Epigenetic modulation of BARD1 to enhance anti-VEGF therapy
Creators
- Bayraktar, Emine
- Rodriguez-Aguayo, Cristian1
- Stur, Elaine2
- Kumar, Sudhir3
- Mangala, Lingegowda S.
- Jennings, Nicholas B.2
- Bayram, Nazende Nur2
- Corvigno, Sara2
- Asare, Amma2
- Ivan, Cristina
- Kim, Mark S.2
- Vu, Thanh Chung2
- Hanjra, Pahul
- Kim, Sangbae4
- Ahumada, Adrian Lankenau2
- Wu, Weichem2
- Lee, Sanghoon2
- Szymanowska, Anna1
- Oztatlici, Hulya
- Estecio, Marcos R.5
- 1. Univ Texas MD Anderson Canc Ctr, Dept Expt Therapeut, Houston, TX 77030 USA
- 2. Univ Texas MD Anderson Canc Ctr, Dept Gynecol Oncol & Reprod Med, Houston, TX 77030 USA
- 3. Med Coll Wisconsin, Dept Obstet & Gynecol, Milwaukee, WI 53226 USA
- 4. Baylor Coll Med, Human Genome Sequencing Ctr, Dept Mol & Human Genet, Houston, TX 77030 USA
- 5. Univ Texas MD Anderson Canc Ctr, Ctr Canc Epigenet, Dept Epigenet & Mol Carcinogenesis, Houston, TX 77030 USA
Description
Despite the clinical use of anti-vascular endothelial growth factor (VEGF) antibodies (AVAs) in cancer therapy, resistance frequently develops, leading to disease progression. To address this, we identify a previously unknown role for breast cancer type 1 susceptibility protein (BRCA1)-associated RING domain 1 (BARD1) in modulating AVA sensitivity. Epigenetic modulation-via global and targeted DNA methylation-reveals BARD1 as a key regulator of angiogenesis. Sequential treatment with azacytidine overcomes AVA resistance in vivo. To enable precise epigenetic reactivation, we develop a liposomal CRISPR-deactivated Cas9 (dCas9)-TET1 system guided by BARD1-targeting single-guide RNAs (sgRNAs). This platform achieves CpG-specific demethylation of the BARD1 promoter, restores expression, and enhances AVA response. Additionally, BARD1 restoration, through either dCas9-TET1 or small interfering RNA (siRNA), significantly reduces tumor growth in combination with AVA in ovarian cancer models. These findings uncover a previously unrecognized function of BARD1 in tumor angiogenesis and demonstrate the potential of gene-specific epigenetic targeting to overcome AVA resistance.
Files
bib-cf6ea249-3365-44bb-b087-15cc7ad2fc62.txt
Files
(352 Bytes)
| Name | Size | Download all |
|---|---|---|
|
md5:260c20b2b29d0aed1528d7d501be5c24
|
352 Bytes | Preview Download |