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INNOSC Theranostics and
            Pharmacological Sciences                                             Enhancers and SEs in cancer treatment



            RNAs (eRNAs), and histone-modifying enzymes including   become active solely through H3K4me1 modification.
                                                                                                           9,10
            methyltransferases, histone acetyltransferase EP300, and   Genes linked to the H3K27ac enhancer mark exhibit
            CBP. This cooperative binding initiates and promotes   higher expression levels compared to those associated with
            transcription (Figure 1A).  Although most enhancers are   the H3K4me1 enhancer mark.  Further studies described
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                                 2-4
            located in intergenic and intronic regions of the genome,   CBP/EP300-mediated  H3K27  acetylation  as  a  marker
            some are located within exons.  Super-enhancers (SEs) are   of active enhancers, since repressing this modification
                                    5
            extensive genomic regions formed by clusters of enhancers.   reduces enhancer activity, indicating that H3K27ac is
            SEs exhibit a higher (several-fold) binding enrichment for   causative, not just correlative, to enhancer activity.  An
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            transcriptional  factors  than  typical  enhancers,  spanning   illustration of this concept is the discovery that EP300
            more than 20 kb on average.  SEs have a greater impact   regulates enhancers in neuroblastoma (NB) by adding the
                                    6
            on the transcription of specific genes in comparison to   H3K27ac  mark to colorectal cancer-associated SEs.  This
            regular enhancers and have the ability to simultaneously   process involves interaction with the recently identified TF
            activate  a significant number of promoters. These SEs   TFAP2β in NB cells.  Moreover, EP300 has been shown
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            are typically found in close proximity to genes crucial   to disrupt the activity of epigenetic modifiers known to
            for  cell  differentiation.   Scientific  findings  suggest  that   regulate enhancers, such as histone deacetylases and non-
                              7,8
            active enhancers are often marked by the co-occurrence of   coding RNA (ncRNAs), hence promoting pulmonary
            H3K4me1 and H3K27ac. However, certain enhancers can   fibrosis.  Intriguingly, genome-wide RNA sequencing has
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            A











            B






























            Figure 1. Enhancer hijacking and MYC-activating rearrangement. Heterologous genomic rearrangements linking the BCL6 and MYC loci can activate
            MYC promoter through BCL6 enhancers in B cell lymphomas. (A) Enhancers/super-enhancers elements. (B) Compared to a non-rearranged state, the
            genomic rearrangement t(3;8)(q27;q24) results in enhanced activation of MYC due to the interaction with BCL6 active distal enhancers, which are enriched
            with the active H3K27ac chromatin immunoprecipitation-seq mark. This rearrangement, which activates MYC, is linked to germline polymorphisms that
            modify the risk of developing lymphoma. Figure created using BioRENDER.com.


            Volume 7 Issue 3 (2024)                         2                                doi: 10.36922/itps.3654
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