Key Points• This study has uncovered an oncogenic role of EZH2 independent of its methyltransferase activity in NKTL.• This study suggests that targeting EZH2 may have therapeutic usefulness in NKTL.The role of enhancer of zeste homolog 2 (EZH2) in cancer is complex and may vary depending on the cellular context. We found that EZH2 is aberrantly overexpressed in the majority of natural killer/T-cell lymphoma (NKTL), an aggressive lymphoid malignancy with very poor prognosis. We show that EZH2 upregulation is mediated by MYC-induced repression of its regulatory micro RNAs and EZH2 exerts oncogenic properties in NKTL. Ectopic expression of EZH2 in both primary NK cells and NKTL cell lines leads to a significant growth advantage. Conversely, knock-down of EZH2 in NKTL cell lines results in cell growth inhibition. Intriguingly, ectopic EZH2 mutant deficient for histone methyltransferase activity is also able to confer growth advantage and rescue growth inhibition on endogenous EZH2 depletion in NKTL cells, indicating an oncogenic role of EZH2 independent of its gene-silencing activity. Mechanistically, we show that EZH2 directly promotes the transcription of cyclin D1 and this effect is independent of its enzymatic activity. Furthermore, depletion of EZH2 using a PRC2 inhibitor 3-deazaneplanocin A significantly inhibits growth of NK tumor cells. Therefore, our study uncovers an oncogenic role of EZH2 independent of its methyltransferase activity in NKTL and suggests that targeting EZH2 may have therapeutic usefulness in this lymphoma. (Blood. 2013;121(22):4512-4520) Introduction Nasal-type natural killer/T-cell lymphoma (NKTL) is an aggressive lymphoid malignancy associated with very poor survival outcomes.1 A better understanding of the molecular abnormalities underlying this disease will provide important insights into the biology of this tumor; however, studies on NKTL are often limited by the lack of adequate tissue in small nasal biopsies and the presence of necrosis in biopsy specimens. Although more effective therapy is now available, treatment is still completely reliant on radiotherapy and combinations of chemotherapy. 2,3 We and others have recently performed whole-genome gene expression studies and identify a number of genes that are differentially expressed in NKTL as well as pathways that are activated in NKTL. Enhancer of zeste homolog 2 (EZH2), one of the genes identified in our study to be aberrantly overexpressed in NKTL, 4 is a H3K27-specific histone methyltransferase and a component of the polycomb repressive complex 2 (PRC2), which plays a key role in the epigenetic maintenance of repressive chromatin mark. EZH2 protein contains a catalytic domain (SET domain) at the COOH-terminus that provides the methyltransferase activity. The catalytic domain must partner with other noncatalytic proteins, such as EED and SUZ12, to form the PRC2 in order to attain robust histone methyltransferase activity. Genome-wide approaches have demonstrated the importance of the PRC2 complex in the transcriptional re...