Introduction
Prostate cancer is the most common cancer in men in the UK. Whilst androgen receptor (AR) targeting therapies have yielded significant patient benefit, relapse to treatment is a significant clinical problem. Hence, there is an urgent need to develop alternative therapeutics to treat advanced disease. The lysine methyltransferase, KMT5A, plays an oncogenic role in a number of cancers [1-3]. Indeed, KMT5A siRNA-mediated knockdown inhibits prostate cancer cell proliferation and KMT5A has been identified as an AR interacting protein that is required for the transcription of the AR regulated gene, prostate specific antigen (PSA) via promotion of H4K20Me1 at the PSA promoter [
4]. Furthermore, KMT5A plays a role in epithelial-mesenchymal transition (EMT) and enhances the invasiveness of prostate cancer cell line models, independent of the AR through its interplay with ZEB1 [
5]. Initially identified as the sole methyltransferase responsible for the mono-methylation of histone H4 at lysine 20 (H4K20Me1), KMT5A was subsequently shown to methylate numerous other non-histone proteins, including p53 [
6]. Greater understanding of KMT5A in the context of prostate cancer is required to determine whether it is a
bona fide therapeutic target.
KMT5A activity is regulated by post-translational mechanisms during specific phases of the cell cycle. During late S phase and at the G2/M transition, the levels of KMT5A are at their peak and found localized to mitotic chromosomes. As the cell moves through prophase to anaphase, KMT5A is phosphorylated at serine 29 by cdk1/cyclin B. This results in KMT5A dissociation from chromatin and stabilisation by inhibiting KMT5A association with the APC
cdh1 E3 ubiquitin ligase [
7]. During anaphase, KMT5A is dephosphorylated by cdc14a/b, which in turn permits protein turnover to reduce KMT5A protein levels at G1. During G1 KMT5A levels are sustained, however during the G1/S transition, SCF
skp2 ubiquitin ligase targets KMT5A for protein turnover resulting in undetectable KMT5A protein. Interestingly, KMT5A interacts with proliferating cell nuclear antigen (PCNA) at DNA replication foci and is essential for correct DNA replication [
8] suggesting a high turnover rate of chromatin bound KMT5A by CRL4
cdt2 [
7]. The alterations in the levels of KMT5A throughout the cell cycle are mirrored by H4K20Me1 levels suggesting that methyltransferase activity is predominantly regulated by cellular KMT5A levels.
Cell cycle division 20 homologue (CDC20) is a cell cycle regulatory protein implicated in the spindle assembly checkpoint (SAC) and is required for cells to progress through mitosis. Specifically, CDC20 functions as a substrate recognition molecule and activator of APC to result in ubiquitin mediated turnover of its substrates. In particular, APC
CDC20 functions during metaphase to anaphase to result in the destruction of cyclin B and securin thereby allowing sister chromatids to segregate. CDC20 activity is inhibited by the Mitotic Checkpoint Complex (MCC) and is only released to target its substrates once microtubule binding to kinetochore and appropriate tension is achieved thereby preventing genomic instability. Interestingly, there are suggestions that CDC20 may play a role in the DNA damage repair pathway via RAP80 [
9] and REV1 [
10] down-regulation. Furthermore, DNA damage induced p53 can directly inhibit the expression of CDC20 by associating with the CDC20 promoter region and causing chromatin remodelling [
11]. In addition, p21 can inhibit CDC20 mRNA by associating with CDE-CHR elements in the CDC20 promoter [
12]. Depletion of PHF8, an H4K20Me1 demethylase, results in prolonged G2 and defective mitosis and is itself a substrate of APC
CDC20 [
13] further suggesting that chromatin remodeling can be influenced by CDC20 levels.
CDC20 has been proposed to exhibit an oncogenic role in a number of cancers including prostate cancer [
14]. Indeed, biochemical recurrence free survival is lower in patients with high levels of CDC20 compared to patients with low CDC20 expression [
15]. CDC20 itself is a target for ubiquitination by the E3 ligase SPOP, which is commonly mutated and non-functional in prostate cancers providing an explanation for elevated CDC20 levels [
16]. Furthermore, CDC20 expression is associated with resistance to docetaxel [
16,
17] and is implicated in the wnt/Beta-catenin pathway which is oncogenic in advanced prostate cancer [
17,
18].
The aim of this study was two-fold; first to use pathway analysis to provide further evidence that KMT5A regulates oncogenic pathways and is a valid therapeutic target in prostate cancer and secondly, to identify individual genes that are regulated by KMT5A in a model of castration resistant prostate cancer as potential biomarkers for KMT5A activity. Indeed, we show that a number of oncogenic pathways are downregulated upon KMT5A knockdown and we identified and validated CDC20 as a KMT5A regulated gene.
