PMID- 25893294 OWN - NLM STAT- MEDLINE DCOM- 20160726 LR - 20181202 IS - 1476-5594 (Electronic) IS - 0950-9232 (Print) IS - 0950-9232 (Linking) VI - 35 IP - 5 DP - 2016 Feb 4 TI - Development of secondary mutations in wild-type and mutant EZH2 alleles cooperates to confer resistance to EZH2 inhibitors. PG - 558-66 LID - 10.1038/onc.2015.114 [doi] AB - The histone methyltransferase Enhancer of Zeste Homolog 2 (EZH2) is frequently dysregulated in cancers, and gain-of-function (GOF) EZH2 mutations have been identified in non-Hodgkin lymphomas. Small-molecule inhibitors against EZH2 demonstrated anti-tumor activity in EZH2-mutated lymphomas and entered clinical trials. Here, we developed models of acquired resistance to EZH2 inhibitor EI1 with EZH2-mutated lymphoma cells. Resistance was generated by secondary mutations in both wild-type (WT) and GOF Y641N EZH2 alleles. These EZH2 mutants retained the substrate specificity of their predecessor complexes but became refractory to biochemical inhibition by EZH2 inhibitors. Resistant cells were able to maintain a high level of H3K27Me3 in the presence of inhibitors. Interestingly, mutation of EZH2 WT alone generated an intermediate resistance phenotype, which is consistent with a previously proposed model of cooperation between EZH2 WT and Y641N mutants to promote tumorigenesis. In addition, the findings presented here have implications for the clinical translation of EZH2 inhibitors and underscore the need to develop novel EZH2 inhibitors to target potential resistance emerging in clinical settings. FAU - Gibaja, V AU - Gibaja V AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Shen, F AU - Shen F AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Harari, J AU - Harari J AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Korn, J AU - Korn J AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Ruddy, D AU - Ruddy D AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Saenz-Vash, V AU - Saenz-Vash V AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Zhai, H AU - Zhai H AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Rejtar, T AU - Rejtar T AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Paris, C G AU - Paris CG AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Yu, Z AU - Yu Z AD - China Novartis Institutes for BioMedical Research, Shanghai, China. FAU - Lira, M AU - Lira M AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - King, D AU - King D AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Qi, W AU - Qi W AD - China Novartis Institutes for BioMedical Research, Shanghai, China. FAU - Keen, N AU - Keen N AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Hassan, A Q AU - Hassan AQ AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. FAU - Chan, H M AU - Chan HM AD - Novartis Institutes for BioMedical Research, Cambridge, MA, USA. LA - eng PT - Journal Article DEP - 20150420 PL - England TA - Oncogene JT - Oncogene JID - 8711562 RN - 0 (Antineoplastic Agents) RN - 0 (Histones) RN - EC 2.1.1.- (Histone Methyltransferases) RN - EC 2.1.1.43 (EZH2 protein, human) RN - EC 2.1.1.43 (Enhancer of Zeste Homolog 2 Protein) RN - EC 2.1.1.43 (Histone-Lysine N-Methyltransferase) RN - EC 2.1.1.43 (Polycomb Repressive Complex 2) SB - IM MH - *Alleles MH - Antineoplastic Agents/*pharmacology MH - Cell Line, Tumor MH - Cell Proliferation/genetics MH - Drug Resistance, Neoplasm MH - Enhancer of Zeste Homolog 2 Protein MH - Histone Methyltransferases MH - Histone-Lysine N-Methyltransferase/genetics/metabolism MH - Histones/genetics/metabolism MH - Humans MH - Lymphoma/*drug therapy/*genetics/pathology MH - *Mutation MH - Polycomb Repressive Complex 2/*antagonists & inhibitors/*genetics PMC - PMC4744243 EDAT- 2015/04/22 06:00 MHDA- 2016/07/28 06:00 PMCR- 2016/02/06 CRDT- 2015/04/21 06:00 PHST- 2014/09/25 00:00 [received] PHST- 2015/02/27 00:00 [revised] PHST- 2015/03/06 00:00 [accepted] PHST- 2015/04/21 06:00 [entrez] PHST- 2015/04/22 06:00 [pubmed] PHST- 2016/07/28 06:00 [medline] PHST- 2016/02/06 00:00 [pmc-release] AID - onc2015114 [pii] AID - 10.1038/onc.2015.114 [doi] PST - ppublish SO - Oncogene. 2016 Feb 4;35(5):558-66. doi: 10.1038/onc.2015.114. Epub 2015 Apr 20.