PMID- 27263778 OWN - NLM STAT- MEDLINE DCOM- 20161223 LR - 20171018 IS - 0485-1439 (Print) IS - 0485-1439 (Linking) VI - 57 IP - 5 DP - 2016 May TI - [Epigenetic regulation of cell adhesion-mediated drug resistance acquisition in multiple myeloma]. PG - 546-55 LID - 10.11406/rinketsu.57.546 [doi] AB - Elucidation of the epigenetic mechanisms underlying drug resistance may greatly contribute to the advancement of cancer therapies. In the present study, we identified trimethylation of histone H3 at lysine-27 (H3K27me3) as a critical histone modification for cell adhesion-mediated drug resistance (CAM-DR), which is the most important form of drug resistance in multiple myeloma. Cell adhesion counteracted drug-induced hypermethylation of H3K27 via inactivating phosphorylation of EZH2, leading to sustained expression of anti-apoptotic genes including IGF1, BCL2 and HIF1A. Inhibition of the IGF-1R/PI3K/Akt pathway reversed CAM-DR by promoting EZH2 dephosphorylation and H3K27 hypermethylation both in vitro and in refractory murine myeloma models. To our knowledge, this is the first demonstration of an epigenetic mechanism underlying CAM-DR and provides a rationale for the inclusion of kinase inhibitors counteracting EZH2 phosphorylation in combination chemotherapy aimed at increasing the therapeutic index. FAU - Furukawa, Yusuke AU - Furukawa Y AD - Division of Stem Cell Regulation, Center for Molecular Medicine, Jichi Medical University. FAU - Kikuchi, Jiro AU - Kikuchi J LA - jpn PT - Journal Article PL - Japan TA - Rinsho Ketsueki JT - [Rinsho ketsueki] The Japanese journal of clinical hematology JID - 2984782R SB - IM MH - Animals MH - *Cell Adhesion MH - *Epigenesis, Genetic MH - *Gene Expression Regulation, Neoplastic MH - Humans MH - Multiple Myeloma/drug therapy/*genetics/metabolism MH - Phosphorylation MH - Signal Transduction EDAT- 2016/06/07 06:00 MHDA- 2016/12/24 06:00 CRDT- 2016/06/07 06:00 PHST- 2016/06/07 06:00 [entrez] PHST- 2016/06/07 06:00 [pubmed] PHST- 2016/12/24 06:00 [medline] AID - 10.11406/rinketsu.57.546 [doi] PST - ppublish SO - Rinsho Ketsueki. 2016 May;57(5):546-55. doi: 10.11406/rinketsu.57.546.