PMID- 34771469 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20211118 IS - 2072-6694 (Print) IS - 2072-6694 (Electronic) IS - 2072-6694 (Linking) VI - 13 IP - 21 DP - 2021 Oct 22 TI - TPH1 and 5-HT(7) Receptor Overexpression Leading to Gemcitabine-Resistance Requires Non-Canonical Permissive Action of EZH2 in Pancreatic Ductal Adenocarcinoma. LID - 10.3390/cancers13215305 [doi] LID - 5305 AB - In the present study, we investigated the regulatory mechanisms underlying overexpression of EZH2, tryptophan hydroxylase 1 (TPH1), and 5-HT(7), in relation to gemcitabine resistance and CSC survival in PDAC cells. In aggressive PANC-1 and MIA PaCa-2 cells, knock-down (KD) of EZH2, TPH1, or HTR7 induced a decrease in CSCs and recovery from gemcitabine resistance, while preconditioning of less aggressive Capan-1 cells with 5-HT induced gemcitabine resistance with increased expression of EZH2, TPH1, and 5-HT(7). Such effects of the gene KD and 5-HT treatment were mediated through PI3K/Akt and JAK2/STAT3 signaling pathways. EZH2 KD or GSK-126 (an EZH2 inhibitor) inhibited activities of these signaling pathways which altered nuclear level of NF-kB, Sp1, and p-STAT3, accompanied by downregulation of TPH1 and 5-HT(7). Co-immunoprecipation with EZH2 and pan-methyl lysine antibodies revealed that auto-methylated EZH2 served as a scaffold for binding with methylated NF-kB and Sp1 as well as unmethylated p-STAT3. Furthermore, the inhibitor of EZH2, TPH1, or 5-HT(7) effectively regressed pancreatic tumor growth in a xenografted mouse tumor model. Overall, the results revealed that long-term exposure to 5-HT upregulated EZH2, and the noncanonical action of EZH2 allowed the expression of TPH1-5-HT(7) axis leading to gemcitabine resistance and CSC population in PDAC. FAU - Chaudhary, Prakash AU - Chaudhary P AD - College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea. FAU - Guragain, Diwakar AU - Guragain D AD - College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea. FAU - Chang, Jae-Hoon AU - Chang JH AUID- ORCID: 0000-0002-1001-6570 AD - College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea. FAU - Kim, Jung-Ae AU - Kim JA AUID- ORCID: 0000-0002-0824-8532 AD - College of Pharmacy, Yeungnam University, Gyeongsan 38541, Korea. LA - eng GR - NRF-2020R1A2C2005690 and NRF-2017R1E1A1A01073590/National Research Foundation of Korea/ PT - Journal Article DEP - 20211022 PL - Switzerland TA - Cancers (Basel) JT - Cancers JID - 101526829 PMC - PMC8582390 OTO - NOTNLM OT - 5-HT7 OT - Enhancer of zeste homolog 2 OT - cancer stem cells OT - gemcitabine-resistance OT - pancreatic ductal adenocarcinoma OT - tryptophan hydroxylase 1 COIS- The authors declare that they have no competing interests. EDAT- 2021/11/14 06:00 MHDA- 2021/11/14 06:01 PMCR- 2021/10/22 CRDT- 2021/11/13 01:14 PHST- 2021/09/14 00:00 [received] PHST- 2021/10/20 00:00 [revised] PHST- 2021/10/20 00:00 [accepted] PHST- 2021/11/13 01:14 [entrez] PHST- 2021/11/14 06:00 [pubmed] PHST- 2021/11/14 06:01 [medline] PHST- 2021/10/22 00:00 [pmc-release] AID - cancers13215305 [pii] AID - cancers-13-05305 [pii] AID - 10.3390/cancers13215305 [doi] PST - epublish SO - Cancers (Basel). 2021 Oct 22;13(21):5305. doi: 10.3390/cancers13215305.