[HTML][HTML] Epigenetic re-expression of HIF-2α suppresses soft tissue sarcoma growth

MS Nakazawa, TSK Eisinger-Mathason, N Sadri… - Nature …, 2016 - nature.com
MS Nakazawa, TSK Eisinger-Mathason, N Sadri, JD Ochocki, TPF Gade, RK Amin…
Nature communications, 2016nature.com
In soft tissue sarcomas (STS), low intratumoural O2 (hypoxia) is a poor prognostic indicator.
HIF-1α mediates key transcriptional responses to hypoxia, and promotes STS metastasis;
however, the role of the related HIF-2α protein is unknown. Surprisingly, here we show that
HIF-2α inhibits high-grade STS cell growth in vivo, as loss of HIF-2α promotes sarcoma
proliferation and increases calcium and mTORC1 signalling in undifferentiated pleomorphic
sarcoma and dedifferentiated liposarcoma. We find that most human STS have lower levels …
Abstract
In soft tissue sarcomas (STS), low intratumoural O2 (hypoxia) is a poor prognostic indicator. HIF-1α mediates key transcriptional responses to hypoxia, and promotes STS metastasis; however, the role of the related HIF-2α protein is unknown. Surprisingly, here we show that HIF-2α inhibits high-grade STS cell growth in vivo, as loss of HIF-2α promotes sarcoma proliferation and increases calcium and mTORC1 signalling in undifferentiated pleomorphic sarcoma and dedifferentiated liposarcoma. We find that most human STS have lower levels of EPAS1 (the gene encoding HIF-2α) expression relative to normal tissue. Many cancers, including STS, contain altered epigenetics, and our findings define an epigenetic mechanism whereby EPAS1 is silenced during sarcoma progression. The clinically approved HDAC inhibitor Vorinostat specifically increases HIF-2α, but not HIF-1α, accumulation in multiple STS subtypes. Vorinostat inhibits STS tumour growth, an effect ameliorated by HIF-2α deletion, implicating HIF-2α as a biomarker for Vorinostat efficacy in STS.
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