Home LiteratureArticle Details
PMID: 36077742 Published · epublish English Journal Article

Identification of EZH2 as Cancer Stem Cell Marker in Clear Cell Renal Cell Carcinoma and the Anti-Tumor Effect of Epigallocatechin-3-Gallate (EGCG).

Cancers ·Vol. 14 ·No. 17 ·2022-08-30

Lyu C, Wang L, Stadlbauer B, Noessner E, Buchner A, Pohla H

Abstract

The aim of the study was to develop a new therapeutic strategy to target cancer stem cells (CSCs) in clear cell renal cell carcinoma (ccRCC) and to identify typical CSC markers to improve therapy effectiveness. It was found that the corrected-mRNA expression-based stemness index was upregulated in kidney renal clear cell carcinoma (KIRC) tissues compared to non-tumor tissue and increased with higher tumor stage and grade. EZH2 was identified as a CSC marker and prognosis factor for KIRC patients. The expression of EZH2 was associated with several activated tumor-infiltrating immune cells. High expression of EZH2 was enriched in immune-related pathways, low expression was related to several metabolic pathways. Epigallocatechin-3-gallate (EGCG) was identified as the most potent suppressor of EZH2, was able to inhibit viability, migration, and invasion, and to increase the apoptosis rate of ccRCC CSCs. KIF11, VEGF, and MMP2 were identified as predictive EGCG target genes, suggesting a potential mechanism of how EZH2 might regulate invasiveness and migration. The percentages of FoxP3+ Treg cells in the peripheral blood mononuclear cells of ccRCC patients decreased significantly when cultured with spheres pretreated with EGCG plus sunitinib compared to spheres without treatment. Our findings provide new insights into the treatment options of ccRCC based on targeting CSCs.

