G-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cells

Abstract Background Epigenetic evolution is a common mechanism used by cancer cells to evade the therapeutic effects of drug treatment. In ovarian cancers, epigenetically driven resistance is thought to be responsible for many late-stage patient deaths. DNA secondary structures called G-quadruplexes...

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Main Authors: Jenna Robinson, Gem Flint, Ian Garner, Silvia Galli, Thomas E. Maher, Marina K. Kuimova, Ramon Vilar, Iain A. McNeish, Robert Brown, Hector Keun, Marco Di Antonio
Format: Article
Language:English
Published: BMC 2025-07-01
Series:Genome Biology
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Online Access:https://doi.org/10.1186/s13059-025-03654-y
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author Jenna Robinson
Gem Flint
Ian Garner
Silvia Galli
Thomas E. Maher
Marina K. Kuimova
Ramon Vilar
Iain A. McNeish
Robert Brown
Hector Keun
Marco Di Antonio
author_facet Jenna Robinson
Gem Flint
Ian Garner
Silvia Galli
Thomas E. Maher
Marina K. Kuimova
Ramon Vilar
Iain A. McNeish
Robert Brown
Hector Keun
Marco Di Antonio
author_sort Jenna Robinson
collection DOAJ
description Abstract Background Epigenetic evolution is a common mechanism used by cancer cells to evade the therapeutic effects of drug treatment. In ovarian cancers, epigenetically driven resistance is thought to be responsible for many late-stage patient deaths. DNA secondary structures called G-quadruplexes (G4s) are emerging as potential epigenetic marks of relevance to cancer evolution, but their prevalence and distribution in ovarian cancer models have never been investigated before. Results Here, we describe the first investigation of the role of G4s in the epigenetic regulation of drug-resistant ovarian cancer cells. Through genome-wide mapping of G4s in paired drug-sensitive and drug-resistant cell lines, we find that increased G4 accumulation is associated with enhanced transcription of signalling pathways previously established to promote drug-resistant states, including genes involved in the epithelial to mesenchymal transition and WNT signalling. In contrast to previous studies, the expression-enhancing effects of G4s are not found at gene promoters, but intergenic and intronic regions, indicating that G4s can promote long-range transcriptional regulation in drug-resistant cells. Furthermore, we discover that clusters of G4s (super-G4s) are associated with particularly high levels of transcriptional enhancement that surpass the effects of super-enhancers, which act as well-established regulatory sites in many cancers. Finally, we demonstrate that targeting G4s with small molecules results in significant downregulation of pathways associated with drug resistance, resulting in resensitization of resistant cells to chemotherapy agents. Conclusions These findings indicate that G4 structures are critical for the epigenetic regulatory networks of drug-resistant cells and represent a promising target to treat drug-tolerant ovarian cancer.
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spelling doaj-art-dd32b635fa954851a25c4b734c9f535f2025-08-20T03:46:07ZengBMCGenome Biology1474-760X2025-07-0126113010.1186/s13059-025-03654-yG-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cellsJenna Robinson0Gem Flint1Ian Garner2Silvia Galli3Thomas E. Maher4Marina K. Kuimova5Ramon Vilar6Iain A. McNeish7Robert Brown8Hector Keun9Marco Di Antonio10Department of Chemistry, Molecular Sciences Research Hub, Imperial College LondonDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College LondonDivision of Cancer, Department of Surgery and Cancer, Imperial College LondonDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College LondonDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College LondonDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College LondonDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College LondonDivision of Cancer, Department of Surgery and Cancer, Imperial College LondonDivision of Cancer, Department of Surgery and Cancer, Imperial College LondonDivision of Cancer, Department of Surgery and Cancer, Imperial College LondonDepartment of Chemistry, Molecular Sciences Research Hub, Imperial College LondonAbstract Background Epigenetic evolution is a common mechanism used by cancer cells to evade the therapeutic effects of drug treatment. In ovarian cancers, epigenetically driven resistance is thought to be responsible for many late-stage patient deaths. DNA secondary structures called G-quadruplexes (G4s) are emerging as potential epigenetic marks of relevance to cancer evolution, but their prevalence and distribution in ovarian cancer models have never been investigated before. Results Here, we describe the first investigation of the role of G4s in the epigenetic regulation of drug-resistant ovarian cancer cells. Through genome-wide mapping of G4s in paired drug-sensitive and drug-resistant cell lines, we find that increased G4 accumulation is associated with enhanced transcription of signalling pathways previously established to promote drug-resistant states, including genes involved in the epithelial to mesenchymal transition and WNT signalling. In contrast to previous studies, the expression-enhancing effects of G4s are not found at gene promoters, but intergenic and intronic regions, indicating that G4s can promote long-range transcriptional regulation in drug-resistant cells. Furthermore, we discover that clusters of G4s (super-G4s) are associated with particularly high levels of transcriptional enhancement that surpass the effects of super-enhancers, which act as well-established regulatory sites in many cancers. Finally, we demonstrate that targeting G4s with small molecules results in significant downregulation of pathways associated with drug resistance, resulting in resensitization of resistant cells to chemotherapy agents. Conclusions These findings indicate that G4 structures are critical for the epigenetic regulatory networks of drug-resistant cells and represent a promising target to treat drug-tolerant ovarian cancer.https://doi.org/10.1186/s13059-025-03654-yG-quadruplexesResistanceOvarian cancerTranscription
spellingShingle Jenna Robinson
Gem Flint
Ian Garner
Silvia Galli
Thomas E. Maher
Marina K. Kuimova
Ramon Vilar
Iain A. McNeish
Robert Brown
Hector Keun
Marco Di Antonio
G-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cells
Genome Biology
G-quadruplexes
Resistance
Ovarian cancer
Transcription
title G-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cells
title_full G-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cells
title_fullStr G-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cells
title_full_unstemmed G-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cells
title_short G-quadruplex structures regulate long-range transcriptional reprogramming to promote drug resistance in ovarian cancer cells
title_sort g quadruplex structures regulate long range transcriptional reprogramming to promote drug resistance in ovarian cancer cells
topic G-quadruplexes
Resistance
Ovarian cancer
Transcription
url https://doi.org/10.1186/s13059-025-03654-y
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