Materials and Methods
Antibodies
Antibodies used in this study included, KMT5A (Cell signaling), CDC20 (Ab190711, AbCam), PARP1/2 (clone H250, sc-7150, Santa Cruz Biotechnology), MDM2 (Clone N-20, sc-813, Santa Cruz Biotechnology), p21 (ab-4, Calbiochem), p53 (pAb-421#OP03, Calbiochem), p53-S15-P (Cell signaling), p53-K382-Ac (ab75754, AbCam), H4K20Me1 (Ab9051, AbCam), H4 (07-108, Merck), anti-phospho-histone H2AX (Ser139) (clone JBW301, Millipore Corp) α-tubulin (clone DM1A, T9026, Sigma), GAPDH (clone 1E6D9, Proteintech).
Compounds
Dihydrotestosterone (DHT) (Sigma) was prepared in ethanol at a final concentration of 10 mM and stored at -80°C. KMT5A inhibitors UNC0379 (S7570, Selleckchem) and Ryuvidine (2609, R&D) were purchased in powder form and resuspended in DMSO to a final concentration of 50 mM and 20 mM, respectively. Solutions were stored at -80°C for no longer than 1 month. Nutlin 3 was provided by Prof. John Lunec (Newcastle Cancer Centre).
Cell Culture
LNCaP cells, a model of androgen dependence, and AR negative PC3 cells were purchased from the American Type Culture Collection (Manassas, VA, USA), LNCaP-AI cells, a model of androgen independence, were generated in house as described previously [
19]. Cells were maintained as previously described [
20].
Cell line authentication was performed by short-tandem repeat profiling (NewGene, Newcastle upon Tyne, UK) and mycoplasma testing was performed routinely using MycoAlert (Lonza, UK).
siRNA
Cell lines were reverse transfected with siRNA sequences (25 nM) using Lipofectamine RNAiMAX (Invitrogen) according to the manufacturer’s instructions. Either qPCR or western blotting confirmed successful knockdown. Non-silencing (N/S): UUCUCCGAACGUGUCACGU[dT][dT]; siKMT5A_1: CCAUGAAGUCCGAGGAACA[dT][dT]; siKMT5A_2: GATGCAACTAGAGAGACA[dT][dT]; siCDC20_1 CGGAAGACCUGCCGUUACA[dT][dT]; siCDC20_2: GGGCCGAACUCCUGGCAAA[dT][dT].
Western Blotting and Quantitative Polymerase Chain Reaction
Western [
21] and qPCR analysis [
20] were performed as described previously. Primer sequences are detailed in
Supplementary Table S1.
Microarray
RNA was isolated using Trizol® (Invitrogen) according to the manufacturer’s instructions. RNA quality was determined using Agilent bioanalyzer 2100 prior to analysis using the Illumina HT-12 v4.0 Expression BeadChip (Oxford Genomics Centre, The Wellcome Trust Centre for Human Genetics, University of Oxford).
Array processing, background correction, normalisation and quality control checks were performed using the R package ‘Lumi’. Probe intensity values were converted to VSD (variance stabilized data) using variance stabilising transformation. The robust spline normalization (RSN) was used as an array normalisation method. Outlier samples, poor quality probes (detection threshold < 0.01) and probes that were not detected were removed from downstream analysis. Differential expression analysis was then performed using the R package ‘Limma’ and p-values adjusted to control for false discovery rate (FDR) using the Benjamini-Hochberg method [
22]. Analysis was performed by the Bioinformatics Support Unit (Newcastle University).
Data can be found at GSE233350
RNA-seq analysis
Fastq files were downloaded from NCBI GEO (GSE211638, [
23]) and RNA-STAR [
24] analysis was performed to align raw reads to genome build GRCh37/hg19, QC checks were performed with FastQC. Gene counts were generated using ht-seq count [
25] and Gencode v19. Differential expression analysis was carried out using the DESeq2 [
26] package (R/Bioconductor) to compare vehicle versus 10nM DHT treated samples
Chromatin Immunoprecipitation Assays
Chromatin immunoprecipitation assays were performed in LNCaP and LNCaP-AI cells reverse transfected with either 25 nM N/S or a pool of 2 KMT5A targeting siRNAs for 72 h in steroid depleted media according to the protocol described by Schmidt et al. [
27].
