Deficiency Drives Enhancer Activation of Oncogenes in Clear Cell Renal Cell Carcinoma.

Xiaosai Yao, Jing Tan, Kevin Junliang Lim, Joanna Koh, Wen Fong Ooi, Zhimei Li, Dachuan Huang, Manjie Xing, Yang Sun Chan, James Zhengzhong Qu, Su Ting Tay, Giovani Wijaya, Yue Ning Lam, Jing Han Hong, Ai Ping Lee-Lim, Peiyong Guan, Michelle Shu Wen Ng, Cassandra Zhengxuan He, Joyce Suling Lin, Tannistha Nandi, Aditi Qamra, Chang Xu, Swe Swe Myint, James O J Davies, Jian Yuan Goh, Gary Loh, Bryan C Tan, Steven G Rozen, Qiang Yu, Iain Bee Huat Tan, Christopher Wai Sam Cheng, Shang Li, Kenneth Tou En Chang, Puay Hoon Tan, David Lawrence Silver, Alexander Lezhava, Gertrud Steger, Jim R Hughes, Bin Tean Teh, Patrick Tan
Author Information
  1. Xiaosai Yao: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  2. Jing Tan: Laboratory of Cancer Epigenome, Department of Medical Sciences, National Cancer Centre, Singapore.
  3. Kevin Junliang Lim: Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore.
  4. Joanna Koh: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  5. Wen Fong Ooi: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  6. Zhimei Li: Laboratory of Cancer Epigenome, Department of Medical Sciences, National Cancer Centre, Singapore.
  7. Dachuan Huang: Laboratory of Cancer Epigenome, Department of Medical Sciences, National Cancer Centre, Singapore.
  8. Manjie Xing: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  9. Yang Sun Chan: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  10. James Zhengzhong Qu: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  11. Su Ting Tay: Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore.
  12. Giovani Wijaya: Laboratory of Cancer Epigenome, Department of Medical Sciences, National Cancer Centre, Singapore.
  13. Yue Ning Lam: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  14. Jing Han Hong: Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore.
  15. Ai Ping Lee-Lim: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  16. Peiyong Guan: Laboratory of Cancer Epigenome, Department of Medical Sciences, National Cancer Centre, Singapore.
  17. Michelle Shu Wen Ng: Institute of Molecular and Cell Biology, Singapore.
  18. Cassandra Zhengxuan He: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  19. Joyce Suling Lin: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  20. Tannistha Nandi: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  21. Aditi Qamra: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  22. Chang Xu: Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore.
  23. Swe Swe Myint: Laboratory of Cancer Epigenome, Department of Medical Sciences, National Cancer Centre, Singapore.
  24. James O J Davies: Medical Research Council (MRC) Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, Oxford University, United Kingdom.
  25. Jian Yuan Goh: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  26. Gary Loh: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  27. Bryan C Tan: Cardiovascular and Metabolic Disorders Programme, Duke-NUS Medical School, Singapore.
  28. Steven G Rozen: Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore.
  29. Qiang Yu: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  30. Iain Bee Huat Tan: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore.
  31. Christopher Wai Sam Cheng: Department of Urology, Singapore General Hospital, Singapore.
  32. Shang Li: Cancer and Stem Cell Biology Program, Duke-NUS Medical School, Singapore.
  33. Kenneth Tou En Chang: Department of Pathology and Laboratory Medicine, KK Women's and Children's Hospital, Singapore.
  34. Puay Hoon Tan: Department of Pathology, Singapore General Hospital, Singapore.
  35. David Lawrence Silver: Medical Research Council (MRC) Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, Oxford University, United Kingdom.
  36. Alexander Lezhava: Translational Research, Genome Institute of Singapore, Singapore.
  37. Gertrud Steger: Institute of Virology, University of Cologne, Fuerst-Pueckler-Strasse, Cologne, Germany.
  38. Jim R Hughes: Medical Research Council (MRC) Molecular Haematology Unit, Weatherall Institute of Molecular Medicine, Oxford University, United Kingdom.
  39. Bin Tean Teh: Institute of Molecular and Cell Biology, Singapore. gmstanp@duke-nus.edu.sg teh.bin.tean@singhealth.com.sg.
  40. Patrick Tan: Cancer Therapeutics and Stratified Oncology, Genome Institute of Singapore, Singapore. gmstanp@duke-nus.edu.sg teh.bin.tean@singhealth.com.sg.

Abstract

Protein-coding mutations in clear cell renal cell carcinoma (ccRCC) have been extensively characterized, frequently involving inactivation of the von Hippel-Lindau () tumor suppressor. Roles for noncoding -regulatory aberrations in ccRCC tumorigenesis, however, remain unclear. Analyzing 10 primary tumor/normal pairs and 9 cell lines across 79 chromatin profiles, we observed pervasive enhancer malfunction in ccRCC, with cognate enhancer-target genes associated with tissue-specific aspects of malignancy. Superenhancer profiling identified as a ccRCC-specific and VHL-regulated master regulator whose depletion causes near-complete tumor elimination and loss predominantly drives enhancer/superenhancer deregulation more so than promoters, with acquisition of active enhancer marks (H3K27ac, H3K4me1) near ccRCC hallmark genes. Mechanistically, VHL loss stabilizes HIF2α-HIF1β heterodimer binding at enhancers, subsequently recruiting histone acetyltransferase p300 without overtly affecting preexisting promoter-enhancer interactions. Subtype-specific driver mutations such as may thus propagate unique pathogenic dependencies in ccRCC by modulating epigenomic landscapes and cancer gene expression. Comprehensive epigenomic profiling of ccRCC establishes a compendium of somatically altered -regulatory elements, uncovering new potential targets including ZNF395, a ccRCC master regulator. Loss of , a ccRCC signature event, causes pervasive enhancer malfunction, with binding of enhancer-centric HIF2α and recruitment of histone acetyltransferase p300 at preexisting lineage-specific promoter-enhancer complexes. .

MeSH Term

Basic Helix-Loop-Helix Transcription Factors
Carcinogenesis
Carcinoma, Renal Cell
Cell Line, Tumor
Chromatin
DNA-Binding Proteins
Enhancer Elements, Genetic
Gene Expression Regulation, Neoplastic
Humans
Mutation
Oncogenes
Promoter Regions, Genetic
Regulatory Sequences, Nucleic Acid
Transcription Factors
Von Hippel-Lindau Tumor Suppressor Protein
p300-CBP Transcription Factors

Chemicals

Basic Helix-Loop-Helix Transcription Factors
Chromatin
DNA-Binding Proteins
Transcription Factors
ZNF395 protein, human
endothelial PAS domain-containing protein 1
p300-CBP Transcription Factors
p300-CBP-associated factor
Von Hippel-Lindau Tumor Suppressor Protein
VHL protein, human

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