Keywords
cancer stem cells kidney renal clear cell carcinoma phytochemicals prognosis tumor microenvironment
Authors & Affiliations
6 authors, click to expand affiliations / ORCID
Lyu Chen
Tumor Immunology Laboratory, LIFE Center, LMU Klinikum, University Munich, D-82152 Planegg, Germany.
Wang Lili
Tumor Immunology Laboratory, LIFE Center, LMU Klinikum, University Munich, D-82152 Planegg, Germany. | Department of Radiology, First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310030, China.
Stadlbauer Birgit
Tumor Immunology Laboratory, LIFE Center, LMU Klinikum, University Munich, D-82152 Planegg, Germany. | Department of Urology, LMU Klinikum, University Munich, D-81377 Munich, Germany.
Noessner Elfriede ORCID
Immunoanalytics Research Group Tissue Control of Immunocytes, Helmholtz Zentrum München, D-81377 Munich, Germany.
Buchner Alexander ORCID
Tumor Immunology Laboratory, LIFE Center, LMU Klinikum, University Munich, D-82152 Planegg, Germany. | Department of Urology, LMU Klinikum, University Munich, D-81377 Munich, Germany.
Pohla Heike
Tumor Immunology Laboratory, LIFE Center, LMU Klinikum, University Munich, D-82152 Planegg, Germany. | Department of Urology, LMU Klinikum, University Munich, D-81377 Munich, Germany.
References (78)
78 references, click to expand
  1. Tazemetostat: EZH2 Inhibitor.
    J Adv Pract Oncol. 2022 Mar;13(2):158-163 PMID: 35369397
  2. Cervical Cancer, Version 3.2019, NCCN Clinical Practice Guidelines in Oncology.
    J Natl Compr Canc Netw. 2019 Jan;17(1):64-84 PMID: 30659131
  3. The relationship between T-lymphocyte infiltration, stage, tumour grade and survival in patients undergoing curative surgery for renal cell cancer.
    Br J Cancer. 2003 Nov 17;89(10):1906-8 PMID: 14612901
  4. CXC chemokine receptor 4 is essential for maintenance of renal cell carcinoma-initiating cells and predicts metastasis.
    Stem Cells. 2013 Aug;31(8):1467-76 PMID: 23630186
  5. EZH2 Modifies Sunitinib Resistance in Renal Cell Carcinoma by Kinome Reprogramming.
    Cancer Res. 2017 Dec 1;77(23):6651-6666 PMID: 28978636
  6. (-)-Epigallocatechin gallate inhibits stemness and tumourigenicity stimulated by AXL receptor tyrosine kinase in human lung cancer cells.
    Sci Rep. 2020 Feb 12;10(1):2444 PMID: 32051483
  7. Targeting Strategies for Renal Cell Carcinoma: From Renal Cancer Cells to Renal Cancer Stem Cells.
    Front Pharmacol. 2016 Nov 10;7:423 PMID: 27891093
  8. HHLA2 and PD-L1 co-expression predicts poor prognosis in patients with clear cell renal cell carcinoma.
    J Immunother Cancer. 2020 Jan;8(1): PMID: 31959726
  9. Loss-of-function mutations in the histone methyltransferase EZH2 promote chemotherapy resistance in AML.
    Sci Rep. 2021 Mar 12;11(1):5838 PMID: 33712646
  10. The bad seed: Cancer stem cells in tumor development and resistance.
    Drug Resist Updat. 2016 Sep;28:1-12 PMID: 27620951
  11. Targeting Ovarian Cancer Stem Cells by Dual Inhibition of HOTAIR and DNA Methylation.
    Mol Cancer Ther. 2021 Jun;20(6):1092-1101 PMID: 33785648
  12. Six Years (2012-2018) of Researches on Catalytic EZH2 Inhibitors: The Boom of the 2-Pyridone Compounds.
    Chem Rec. 2018 Dec;18(12):1818-1832 PMID: 30338896
  13. Tumor-Infiltrating Lymphocytes in the Checkpoint Inhibitor Era.
    Curr Hematol Malig Rep. 2019 Aug;14(4):286-291 PMID: 31187421
  14. Shikonin enhances the antitumor effect of cabazitaxel in prostate cancer stem cells and reverses cabazitaxel resistance by inhibiting ABCG2 and ALDH3A1.
    Am J Cancer Res. 2020 Nov 01;10(11):3784-3800 PMID: 33294267
  15. Regulation of pancreatic tumor cell proliferation and chemoresistance by the histone methyltransferase enhancer of zeste homologue 2.
    Clin Cancer Res. 2008 Nov 1;14(21):6790-6 PMID: 18980972
