Loss of KMT2C or KMT2D primes urothelium for tumorigenesis and redistributes KMT2A-menin to bivalent promoters Journal Article


Authors: Wang, N.; Pachai, M. R.; Li, D.; Lee, C. J.; Warda, S.; Khudoynazarova, M. N.; Cho, W. H.; Xie, G.; Shah, S. R.; Yao, L.; Qian, C.; Wong, E. W. P.; Yan, J.; Tomas, F. V.; Hu, W.; Kuo, F.; Gao, S. P.; Luo, J.; Smith, A. E.; Han, M.; Gao, D.; Ge, K.; Yu, H.; Chandarlapaty, S.; Iyer, G. V.; Rosenberg, J. E.; Solit, D. B.; Al-Ahmadie, H. A.; Chi, P.; Chen, Y.
Article Title: Loss of KMT2C or KMT2D primes urothelium for tumorigenesis and redistributes KMT2A-menin to bivalent promoters
Abstract: Members of the KMT2C/D-KDM6A complex are recurrently mutated in urothelial carcinoma and in histologically normal urothelium. Here, using genetically engineered mouse models, we demonstrate that Kmt2c/d knockout in the urothelium led to impaired differentiation, augmented responses to growth and inflammatory stimuli and sensitization to oncogenic transformation by carcinogen and oncogenes. Mechanistically, KMT2D localized to active enhancers and CpG-poor promoters that preferentially regulate the urothelial lineage program and Kmt2c/d knockout led to diminished H3K4me1, H3K27ac and nascent RNA transcription at these sites, which leads to impaired differentiation. Kmt2c/d knockout further led to KMT2A-menin redistribution from KMT2D localized enhancers to CpG-high and bivalent promoters, resulting in derepression of signal-induced immediate early genes. Therapeutically, Kmt2c/d knockout upregulated epidermal growth factor receptor signaling and conferred vulnerability to epidermal growth factor receptor inhibitors. Together, our data posit that functional loss of Kmt2c/d licenses a molecular 'field effect' priming histologically normal urothelium for oncogenic transformation and presents therapeutic vulnerabilities. © 2025. The Author(s).
Keywords: dna binding protein; promoter region; genetics; dna-binding proteins; mouse; animal; metabolism; animals; mice; mice, knockout; epidermal growth factor receptor; neoplasm proteins; cell differentiation; pathology; bladder tumor; urinary bladder neoplasms; carcinogenesis; cell transformation, neoplastic; gene expression regulation; urothelium; gene expression regulation, neoplastic; histone-lysine n-methyltransferase; promoter regions, genetic; tumor protein; knockout mouse; histone lysine methyltransferase; mixed lineage leukemia protein; myeloid-lymphoid leukemia protein; erbb receptors; humans; human; neoplastic cell transformation; kmt2d protein, human; kmt2a protein, mouse; kmt2c protein, human; kmt2d protein, mouse
Journal Title: Nature Genetics
Volume: 57
ISSN: 1061-4036
Publisher: Nature Publishing Group  
Date Published: 2025-01-13
Start Page: 165
End Page: 179
Language: English
DOI: 10.1038/s41588-024-02015-y
PUBMED: 39806204
PROVIDER: scopus
PMCID: PMC11735410
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PubMed and PDF -- MSK corresponding authors are Ping Chi and Yu Chen -- Source: Scopus
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MSK Authors
  1. David Solit
    778 Solit
  2. Yu Chen
    133 Chen
  3. Ping Chi
    172 Chi
  4. Gopakumar Vasudeva Iyer
    342 Iyer
  5. Wenhuo Hu
    60 Hu
  6. Sizhi Gao
    47 Gao
  7. Jonathan Eric Rosenberg
    510 Rosenberg
  8. Wai Pung Elissa Wong
    21 Wong
  9. Dan Li
    16 Li
  10. Fengshen Kuo
    80 Kuo
  11. Alison Elizabeth Smith
    6 Smith
  12. Cindy J Lee
    18 Lee
  13. Naitao Wang
    8 Wang
  14. Mohini R. Pachai
    8 Pachai
  15. Cheng Qian
    3 Qian
  16. Sarah Warda
    8 Warda
  17. Juan Yan
    7 Yan
  18. Fanny Valerie Tomas
    2 Tomas
  19. Woo Hyun Cho
    2 Cho
  20. Jiaqian Luo
    3 Luo