PMID- 34359722 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20210809 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 15 DP - 2021 Jul 29 TI - A Novel ZIP4-HDAC4-VEGFA Axis in High-Grade Serous Ovarian Cancer. LID - 10.3390/cancers13153821 [doi] LID - 3821 AB - We have recently identified ZIP4 as a novel cancer stem cell (CSC) marker in high-grade serous ovarian cancer (HGSOC). While it converts drug-resistance to cisplatin (CDDP), we unexpectedly found that ZIP4 induced sensitization of HGSOC cells to histone deacetylase inhibitors (HDACis). Mechanistically, ZIP4 selectively upregulated HDAC IIa HDACs, with little or no effect on HDACs in other classes. HDAC4 knockdown (KD) and LMK-235 inhibited spheroid formation in vitro and tumorigenesis in vivo, with hypoxia inducible factor-1 alpha (HIF1alpha) and endothelial growth factor A (VEGFA) as functional downstream mediators of HDAC4. Moreover, we found that ZIP4, HDAC4, and HIF1alpha were involved in regulating secreted VEGFA in HGSOC cells. Furthermore, we tested our hypothesis that co-targeting CSC via the ZIP4-HDAC4 axis and non-CSC using CDDP is necessary and highly effective by comparing the effects of ZIP4-knockout/KD, HDAC4-KD, and HDACis, in the presence or absence of CDDP on tumorigenesis in mouse models. Our results showed that the co-targeting strategy was highly effective. Finally, data from human HGSOC tissues showed that ZIP4 and HDAC4 were upregulated in a subset of recurrent tumors, justifying the clinical relevance of the study. In summary, our study provides a new mechanistic-based targeting strategy for HGSOC. FAU - Fan, Qipeng AU - Fan Q AD - Department of Obstetrics and Gynecology, Indiana University School of Medicine, 950 W. Walnut St. R2-E380, Indianapolis, IN 46202, USA. FAU - Li, Lihong AU - Li L AD - Department of Gynecology and Obstetrics, Johns Hopkins Medical Institutions, 600 North Wolfe St., Baltimore, MD 21287, USA. FAU - Wang, Tian-Li AU - Wang TL AD - Department of Gynecology, Oncology, and Pathology, Johns Hopkins Medical Institutions, 1550 Orleans Street, Baltimore, MD 21231, USA. FAU - Emerson, Robert E AU - Emerson RE AD - Department of Pathology and Laboratory Medicine, Indiana University School of Medicine, Indiana University Health Pathology Laboratory, 350 W. 11th Street, Room 4010, Indianapolis, IN 46202, USA. FAU - Xu, Yan AU - Xu Y AUID- ORCID: 0000-0001-8445-7996 AD - Department of Obstetrics and Gynecology, Indiana University School of Medicine, 950 W. Walnut St. R2-E380, Indianapolis, IN 46202, USA. LA - eng PT - Journal Article DEP - 20210729 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8345154 OTO - NOTNLM OT - ZIP4 OT - cancer stem cell (CSC) OT - endothelial growth factor A (VEGFA) OT - high-grade serous ovarian cancer (HGSOC) OT - histone deacetylase 4 (HDAC4) COIS- All authors declare no conflicts of interest. The authors are solely responsible for the study design, data collection, analysis and interpretation of data, writing the manuscript, and the decision to submit the manuscript for publication. EDAT- 2021/08/08 06:00 MHDA- 2021/08/08 06:01 PMCR- 2021/07/29 CRDT- 2021/08/07 01:03 PHST- 2021/07/14 00:00 [received] PHST- 2021/07/25 00:00 [accepted] PHST- 2021/08/07 01:03 [entrez] PHST- 2021/08/08 06:00 [pubmed] PHST- 2021/08/08 06:01 [medline] PHST- 2021/07/29 00:00 [pmc-release] AID - cancers13153821 [pii] AID - cancers-13-03821 [pii] AID - 10.3390/cancers13153821 [doi] PST - epublish SO - Cancers (Basel). 2021 Jul 29;13(15):3821. doi: 10.3390/cancers13153821.