  16. Targeting cancer stem cells and signaling pathways by phytochemicals: Novel approach for breast cancer therapy.
    Semin Cancer Biol. 2016 Oct;40-41:192-208 PMID: 27609747
  17. Overexpression of EZH2 contributes to acquired cisplatin resistance in ovarian cancer cells in vitro and in vivo.
    Cancer Biol Ther. 2010 Oct 15;10(8):788-95 PMID: 20686362
  18. Alternative splice variants of DCLK1 mark cancer stem cells, promote self-renewal and drug-resistance, and can be targeted to inhibit tumorigenesis in kidney cancer.
    Int J Cancer. 2018 Sep 1;143(5):1162-1175 PMID: 29577277
  19. Dietary omega-3 polyunsaturated fatty acids suppress expression of EZH2 in breast cancer cells.
    Carcinogenesis. 2010 Mar;31(3):489-95 PMID: 19969553
  20. Heterogeneity in Colorectal Cancer Stem Cells.
    Cancer Prev Res (Phila). 2019 Jul;12(7):413-420 PMID: 31101635
  21. Superior efficacy of a combined epigenetic therapy against human mantle cell lymphoma cells.
    Clin Cancer Res. 2012 Nov 15;18(22):6227-38 PMID: 22932665
  22. Identifying 8-mRNAsi Based Signature for Predicting Survival in Patients With Head and Neck Squamous Cell Carcinoma via Machine Learning.
    Front Genet. 2020 Oct 29;11:566159 PMID: 33329703
  23. Roles of the Dynamic Tumor Immune Microenvironment in the Individualized Treatment of Advanced Clear Cell Renal Cell Carcinoma.
    Front Immunol. 2021 Mar 04;12:653358 PMID: 33746989
  24. Epigallocatechin‑3‑gallate inhibits self‑renewal ability of lung cancer stem‑like cells through inhibition of CLOCK.
    Int J Mol Med. 2020 Dec;46(6):2216-2224 PMID: 33125096
  25. EZH2 activates CHK1 signaling to promote ovarian cancer chemoresistance by maintaining the properties of cancer stem cells.
    Theranostics. 2021 Jan 1;11(4):1795-1813 PMID: 33408782
  26. Selective EZH2 inhibitor zld1039 alleviates inflammation in cisplatin-induced acute kidney injury partially by enhancing RKIP and suppressing NF-κB p65 pathway.
    Acta Pharmacol Sin. 2022 Aug;43(8):2067-2080 PMID: 34937916
  27. EZH2 is required for breast and pancreatic cancer stem cell maintenance and can be used as a functional cancer stem cell reporter.
    Stem Cells Transl Med. 2013 Jan;2(1):43-52 PMID: 23283488
  28. Inhibition of sonic hedgehog pathway and pluripotency maintaining factors regulate human pancreatic cancer stem cell characteristics.
    Int J Cancer. 2012 Jul 1;131(1):30-40 PMID: 21796625
  29. Correlation of cancer stem cell markers and immune cell markers in resected non-small cell lung cancer.
    J Cancer. 2017 Sep 15;8(16):3190-3197 PMID: 29158791
  30. Biomarker discovery for renal cancer stem cells.
    J Pathol Clin Res. 2018 Jan 17;4(1):3-18 PMID: 29416873
  31. Tumor-specific lysis of human renal cell carcinomas by tumor-infiltrating lymphocytes. I. HLA-A2-restricted recognition of autologous and allogeneic tumor lines.
    J Immunol. 1993 Oct 15;151(8):4209-20 PMID: 8409397
  32. Systematic pan-cancer analysis of tumour purity.
    Nat Commun. 2015 Dec 04;6:8971 PMID: 26634437
  33. High level of EZH2 expression is linked to high density of CD8-positive T-lymphocytes and an aggressive phenotype in renal cell carcinoma.
    World J Urol. 2021 Feb;39(2):481-490 PMID: 32303902
  34. Treatment of renal cell carcinoma: Current status and future directions.
    CA Cancer J Clin. 2017 Nov;67(6):507-524 PMID: 28961310
  35. Targeting Strategies for Renal Cancer Stem Cell Therapy.
    Curr Pharm Des. 2020;26(17):1964-1978 PMID: 32188377
  36. EGCG inhibits CSC-like properties through targeting miR-485/CD44 axis in A549-cisplatin resistant cells.
    Mol Carcinog. 2018 Dec;57(12):1835-1844 PMID: 30182373
  37. Sorafenib suppresses growth and survival of hepatoma cells by accelerating degradation of enhancer of zeste homolog 2.
    Cancer Sci. 2013 Jun;104(6):750-9 PMID: 23421437
