PMID- 28504695 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20240306 IS - 2157-9024 (Print) IS - 2157-9024 (Electronic) IS - 2157-9024 (Linking) VI - 6 IP - 5 DP - 2017 May 15 TI - Epigenetic pathway inhibitors represent potential drugs for treating pancreatic and bronchial neuroendocrine tumors. PG - e332 LID - 10.1038/oncsis.2017.30 [doi] AB - Cancer is associated with alterations in epigenetic mechanisms such as histone modifications and methylation of DNA, and inhibitors targeting epigenetic mechanisms represent a novel class of anti-cancer drugs. Neuroendocrine tumors (NETs) of the pancreas (PNETs) and bronchus (BNETs), which may have 5-year survivals of <50% and as low as 5%, respectively, represent targets for such drugs, as >40% of PNETs and ~35% of BNETs have mutations of the multiple endocrine neoplasia type 1 (MEN1) gene, which encodes menin that modifies histones by interacting with histone methyltransferases. We assessed 9 inhibitors of epigenetic pathways, for their effects on proliferation, by CellTiter Blue assay, and apoptosis, by CaspaseGlo assay, using 1 PNET and 2 BNET cell lines. Two inhibitors, referred to as (+)-JQ1 (JQ1) and PFI-1, targeting the bromo and extra terminal (BET) protein family which bind acetylated histone residues, were most effective in decreasing proliferation (by 40-85%, P<0.001) and increasing apoptosis (by 2-3.6 fold, P<0.001) in all 3 NET cell lines. The anti-proliferative effects of JQ1 and PFI-1 remained present for at least 48 hours after removal of the compound. JQ1, but not PFI-1, had cell cycle effects, assessed by propidium iodide staining and flow cytometry, resulting in increased and decreased proportions of NET cells in G1, and S and G2 phases, respectively. RNA Sequencing analysis revealed that these JQ1 effects were associated with increased histone 2B expression, and likely mediated through altered activity of bromodomain-containing (Brd) proteins. Assessment of JQ1 in vivo, using a pancreatic beta cell-specific conditional Men1 knockout mouse model that develops PNETs, revealed that JQ1 significantly reduced proliferation (by ~50%, P<0.0005), assessed by bromodeoxyuridine incorporation, and increased apoptosis (by ~3 fold, P<0.0005), assessed by terminal deoxynucleotidyl transferase dUTP nick end labelling, of PNETs. Thus, our studies demonstrate that BET protein inhibitors may provide new treatments for NETs. FAU - Lines, K E AU - Lines KE AD - Academic Endocrine Unit, OCDEM, University of Oxford, Churchill Hospital, Headington, Oxford, UK. FAU - Stevenson, M AU - Stevenson M AD - Academic Endocrine Unit, OCDEM, University of Oxford, Churchill Hospital, Headington, Oxford, UK. FAU - Filippakopoulos, P AU - Filippakopoulos P AD - Structural Genomics Consortium, University of Oxford, Old Road Campus, Headington, Oxford, UK. FAU - Muller, S AU - Muller S AD - Structural Genomics Consortium, University of Oxford, Old Road Campus, Headington, Oxford, UK. FAU - Lockstone, H E AU - Lockstone HE AD - Oxford Genomics Centre, Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, UK. FAU - Wright, B AU - Wright B AD - Oxford Genomics Centre, Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, UK. FAU - Grozinsky-Glasberg, S AU - Grozinsky-Glasberg S AD - Neuroendocrine Tumor Unit, Endocrinology &Metabolism Service, Department of Medicine, Hadassah-Hebrew University Medical Center, Jerusalem, Israel. FAU - Grossman, A B AU - Grossman AB AD - Academic Endocrine Unit, OCDEM, University of Oxford, Churchill Hospital, Headington, Oxford, UK. FAU - Knapp, S AU - Knapp S AD - Structural Genomics Consortium, University of Oxford, Old Road Campus, Headington, Oxford, UK. AD - Institute for Pharmaceutical Chemistry, Johann Wolfgang Goethe-University and Buchmann Institute for Molecular Life Sciences, Max-von-Laue-Strasse 9, Frankfurt am Main, Jerusalem, Germany. FAU - Buck, D AU - Buck D AD - Oxford Genomics Centre, Wellcome Trust Centre for Human Genetics, University of Oxford, Roosevelt Drive, Oxford, UK. FAU - Bountra, C AU - Bountra C AD - Structural Genomics Consortium, University of Oxford, Old Road Campus, Headington, Oxford, UK. FAU - Thakker, R V AU - Thakker RV AD - Academic Endocrine Unit, OCDEM, University of Oxford, Churchill Hospital, Headington, Oxford, UK. LA - eng GR - G1000467/MRC_/Medical Research Council/United Kingdom GR - G9825289/MRC_/Medical Research Council/United Kingdom GR - MR/N010051/1/MRC_/Medical Research Council/United Kingdom PT - Journal Article DEP - 20170515 PL - United States TA - Oncogenesis JT - Oncogenesis JID - 101580004 PMC - PMC5523063 COIS- The authors declare no conflict of interest. EDAT- 2017/05/16 06:00 MHDA- 2017/05/16 06:01 PMCR- 2017/05/01 CRDT- 2017/05/16 06:00 PHST- 2016/10/20 00:00 [received] PHST- 2017/03/24 00:00 [revised] PHST- 2017/03/28 00:00 [accepted] PHST- 2017/05/16 06:00 [entrez] PHST- 2017/05/16 06:00 [pubmed] PHST- 2017/05/16 06:01 [medline] PHST- 2017/05/01 00:00 [pmc-release] AID - oncsis201730 [pii] AID - 10.1038/oncsis.2017.30 [doi] PST - epublish SO - Oncogenesis. 2017 May 15;6(5):e332. doi: 10.1038/oncsis.2017.30.