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Histone H3K27 trimethylation modulates 5-fluorouracil resistance by inhibiting PU.1 binding to the DPYD promoter
Journal article   Open access   Peer reviewed

Histone H3K27 trimethylation modulates 5-fluorouracil resistance by inhibiting PU.1 binding to the DPYD promoter

Rentian Wu, Qian Nie, Erin E. Tapper, Calvin R. Jerde, Garrett S. Dunlap, Shikshya Shrestha, Tarig A. Elraiyah, Steven M. Offer and Robert B. Diasio
Cancer research (Chicago, Ill.), Vol.76(21), pp.6362-6373
11/01/2016
DOI: 10.1158/0008-5472.CAN-16-1306
PMCID: PMC5093042
PMID: 27578004
url
https://doi.org/10.1158/0008-5472.CAN-16-1306View
Published (Version of record) Open Access

Abstract

The antimetabolite 5-fluorouracil (5-FU) is one of the most widely used chemotherapy drugs. Dihydropyrimidine dehydrogenase (DPD) is a major determinant of 5-FU response and toxicity. While DPYD variants may affect 5-FU metabolism, they do not completely explain the reported variability in DPD function or the resultant differences in treatment response. Here, we report that H3K27 tri-methylation (H3K27me3) at the DPYD promoter regulated by Ezh2 and UTX suppresses DPYD expression by inhibiting transcription factor PU.1 binding, leading to increased resistance to 5-FU. Enrichment of H3K27me3 at the DPYD promoter was negatively correlated with both DPYD expression and DPD enzyme activity in peripheral blood specimens from healthy volunteers. Lastly, tumor expression data suggests that DPYD repression by Ezh2 predicts poor survival in 5-FU-treated cancers. Collectively, the findings of the present manuscript suggest that a previously uncharacterized mechanism regulates DPD expression and may contribute to tumor resistance to 5-FU.

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