  38. Molecular mechanisms involved in the synergistic interaction of the EZH2 inhibitor 3-deazaneplanocin A with gemcitabine in pancreatic cancer cells.
    Mol Cancer Ther. 2012 Aug;11(8):1735-46 PMID: 22622284
  39. Apigenin suppresses the stem cell-like properties of triple-negative breast cancer cells by inhibiting YAP/TAZ activity.
    Cell Death Discov. 2018 Nov 20;4:105 PMID: 30479839
  40. Combinatorial pharmacologic approaches target EZH2-mediated gene repression in breast cancer cells.
    Mol Cancer Ther. 2009 Dec;8(12):3191-202 PMID: 19934278
  41. Fiji: an open-source platform for biological-image analysis.
    Nat Methods. 2012 Jun 28;9(7):676-82 PMID: 22743772
  42. Identification of a tumor-initiating stem cell population in human renal carcinomas.
    FASEB J. 2008 Oct;22(10):3696-705 PMID: 18614581
  43. Salinomycin inhibits epigenetic modulator EZH2 to enhance death receptors in colon cancer stem cells.
    Epigenetics. 2021 Jan-Feb;16(2):144-161 PMID: 32635858
  44. The expression and significance of the enhancer of zeste homolog 2 in lung adenocarcinoma.
    Oncol Rep. 2012 Jul;28(1):147-54 PMID: 22552406
  45. S-adenosylhomocysteine hydrolase inhibition by 3-deazaneplanocin A analogues induces anti-cancer effects in breast cancer cell lines and synergy with both histone deacetylase and HER2 inhibition.
    Breast Cancer Res Treat. 2011 May;127(1):109-19 PMID: 20556507
  46. EZH2 is essential for glioblastoma cancer stem cell maintenance.
    Cancer Res. 2009 Dec 15;69(24):9211-8 PMID: 19934320
  47. Current updates and future perspectives on the management of renal cell carcinoma.
    Life Sci. 2021 Jan 1;264:118632 PMID: 33115605
  48. EZH2 cooperates with gain-of-function p53 mutants to promote cancer growth and metastasis.
    EMBO J. 2019 Mar 1;38(5): PMID: 30723117
  49. Curcumin induces down-regulation of EZH2 expression through the MAPK pathway in MDA-MB-435 human breast cancer cells.
    Eur J Pharmacol. 2010 Jul 10;637(1-3):16-21 PMID: 20385124
  50. Molecular Mechanisms of Resistance to Immunotherapy and Antiangiogenic Treatments in Clear Cell Renal Cell Carcinoma.
    Cancers (Basel). 2021 Nov 28;13(23): PMID: 34885091
  51. Isolation, identification, and characterization of cancer stem cells: A review.
    J Cell Physiol. 2017 Aug;232(8):2008-2018 PMID: 28019667
  52. Cytoscape: a software environment for integrated models of biomolecular interaction networks.
    Genome Res. 2003 Nov;13(11):2498-504 PMID: 14597658
  53. Bevacizumab alone or in combination with TRC105 for patients with refractory metastatic renal cell cancer.
    Cancer. 2017 Dec 1;123(23):4566-4573 PMID: 28832978
  54. MELK and EZH2 Cooperate to Regulate Medulloblastoma Cancer Stem-like Cell Proliferation and Differentiation.
    Mol Cancer Res. 2017 Sep;15(9):1275-1286 PMID: 28536141
  55. Expression and clinical value of CD105 in renal cell carcinoma based on data mining in The Cancer Genome Atlas.
    Exp Ther Med. 2019 Jun;17(6):4499-4505 PMID: 31086581
  56. Cancer Cell CD44 Mediates Macrophage/Monocyte-Driven Regulation of Head and Neck Cancer Stem Cells.
    Cancer Res. 2020 Oct 1;80(19):4185-4198 PMID: 32816856
  57. Curcumin analogue CDF inhibits pancreatic tumor growth by switching on suppressor microRNAs and attenuating EZH2 expression.
    Cancer Res. 2012 Jan 1;72(1):335-45 PMID: 22108826
  58. From Bench to Bedside: How the Tumor Microenvironment Is Impacting the Future of Immunotherapy for Renal Cell Carcinoma.
    Cells. 2021 Nov 19;10(11): PMID: 34831452
  59. An embryonic stem cell-like gene expression signature in poorly differentiated aggressive human tumors.
    Nat Genet. 2008 May;40(5):499-507 PMID: 18443585
  60. Identification of Biomarkers for Controlling Cancer Stem Cell Characteristics in Bladder Cancer by Network Analysis of Transcriptome Data Stemness Indices.
