A novel role for KMT2D in pancreatic adenocarcinoma
PDAC is a severe form of pancreatic cancer with a low five-year survival rate. PDAC has well-established highly recurrent mutations in four driver genes: oncogene KRAS, and tumor suppressors TP53, CDKN2A and SMAD4. However, barring KRAS, these genetic drivers are not currently therapeutically actionable. Decades of research into therapeutic targeting of these genetic drivers as well as other targets in PDAC have often been unsuccessful in clinical settings. So we aimed to shift our focus on non-genetic drivers of the disease, in particular, epigenetic players like histone methyltransferases.
KMT2D belongs to the 6-member histone-lysine N-methyltransferase 2 (KMT2) family that catalyzes the methylation of H3K4 to promote genome accessibility and subsequent transcriptional activation. KMT2D carries the highest incidence of pathogenic mutations in PDAC cases.
In our study, we assessed the biological role of KMT2D in two independent genetically engineered mouse models driven by mutant Kras in the presence and absence of the tumor suppressor Tp53.
The loss of Kmt2d increased tumor incidence with a poorly differentiated phenotype, reducing survival in both models even in absence of Tp53. Similarly, in human PDAC, the loss of TP53 does not affect the survival of KMT2D low cases. Kmt2d depletion alone was not sufficient to impact pancreatic development and survival. Of note, inactivation of Kmt2d resulted in increased levels of Ki67 positive cells in vivo.
This study highlights a novel role for KMT2D in Kras-driven PDAC as a candidate tumour suppressor. Read more about the study
here!