A B S T R A C TMetabolic reprogramming such as the aerobic glycolysis or Warburg effect is well recognized as a common feature of tumorigenesis. However, molecular mechanisms underlying metabolic alterations for tumor therapeutic resistance are poorly understood. Through gene expression profiling analysis we found that histone H3K36 methyltransferase NSD2/MMSET/WHSC1 expression was highly elevated in tamoxifenresistant breast cancer cell lines and clinical tumors. IHC analysis indicated that NSD2 protein overexpression was associated with the disease recurrence and poor survival. Ectopic expression of NSD2 wild type, but not the methylase-defective mutant, drove endocrine resistance in multiple cell models and xenograft tumors. Mechanistically, NSD2 was recruited to and methylated H3K36me2 at the promoters of key glucose metabolic enzyme genes. Its overexpression coordinately up-regulated hexokinase 2 (HK2) and glucose-6-phosphate dehydrogenase (G6PD), two key enzymes of glycolysis and the pentose phosphate pathway (PPP), as well as TP53-induced glycolysis regulatory phosphatase TIGAR. Consequently, NSD2-driven tamoxifen-resistant cells and tumors displayed heightened PPP activity, elevated NADPH production, and reduced ROS level, without significantly altered glycolysis. These results illustrate a coordinated, epigenetic activation of key glucose metabolic enzymes in therapeutic resistance and nominate methyltransferase NSD2 as a potential therapeutic target for endocrine resistant breast cancer.© 2016 Elsevier Ireland Ltd. All rights reserved.
IntroductionTumor growth involves reprogrammed glucose metabolism, featured in aerobic glycolysis, to meet the high demand of glycolytic intermediates for biosynthesis of macromolecules. The pentose phosphate pathway (PPP) is a major cellular source of NADPH, in addition to its supply of precursors for nucleotide biosynthesis. Deregulated PPP has been suggested to promote cancer progression and therapy resistance [1]. The activities of PPP can be decreased by p53, as well as being hyperactivated by oncogenic signaling [2][3][4][5]. Functioning as a fructose-2,6-bisphosphatase (F2,6bPase), TIGAR (TP53-induced glycolysis and apoptosis regulator) can enhance glucose carbon flux to the PPP by dampening glycolysis and is required for the development of intestinal adenomas [6][7][8][9]. As a glycolysis modulator, TIGAR was shown to localize in cytoplasm and associate with mitochondria in complex with the hexokinase HK2 in response to hypoxia [7]. HK2, one of the hexokinases that catalyze the first and rate-limiting step of glucose metabolism, is highly expressed in most tumor cells. HK2 plays a pivotal role in diversion of glucose into pathways such as the PPP for enhanced anabolic metabolism required for tumor growth [10,11]. Glucose-6-phosphate dehydrogenase (G6PD) is the rate-limiting enzyme of the PPP and plays a key role in production of NADPH, the major cellular source of reducing power. However, the mechanism of how the different metabolic genes are coordinately regulat...