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Abstract
Application of differentiation therapy targeting cellular plasticity for the treatment of solid malignancies has been lagging. Nasopharyngeal carcinoma (NPC) is a distinctive cancer with poor differentiation and high prevalence of Epstein-Barr virus (EBV) infection. Here, we show that the expression of EBV latent protein LMP1 induces dedifferentiated and stem-like status with high plasticity through the transcriptional inhibition of CEBPA. Mechanistically, LMP1 upregulates STAT5A and recruits HDAC1/2 to the CEBPA locus to reduce its histone acetylation. HDAC inhibition restored CEBPA expression, reversing cellular dedifferentiation and stem-like status in mouse xenograft models. These findings provide a novel mechanistic epigenetic-based insight into virus-induced cellular plasticity and propose a promising concept of differentiation therapy in solid tumor by using HDAC inhibitors to target cellular plasticity.
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1 Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine; Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, China (GRID:grid.488530.2) (ISNI:0000 0004 1803 6191); Dalian Medical University, Institute of Cancer Stem Cell, Cancer Center, Dalian, China (GRID:grid.411971.b) (ISNI:0000 0000 9558 1426); The Affiliated Second Hospital of Dalian Medical University, Department of Hematology; Liaoning Key Laboratory of Hematopoietic Stem Cell Transplantation and Translational Medicine; Liaoning Medical Center for Hematopoietic Stem Cell Transplantation; Dalian Key Laboratory of Hematology; Diamond Bay Institute of Hematology, Dalian, China (GRID:grid.452828.1)
2 Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine; Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, China (GRID:grid.488530.2) (ISNI:0000 0004 1803 6191)
3 Dalian Medical University, Institute of Cancer Stem Cell, Cancer Center, Dalian, China (GRID:grid.411971.b) (ISNI:0000 0000 9558 1426)
4 The Sixth Affiliated Hospital of Sun Yat-sen University, Department of Radiation Oncology, Guangzhou, China (GRID:grid.488525.6)
5 The Affiliated Second Hospital of Dalian Medical University, Department of Hematology; Liaoning Key Laboratory of Hematopoietic Stem Cell Transplantation and Translational Medicine; Liaoning Medical Center for Hematopoietic Stem Cell Transplantation; Dalian Key Laboratory of Hematology; Diamond Bay Institute of Hematology, Dalian, China (GRID:grid.452828.1)
6 Sun Yat-sen University Cancer Center; State Key Laboratory of Oncology in South China; Collaborative Innovation Center for Cancer Medicine; Guangdong Key Laboratory of Nasopharyngeal Carcinoma Diagnosis and Therapy, Guangzhou, China (GRID:grid.488530.2) (ISNI:0000 0004 1803 6191); Dalian Medical University, Institute of Cancer Stem Cell, Cancer Center, Dalian, China (GRID:grid.411971.b) (ISNI:0000 0000 9558 1426); The Third Affiliated Hospital of Sun Yat-sen University, Sun Yat-sen Institute of Hematology, Guangzhou, China (GRID:grid.412558.f) (ISNI:0000 0004 1762 1794)