    Front Oncol. 2019 Jul 04;9:613 PMID: 31334127
  61. Co-expression of Cancer Stem Cell Markers OCT4 and NANOG Predicts Poor Prognosis in Renal Cell Carcinomas.
    Sci Rep. 2018 Aug 6;8(1):11739 PMID: 30082842
  62. A Randomized, Open-Label Phase 2 Study of the CXCR4 Inhibitor LY2510924 in Combination with Sunitinib Versus Sunitinib Alone in Patients with Metastatic Renal Cell Carcinoma (RCC).
    Target Oncol. 2016 Oct;11(5):643-653 PMID: 27154357
  63. The cancer stem cell niche: how essential is the niche in regulating stemness of tumor cells?
    Cell Stem Cell. 2015 Mar 5;16(3):225-38 PMID: 25748930
  64. Identification of a novel cancer stem cell subpopulation that promotes progression of human fatal renal cell carcinoma by single-cell RNA-seq analysis.
    Int J Biol Sci. 2020 Oct 17;16(16):3149-3162 PMID: 33162821
  65. The "Big Five" Phytochemicals Targeting Cancer Stem Cells: Curcumin, EGCG, Sulforaphane, Resveratrol and Genistein.
    Curr Med Chem. 2021;28(22):4321-4342 PMID: 32107991
  66. Prognostic impact of immune gene expression signature and tumor infiltrating immune cells in localized clear cell renal cell carcinoma.
    J Immunother Cancer. 2019 May 28;7(1):139 PMID: 31138299
  67. (‑)‑Epigallocatechin‑3‑gallate inhibits bladder cancer stem cells via suppression of sonic hedgehog pathway.
    Oncol Rep. 2019 Jul;42(1):425-435 PMID: 31180522
  68. Kidney cancer, version 3.2015.
    J Natl Compr Canc Netw. 2015 Feb;13(2):151-9 PMID: 25691606
  69. Prognostic value of EZH2 expression and activity in renal cell carcinoma: a prospective study.
    PLoS One. 2013 Nov 27;8(11):e81484 PMID: 24312307
  70. Targeting cancer stem cells with dietary phytochemical - Repositioned drug combinations.
    Cancer Lett. 2018 Oct 1;433:53-64 PMID: 29960048
  71. Identification of key genes controlling breast cancer stem cell characteristics via stemness indices analysis.
    J Transl Med. 2020 Feb 12;18(1):74 PMID: 32050983
  72. BCR-ABL-mediated upregulation of PRAME is responsible for knocking down TRAIL in CML patients.
    Oncogene. 2011 Jan 13;30(2):223-33 PMID: 20838376
  73. Machine Learning Identifies Stemness Features Associated with Oncogenic Dedifferentiation.
    Cell. 2018 Apr 5;173(2):338-354.e15 PMID: 29625051
  74. Renal cancer.
    Lancet. 2016 Feb 27;387(10021):894-906 PMID: 26318520
  75. Targeting EZH2 Reprograms Intratumoral Regulatory T Cells to Enhance Cancer Immunity.
    Cell Rep. 2018 Jun 12;23(11):3262-3274 PMID: 29898397
  76. Clinical significances and prognostic value of cancer stem-like cells markers and vasculogenic mimicry in renal cell carcinoma.
    J Surg Oncol. 2013 Nov;108(6):414-9 PMID: 23996537
  77. CTHRC1 Is a Prognostic Biomarker and Correlated With Immune Infiltrates in Kidney Renal Papillary Cell Carcinoma and Kidney Renal Clear Cell Carcinoma.
    Front Oncol. 2021 Feb 08;10:570819 PMID: 33628726
  78. MicroRNA-101 exerts tumor-suppressive functions in non-small cell lung cancer through directly targeting enhancer of zeste homolog 2.
    J Thorac Oncol. 2011 Apr;6(4):671-8 PMID: 21270667
Article Info
Journal
Cancers
Abbr.
Cancers (Basel)
ISSN
2072-6694
Published
2022-08-30
Epub
2022-00-30
Language
English
Region
Switzerland
NLM ID
101526829
PMCID
PMC9454898
Grants
China Scholarship Council · CSC No. 201908080121
Analysis Services
Analysis Services

Contact

No. 2 Wenbo Road, Zhangqiu District, Jinan, Shandong

Qilu Normal University · Genelibs Bioinformatics Lab

750 Shunhua Rd, Jinan

2F, Bldg F, University Science Park

Tel: 0531-88819269

WeChat Official Account

Follow our WeChat subscription account for real-time updates and the latest in medical and biological research.


Business Email

E-mail: product@genelibs.com