropout Screening, BH3 profiling and immunoblotting were carried out in ALL cell lines or patient derived samples. Results Here we provide evidence that GSK‐J4 downregulates cyclic AMP‐responsive element‐binding protein (CREB) and CREBBP in B‐cell precursor‐ALL cell lines and patient samples. High CREBBP expression in BCP‐ALL cell lines correlated with high GSK‐J4 sensitivity and low dexamethasone sensitivity. GSK‐J4 treatment also induced Bcl‐2 and Bcl‐XL dependency and apoptosis. Conclusions This study proposes H3K27 demethylase inhibition as a potential treatment strategy for patients with treatment‐resistant ALL, using CREBBP as a biomarker for drug response and combining GSK‐J4 with venetoclax and navitoclax as synergistic partners.https://doi.org/10.1002/cam4.70596apoptosisdrug discovery and deliveryepigeneticsleukemia
spellingShingle Juan Lazaro‐Navarro
Clara Alcon
Mathurin Dorel
Lina Alasfar
Lorenz Bastian
Claudia Baldus
Kathy Astrahantseff
Marie‐Laure Yaspo
Joan Montero
Cornelia Eckert
Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic Leukemia
Cancer Medicine
apoptosis
drug discovery and delivery
epigenetics
leukemia
title Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic Leukemia
title_full Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic Leukemia
title_fullStr Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic Leukemia
title_full_unstemmed Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic Leukemia
title_short Inhibiting H3K27 Demethylases Downregulates CREB‐CREBBP, Overcoming Resistance in Relapsed Acute Lymphoblastic Leukemia
title_sort inhibiting h3k27 demethylases downregulates creb crebbp overcoming resistance in relapsed acute lymphoblastic leukemia
topic apoptosis
drug discovery and delivery
epigenetics
leukemia
url https://doi.org/10.1002/cam4.70596
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