Endocrine therapy is the front line therapy for the ER-positive breast cancer patients. Unfortunately, about 25% of breast cancer tumors are ER-negative and these tumors are more aggressive and resistant to hormonal therapy (
Putti et al. 2005;
Carey et al. 2007). The need for new therapeutic targets and new therapeutic strategies is urgent. LDS1 was found to be highly expressed in ER-negative breast cancers and is a predictive marker for tumor progression, suggesting that LSD1 might be a novel epigenetic target for breast cancer therapy (
Schulte et al. 2009;
Lim et al. 2010). LSD1 functions as a flavin-dependent amine oxidase that catalyzes the removal of mono- and di-methylation of lysine 4 of histone 3 (H3K4me and H3K4me2) (
Shi et al. 2004) and it is associated with suppression of transcription. Methylation of histone 3 at lysine 4 is typically linked to active gene transcription. Our previous studies demonstrated that novel classes of polyamine analogues can effectively inhibit LSD1activity and induce re-expression of epigenetically silenced tumor suppressor genes in colorectal cancer cells (
Huang et al. 2007;
Huang et al. 2009).
In the work presented here, inhibition of LSD1 using novel classes of polyamine analogues was investigated in MDA MB-231 ER-negative breast cancer cells, by both candidate and non-candidate approaches. 2d and PG11144 inhibit MDA-MB-231 cell proliferation in a dose and time dependent manner. Both 2d and PG11144 induce ERα expression alone or in combination with the DNMT inhibitor Aza and/or the HDAC inhibitor MS-275, however, we did not detect a significant up-regulation of ERα expression with these LSD1 inhibitors in our microarray analyses. This is likely due to very low background expression of ERα and lack of sensitivity of the microarray analysis.
Compared with
2d, PG11144 is more potent in growth inhibition in MDA-MB-231 cells, which is consistent with our previous observations (
Huang et al. 2003;
Huang et al. 2007;
Huang et al. 2009). It also appears that PG11144 has a more significant effect on gene expression, as evidenced by the greater number of genes whose expression is altered in response to treatment. This observation could be a result of more efficient
in situ inhibition of LSD1, greater inhibition of growth, additional off target effects due to the oligoamine’s greater chromatin binding capabilities, or some combination of these effects (
Feuerstein et al. 1991;
Basu et al. 1993;
Huang et al. 2003). Additionally, it appears that PG11144 has a somewhat greater effect on polyamine homeostasis than
2d. This decrease in polyamines is not a result of significant changes in polyamine catabolism, but is likely due to a result of down regulation of ODC by ODC antizyme as demonstrated by Mitchell and coworker (
Mitchell et al. 2002), and as we have previously observed (
Huang et al. 2004;
Huang et al. 2007). That alterations in polyamine or polyamine analogue content can affect changes in chromatin has been well established. Gilmour and colleagues (
Hobbs and Gilmour 2000;
Hobbs et al. 2002;
Hobbs et al. 2003;
Hobbs et al. 2006;
Wei et al. 2007) have demonstrated that changes in polyamines can lead to significant changes in chromatin acetylation. More importantly, the oligoamines have been shown to be potent inducers of nucleosomal array oligomerization (
Carruthers et al. 2007), thus emphasizing their potential for direct effects on chromatin in addition to inhibition of LSD1. However, additional studies are required to determine the precise basis of the differential effects of these two polyamine analogues.
Inhibition of LSD1 by
2d or PG11144 resulted in significant increases of global H3K4me1 and H3K4me2. The local H3K4 methylation proximal to the transcription start sites of multiple genes was also significantly altered in a biphasic manner typically observed for actively transcribed genes, and is likely the result of a combination of nucleosomal positioning in concert with the repressive and/or activating complexes (
Bernstein et al. 2006;
Wang et al. 2008). The analogue-induced change in chromatin marks was found to be gene and location specific. However, the general trend was that polyamine analogues enhanced both the global and local level of H3K4me and H3k4me2.
In order to have a better understanding of the local chromatin structure that surrounds the transcription start site region after inhibition of KDM1/LSD1, we measured the levels of the active histone mark H3K9ac and the heterochromatin marks H3K9me2 and H3K27me3. Inhibition of LSD1 leads to changes in the local level of these marks. In our current study, there was no evidence of wholesale inhibition of H3K9 methylation and we only observed a slight increase of H3K9me2 in the promoter of
mt1f, but not in the other three genes tested. Although
2d and PG11144 are only known to directly inhibit LSD1 (
Huang, et al. 2007;
Huang, et al. 2009), it is not surprising that local levels of H3K9ac and H3K27me3 were also changed by inhibiting LSD1. As the inhibition of LSD1 clearly leads to increased expression of specific genes, the likely result is the recruitment of transcriptional activation complexes to the induced genes that contain histone acetyltransferases and JmjC containing demethylases, thereby resulting not only in an increase in the activating H3K4 methylation, but also an increase in the activating H3K9ac mark and a decrease in the repressive H3K9 and H3K27 methyl marks. These results are similar to those observed in cells treated with the DNMT inhibitors leading to the expression of silenced genes (
Rhee et al. 2002;
McGarvey et al. 2006;
McGarvey et al. 2008).
Although the precise mechanisms responsible for changes in gene expression in response to the LSD1-inhibiting polyamine analogues are not entirely known, these analogues demonstrate considerable promise in targeting epigenetic regulation of gene expression in breast cancer. Additionally our results suggest a therapeutic strategy for the treatment of ER-negative breast cancer either by using these analogs alone, or in combination with HDAC and/or DNMT inhibitors, that merits further investigation.