For immunoprecipitations, 2 μg of H4K20Me1 (Ab9051, AbCam) or 2 μg of a non-specific isotype control (DAKO) were used. QPCR analysis of immunoprecipitated DNA was performed using primers specific to the CDC20 promoter (Fwd: 5’-CCGCTAGACTCTCGTGATAGC-3’; Rev: 5’-TGGCTCCTTCAAAATCCAAC-3’) as previously described [
28]. Data was calculated as % input and presented as the average fold difference of % input between experimental arms for at least three independent experiments.
Sulforhodamine B Growth Analysis
Growth assays were performed as previously described [
21].
Gamma H2AX assay
LNCaP-AI and LNCaP cells were reverse transfected with either N/S or KMT5A targeting siRNA and incubated for 72 hours. Cells were collected and stained for phospho-histone H2AX (Ser139) as previously described [
21].
Discussion
Alternative therapeutic targets are urgently required for the treatment of advanced prostate cancers which have relapsed current standard of care therapies. As the androgen receptor remains a driver of disease at therapy relapse, proteins which positively modulate the transcriptional activity of the androgen receptor are proposed as putative therapeutic targets. The protein methyltransferase, KMT5A, has been shown to interact with the androgen receptor [
4] and was proposed to offer therapeutic benefit to prostate cancer patients. However, the mechanisms by which KMT5A contributes to prostate cancer progression remains poorly understood.
We uncovered that KMT5A can regulate the levels of the cell cycle regulator protein CDC20 both directly at the chromatin level via modulation of histone methylation, and indirectly via methylation of the tumour suppressor protein, p53. This relationship between CDC20 and KMT5A is supported by a significant positive correlation between KMT5A and CDC20 transcripts in prostate cancer patients (
Figure 4). Whilst this relationship is independent of the androgen receptor, both proteins are described as oncogenes in prostate cancer. Critically, there are no reports describing methylation specific regulation of CDC20.
KMT5A is the only known methyltransferase to monomethylate histone H4K20. As the H4K20Me1 mark is traditionally associated with a compact chromatin landscape and gene repression [44-47], it is counterintuitive that KMT5A should function to facilitate CDC20 transcription, however KMT5A mediated H4K20Me1 is now well documented to function as a transcriptional activator for some genes [
48,
49]. Where this has been observed there is generally a transcription factor which is implicated, for example TWIST [
48]. Furthermore, H4K20Me1 is associated with actively transcribing gene bodies [
50] and more recently has been found to result in chromatin accessibility at highly transcribed genes throughout the cell cycle [
51]. A role for KMT5A in the pause and release of RNA pol II has also been revealed [
52] further supporting the complex role of KMT5A in the positive regulation of gene transcription.
The methylation dependent regulation of p53 activity by KMT5A is key to ensuring transcriptional activation [
6,
43] further highlighting the ability of KMT5A to influence gene expression programmes at multiple levels. Consistently, we observe that knockdown of KMT5A results in enhanced p53 acetylation at K382 which can only occur if this residue is not methylated. Importantly, it is the subsequent phosphorylation event at S15 which facilitates the association of p53 with DNA which is enhanced upon KMT5A knockdown. This would permit the recruitment of HDAC1 and mSin3a to the CDC20 promoter to allow chromatin remodelling to occur and thereby inhibit transcription of CDC20 [
11]. Importantly, we observed slightly different effects with each KMT5A targeting siRNA in this experiment with regards to the ability of KMT5A knockdown to stabilise p53 making interpretation of the p53 post-translational modifications more complex. However, densitometry confirms that both p53 phosphorylation and acetylation do increase with KMT5A knockdown with both siRNA sequences (
Figure 7C). Therefore, it appears that there are two complementary mechanisms working together at the CDC20 promoter modulated by KMT5A to ensure timely expression of this gene.
Both KMT5A and CDC20 are essential cell cycle regulator proteins. KMT5A, is regulated by ubiquitin mediated protein turnover specifically at G1/S transition and between metaphase and anaphase [
7] whilst CDC20 regulates the SAC to control the progression from metaphase to anaphase and ensure successful separation of sister chromatids. It is thought that the methylation of H4K20 is key to successful mitosis with the turnover of KMT5A being the major mode of H4K20 methylation regulation. Indeed, H4K20Me mediated chromosome condensation is important in this process and KMT5A knock out studies resulted in chromosome decondensation leading to cell cycle arrest at G2/M [
46]. Furthermore, H4K20Me1 is required for kinetochore assembly at centromeres by recruitment of CENP-T [
53]. Hence, it is logical to hypothesise that a lack of KMT5A, resulting in a decrease in H4K20Me1, will result in impaired kinetochore assembly and thereby invoke the SAC preventing CDC20 from facilitating the onset of anaphase. Therefore, due to the importance of tightly regulating CDC20 to ensure effective mitosis, modulation of CDC20 levels themselves by KMT5A would provide a failsafe to prevent mitotic catastrophe.
