Epigenetic therapy induces transcription of inverted SINEs and ADAR1 dependency

Cancer therapies that target epigenetic repressors can mediate their effects by activating retroelements within the human genome. Retroelement transcripts can form double-stranded RNA (dsRNA) that activates the MDA5 pattern recognition receptor. This state of viral mimicry leads to loss of cancer ce...

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Main Authors: Mehdipour, P, Marhon, SA, Ettayebi, I, Chakravarthy, A, Hosseini, A, Wang, Y, de Castro, FA, Loo Yau, H, Ishak, C, Abelson, S, O’Brien, CA, De Carvalho, DD
Format: Journal article
Language:English
Published: Springer Nature 2020
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author Mehdipour, P
Marhon, SA
Ettayebi, I
Chakravarthy, A
Hosseini, A
Wang, Y
de Castro, FA
Loo Yau, H
Ishak, C
Abelson, S
O’Brien, CA
De Carvalho, DD
author_facet Mehdipour, P
Marhon, SA
Ettayebi, I
Chakravarthy, A
Hosseini, A
Wang, Y
de Castro, FA
Loo Yau, H
Ishak, C
Abelson, S
O’Brien, CA
De Carvalho, DD
author_sort Mehdipour, P
collection OXFORD
description Cancer therapies that target epigenetic repressors can mediate their effects by activating retroelements within the human genome. Retroelement transcripts can form double-stranded RNA (dsRNA) that activates the MDA5 pattern recognition receptor. This state of viral mimicry leads to loss of cancer cell fitness and stimulates innate and adaptive immune responses. However, the clinical efficacy of epigenetic therapies has been limited. To find targets that would synergize with the viral mimicry response, we sought to identify the immunogenic retroelements that are activated by epigenetic therapies. Here we show that intronic and intergenic SINE elements, specifically inverted-repeat Alus, are the major source of drug-induced immunogenic dsRNA. These inverted-repeat Alus are frequently located downstream of ‘orphan’ CpG islands. In mammals, the ADAR1 enzyme targets and destabilizes inverted-repeat Alu dsRNA, which prevents activation of the MDA5 receptor. We found that ADAR1 establishes a negative-feedback loop, restricting the viral mimicry response to epigenetic therapy. Depletion of ADAR1 in patient-derived cancer cells potentiates the efficacy of epigenetic therapy, restraining tumour growth and reducing cancer initiation. Therefore, epigenetic therapies trigger viral mimicry by inducing a subset of inverted-repeats Alus, leading to an ADAR1 dependency. Our findings suggest that combining epigenetic therapies with ADAR1 inhibitors represents a promising strategy for cancer treatment.
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spelling oxford-uuid:2b25bafc-940c-423c-b70f-9e20854f3e792022-03-26T12:29:11ZEpigenetic therapy induces transcription of inverted SINEs and ADAR1 dependencyJournal articlehttp://purl.org/coar/resource_type/c_dcae04bcuuid:2b25bafc-940c-423c-b70f-9e20854f3e79EnglishSymplectic ElementsSpringer Nature2020Mehdipour, PMarhon, SAEttayebi, IChakravarthy, AHosseini, AWang, Yde Castro, FALoo Yau, HIshak, CAbelson, SO’Brien, CADe Carvalho, DDCancer therapies that target epigenetic repressors can mediate their effects by activating retroelements within the human genome. Retroelement transcripts can form double-stranded RNA (dsRNA) that activates the MDA5 pattern recognition receptor. This state of viral mimicry leads to loss of cancer cell fitness and stimulates innate and adaptive immune responses. However, the clinical efficacy of epigenetic therapies has been limited. To find targets that would synergize with the viral mimicry response, we sought to identify the immunogenic retroelements that are activated by epigenetic therapies. Here we show that intronic and intergenic SINE elements, specifically inverted-repeat Alus, are the major source of drug-induced immunogenic dsRNA. These inverted-repeat Alus are frequently located downstream of ‘orphan’ CpG islands. In mammals, the ADAR1 enzyme targets and destabilizes inverted-repeat Alu dsRNA, which prevents activation of the MDA5 receptor. We found that ADAR1 establishes a negative-feedback loop, restricting the viral mimicry response to epigenetic therapy. Depletion of ADAR1 in patient-derived cancer cells potentiates the efficacy of epigenetic therapy, restraining tumour growth and reducing cancer initiation. Therefore, epigenetic therapies trigger viral mimicry by inducing a subset of inverted-repeats Alus, leading to an ADAR1 dependency. Our findings suggest that combining epigenetic therapies with ADAR1 inhibitors represents a promising strategy for cancer treatment.
spellingShingle Mehdipour, P
Marhon, SA
Ettayebi, I
Chakravarthy, A
Hosseini, A
Wang, Y
de Castro, FA
Loo Yau, H
Ishak, C
Abelson, S
O’Brien, CA
De Carvalho, DD
Epigenetic therapy induces transcription of inverted SINEs and ADAR1 dependency
title Epigenetic therapy induces transcription of inverted SINEs and ADAR1 dependency
title_full Epigenetic therapy induces transcription of inverted SINEs and ADAR1 dependency
title_fullStr Epigenetic therapy induces transcription of inverted SINEs and ADAR1 dependency
title_full_unstemmed Epigenetic therapy induces transcription of inverted SINEs and ADAR1 dependency
title_short Epigenetic therapy induces transcription of inverted SINEs and ADAR1 dependency
title_sort epigenetic therapy induces transcription of inverted sines and adar1 dependency
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