2019
DOI: 10.1016/j.ccell.2019.06.002
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A C19MC-LIN28A-MYCN Oncogenic Circuit Driven by Hijacked Super-enhancers Is a Distinct Therapeutic Vulnerability in ETMRs: A Lethal Brain Tumor

Abstract: Highlights d C19MC alterations and chr2 gains comprise the most frequent genetic events in ETMRs d C19MC-TTYH1 gene fusion and MYCN DNA interactions create super-enhancers d Super-enhancers and multiple feedback loops fortify a C19MC-LIN28A-MYCN circuitry d BET domain inhibitors abrogate C19MC-LIN28A-MYCN circuit to induce ETMR cell death

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Cited by 74 publications
(55 citation statements)
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“…ETMRs are characterized by the amplification of C19MC. High expression levels of C19MC, LIN28A, and MYCN comprise an oncogenic circuit in this tumor type [177]. This oncogenic circuit is reinforced by an enhancer hijacking mechanism: the formation of hybrid SEs via C19MC-TTYH1 gene fusion, which juxtaposes TTYH1-associated SEs and C19MC-associated enhancers located in distinct loci of chromosome 19.…”
Section: Super-enhancer-associated Mirnas In Diseasementioning
confidence: 99%
See 1 more Smart Citation
“…ETMRs are characterized by the amplification of C19MC. High expression levels of C19MC, LIN28A, and MYCN comprise an oncogenic circuit in this tumor type [177]. This oncogenic circuit is reinforced by an enhancer hijacking mechanism: the formation of hybrid SEs via C19MC-TTYH1 gene fusion, which juxtaposes TTYH1-associated SEs and C19MC-associated enhancers located in distinct loci of chromosome 19.…”
Section: Super-enhancer-associated Mirnas In Diseasementioning
confidence: 99%
“…In addition, miRNAs with SE gain were associated with a worse prognosis. A recent report described the relationship between the Chr19q13.41 miRNA cluster (C19MC), encoding 54 miRNAs normally expressed in placental and germinal tissues, and SEs in highly lethal type of infant brain cancer, embryonal tumors with multilayered rosettes (ETMRs) [177]. ETMRs are characterized by the amplification of C19MC.…”
Section: Super-enhancer-associated Mirnas In Diseasementioning
confidence: 99%
“…LIN28A regulates epigenetic effecters to promote cell growth, survival, and tumor development. C19MC drives tumor cell growth through MYCN-mediated transcriptional regulator circuity, which also shows therapeutic vulnerability [170]. Moreover, C19MC amplification changes DNA methylation by elevating DNMT3b expression, which promotes cell pluripotency and indicates poor prognosis [171,172].…”
Section: The Roles Of Mirna Clusters In Csc Pathogenesismentioning
confidence: 99%
“…These extended regions, also called stretch enhancers, clusters of regulatory elements, or transcriptional locus control regions, mark important genomic loci that are commonly associated with highly transcribed genes that govern cell identity, and oncogenes in cancer [29]. In the context of brain tumours, SE genes have been described across a large set of brain tumour histologies, shown to regulate tumour oncogenes, and represent potential cancer cell vulnerabilities [7,30-32].…”
Section: Enhancers and Gene Transcriptionmentioning
confidence: 99%
“…Additionally, embryonal tumours with multilayered rosettes are characterized by a chromosome 19 miRNA cluster (C19MC) amplification and fusion with the TTYH1 gene locus. This drives C19MC expression using the active regulatory elements of TTYH1 , which is highly expressed during brain development [32]. SEs are amplified in a variety of cancers, albeit at a much lower frequency than gene‐centric alterations [7].…”
Section: Disruption Of Noncoding Elements and Enhancers In Brain Cancermentioning
confidence: 99%