CDC20 is required for nuclear movement prior to anaphase where its activity, as part of the APC
CDC20 complex, results in destruction of cyclin B and inactivation of CDK1. Interestingly, CDK1 mediated phosphorylation of KMT5A at serine 29 has been reported to occur during metaphase resulting in the removal of KMT5A from chromatin, holding it in a stabilised state without affecting methylase activity. It is not until anaphase that dephosphorylation by cdc14a/b permits KMT5A protein turnover via APC
cdh1[
7]. Furthermore, APC
CDC20 targets the H4K20Me1 demethylase, PHF8, for ubiquitin mediated destruction [
13] further highlighting the important relationship between CDC20 and the enzymes which modulate H4K20 methylation state.
CDC20 has been found to be overexpressed in a number of cancers, including prostate cancer [
15,
54] and there are a number of studies which demonstrate the relevance of CDC20 to prostate cancer development and progression. For example, CDC20 has been identified as a hub gene, alongside CDK1, in castration resistant prostate cancer [
55], and contributes to cell migration, disease progression and a poorer prognosis in metastatic prostate cancer [
56] with another study showing CDC20, alongside PLK1 and cyclin A, playing a critical role in prostate cancer metastasis [
57]. CDC20 and PLK1 are both located at chromosomal region 9p, which is often amplified in cancer. Indeed, high expression of CDC20, PLK1 and CDK1 correlate with prostate cancer occurrence [
58] and worse biochemical recurrence survival rates [
59]. Furthermore, CDC20 is a target protein of Speckle-type POZ protein (SPOP), which functions to promote ubiquitin mediated protein turnover. SPOP is mutated in up to 15% of prostate cancers [
60] and these mutations have been shown to result in an inability of SPOP to associate with CDC20 preventing CDC20 protein turnover and consequently resistance to CDC20 inhibitors [
16]. Both SPOP mutation [
61] and CDC20 overexpression are important in docetaxel resistance with inhibition or knockdown of CDC20 able to resensitise cells to docetaxel [
62] highlighting the importance of CDC20 as a therapeutic target in prostate cancer at several disease stages. With inhibitors for both CDC20 and KMT5A being developed it would be important to determine whether they are able to synergise with each other both in drug resistant models of prostate cancer.
KMT5A has an important role in the DNA damage repair pathway whereby it is recruited to double strand breaks to deposit H4K20Me1 to facilitate Suv4-20 mediated H4K20Me2 which is required for 53BP1 binding and successful repair by NHEJ [
63,
64]. In addition, the ubiquitination of KMT5A by RNF8 increases KMT5A association with RNF168 which in turn promotes H2A ubiquitination [
65]. The ubiquitination of these and other chromatin components results in the recruitment of BRCA1/BARD1/Abraxas and RAP80 to sites of γH2AX to allow the repair process to take place. Interestingly, RAP80 is a target of CDC20 and its overexpression prevents mitotic progression irrespective of DNA damage [
9]. This again supports a connection between the functions of KMT5A and CDC20 in cellular processes. Additionally, the role for KMT5A in the suppression of important anti-tumourigenic processes such as positive regulation of the apoptotic process, response to gamma and ionising irradiation are also highlighted suggesting a utility of KMT5A inhibition in combination with other DNA damage inducing therapeutics such as radiotherapy or cytotoxic agents.
The cellular processes regulated by KMT5A identified in this study are consistent with those already described such as genome integrity, cell cycle progression, gene transcription and DNA damage repair. However, some novel processes were identified including RNA splicing and mRNA processing which require further investigation. This is particularly important in prostate cancer where aberrant RNA splicing, particularly of the androgen receptor, is associated with therapy resistance and poor prognosis [
66].
Author Contributions
Conceptualization, K.C. and C.R.; Methodology, K.C. and C.R.; Validation, K.C., Z.A., O.T. and S.N.; Formal Analysis, S.N., Z.A.; Investigation, K.C., Z.A., M.A., D.A., K.J., H.C., R.G.; Resources, K.C., C.R.; Data Curation, Z.A.; Writing – Original Draft Preparation, Z.A., M.A. and K.C.; Writing – Review & Editing, K.C., C.R., E.L., E.S.; Visualization, K.C.; Supervision, K.C., C.R.; Project Administration, K.C.; Funding Acquisition, K.C., Z.A., D.A.