Super enhancer-mediated upregulation of HJURP promotes growth and survival of t(4;14)-positive multiple myeloma (Cancer Res, Dec 2021)

Yunlu Jia 1Jianbiao Zhou 2Tze King Tan 3Tae-Hoon Chung 2Yong Xia Chen 4Jing-Yuan Chooi 2Takaomi Sanda 3Melissa Jane Fullwood 5Sinan Xiong 2Sabrina Hui Min Toh 6Kalpnaa Balan 2Regina WanJu Wong 7Julia S L Lim 8Enfan Zhang 9Zhen Cai 9Peng Shen 10Wee Joo Chng 11

Affiliations

1Medical oncology, First Affiliated Hospital Zhejiang University.
2Cancer Science Institute of Singapore, National University of Singapore.
3Cancer Science Institute of Singapore/Department of Medicine, National University of Singapore.
4Department of Surgical Oncology, Sir Run Run Shaw Hospital,Zhejiang University College of Medicine.
5School of Biological Sciences, Nanyang Technological University.
6Cancer Science Institute of Singapore.
7Department of Hematology-Oncology,National University Cancer Institute of Singapore (NCIS), Cancer Science Institute of Singapore, National University of Singapore.
8CSI Singapore, Cancer Science Institute of Singapore.
9Bone Marrow Transplantation Center,, The First Affiliated Hospital, Zhejiang University School of Medicine.
10School of Medcine, Zhejiang University.
11Hematology-Oncology, National University Cancer Institute, NUHS mdccwj@nus.edu.sg.

Abstract

Multiple myeloma (MM) is an incurable malignancy with marked clinical and genetic heterogeneity. The cytogenetic abnormality t(4;14) (p16.3;q32.3) confers aggressive behavior in MM. Recently, essential oncogenic drivers in a wide range of cancers have been shown to be controlled by super-enhancers (SE). We used ChIP-seq of the active enhancer marker H3K27ac to profile unique SEs in t(4;14)-translocated MM. The histone chaperone HJURP was aberrantly overexpressed in t(4;14)-positive MM due to transcriptional activation by a distal SE induced by the histone lysine methyltransferase NSD2. Silencing of HJURP with shRNA or CRISPR interference of SE function impaired cell viability and led to apoptosis. Conversely, HJURP overexpression promoted cell proliferation and abrogated apoptosis. Mechanistically, the NSD2/BRD4 complex positively co-regulated HJURP transcription by binding the promoter and active elements of its SE. In summary, this study introduces SE profiling as an efficient approach to identify new targets and understand molecular pathogenesis in specific subtypes of cancer. Moreover, HJURP could be a valuable therapeutic target in t(4;14)-positive myeloma patients.