Abstract
The polycomb repressive complexes 2 (PRC2) complex catalyzes tri-methylation of histone H3 lysine 27 (H3K27), a repressive chromatin marker associated with gene silencing. Overexpression and mutations of PRC2 are found in a wide variety of cancers, making the catalytic activity of PRC2 an important target of cancer therapy. This review highlights recent structural breakthroughs of the human PRC2 complex bound to the H3K27 peptide and a small molecule inhibitor, which provide critically needed insight into PRC2-targeted drug discovery.
Keywords: PRC2, histone methyltransferase, H3K27me3, nucleosome, structure, drug discovery
Introduction
Epigenetic regulation, including DNA methylation and demethylation, histone modification, chromatin remodeling, incorporation of histone variants and chromatin modulation by non-coding RNAs, plays a key role in modulating the chromatin state and gene expression without altering the DNA sequence1,2,3,4,5. Polycomb group proteins (PcGs) are important epigenetic regulators that form chromatin-modifying complexes, whose composition may be cell-context-dependent. In mammals, two major PcG complexes, namely Polycomb repressive complexes 1 (PRC1) and 2 (PRC2), have been identified1,6,7.
PRC1 catalyzes the monoubiquitylation of histone H2A Lys 1191,8. Once thought of as a unique complex, it is now clear that human PRC1 exists as a modular subset of complexes with distinct functions and gene targets8. All PRC1 complexes contain a common core — the RING-type E3 ubiquitin ligase composed of Ring1B (also known as RNF2) or Ring1A, and Bmi1 (also known as PCGF4) or one of six Polycomb group RING finger (PCGF) subunits, as well as additional subunits that define canonical PRC1 (CBX and PHC subunits) and noncanonical PRC1 (RYBP/YAP2)8,9. The subunit composition affects both PRC1 recruitment to target genes and the catalytic activity of the complex8,9. PRC2 catalyzes the methylation of histone H3 lysine 27 (H3K27) through its EZH2 subunit, a modification thought to mediate transcriptional silencing through chromatin compaction1,10. Monoubiquitylation of histone H2A Lys 119 (H2AK119ub) by PRC1 recruits PRC21, while the PRC1 component Pc (known as CBX in mammals) binds specifically to the product of PRC2 catalysis, H3K27me3. This results in a binding feed-forward loop and the spread of both the H2AK119ub and H3K27me3 repressive marks1. Together, PRC1 and PRC2 silence critical target genes involved in fundamental cellular processes such as cell fate decision, cell differentiation, cell cycle regulation, senescence and cancer1,6,7,11,12.
Dysregulation of PRC2 is involved in a wide variety of cancers, making the catalytic activity of PRC2 an important target of cancer therapy. Here, we review recent structural breakthroughs of the human PRC2 complex bound to the H3K27 peptide and a small molecule inhibitor, which could serve as a rational basis for drug discovery that targets PRC2.
Polycomb repressive complex 2: subunit composition
Human PRC2 consists of four core subunits (Enhancer of zeste homolog 2 [EZH2], embryonic ectoderm development [EED], suppressor of zeste 12 [SUZ12], and retinoblastoma suppressor associated protein 46/48 [RbAp46/48]) and several auxiliary subunits including AE (adipocyte enhancer)-binding protein 2 [AEBP2], Jumonji/AT-rich interactive domain 2 [JARID2] and polycomb-like [PCL] proteins 1, 2, and 3]1. EZH2 is the enzymatic subunit of PRC2. The 751-amino-acid EZH2 protein harbors six domains: a WD-40 binding domain (WDB), domains I–II, two SWI3-ADA2-N-CoR-TFIIIB [SANT] domains, a cysteine-rich CXC domain and the evolutionarily conserved carboxy-terminal Su(var) 3–9-enhancer of zeste-trithorax (SET) methyltransferase domain. However, EZH2 lacks histone methyltransferase (HMTase) activity on its own and requires at least two other PRC2 core subunits, EED and SUZ12, for catalytic activity1,13,14.
EED both recruits PRC2 to H3K27me3 and stimulates EZH2 H3K27me3 HMTase activity. Four EED isoforms are found in mammals, and these isoforms are thought to form through alternative use of four in-frame translation start sites in the EED mRNA15. All isoforms appear to be capable of facilitating PRC2-dependent histone methylation both in vivo and in vitro15. EED folds into a typical WD-repeat/β-propeller structure. The WD40 motif is composed of an approximately 40-amino-acid fold that forms four-stranded antiparallel β-sheets, with seven copies of the WD-repeat motif forming the seven-bladed β-propeller structure of EED16. A 30-residue peptide of EZH2 (aa39-68) is both necessary and sufficient for its interaction with EED16. The EED-EZH2(39–68) structure revealed binding of the EZH2 peptide to the bottom of the WD-repeat domain of EED16. This interaction is required for the HMTase activity of PRC216. The carboxy-terminal domain of EED specifically binds the N-terminal tail of H3K36me3, which is required for allosteric activation of the HMTase activity of PRC213.
SUZ12 is essential for the integrity of the PRC2 complexes, the stability of EZH2, and hence the HMTase activity of the complex14,17. It contains a C-terminal Vrn2-Emf2-Fis2-SUZ12 [VEFS] domain, a C2H2 zinc finger and an extended N-terminal region with sequence blocks that are conserved from plants to humans18. The C-terminal VEFS domain mediates stable binding to EZH2, which promotes PRC2 assembly14,19. Beyond simply providing EZH2 contact, the VEFS domain plays an allosteric role in stimulating PRC2 HMTase activity19. Furthermore, recent findings implicate the SUZ12(VEFS) domain in allosteric inhibition of EZH2 HMTase activity by H3K4me3, a modification that marks transcriptionally active promoters, to inhibit the spread of silenced chromatin into active gene regions20. Thus, the VEFS domain provides a key surface for EZH2 interaction to activate the PRC2 catalytic site and also mediates regulatory inputs that control enzyme output.
The region spanning residues 79–91 of SUZ12 provides a binding surface for the RbAp46/48 subunit18,20. Besides its contributions to the core PRC2, there is also evidence that SUZ12 mediates interactions with the PRC2 cofactor JARID218,21. Moreover, SUZ12 is the PRC2 subunit with the strongest affinity for a set of noncoding RNAs (ncRNAs) from the 5′ ends of repressed target genes18,22.
RbAp46 and RbAp48 (pRB-associated proteins p46 and p48, also known as RBBP7 and RBBP4, respectively) are highly homologous histone chaperones that play key roles in establishing and maintaining chromatin structure23,24,25. Although RbAp46/48 proteins are not required for the HMTase activity of EZH2 and do not appear to stimulate it, they have important PRC2-related function26. RbAp48 binds to histone H3–H4 heterodimers to recruit the PRC2 complex to nucleosomes24,26. While both RbAp46 and RbAp48 are PRC2 components, it remains unknown whether they have distinct functions in the context of PRC2.
AEBP2 is a zinc-finger protein that was identified as an auxiliary component of the PRC2 complex1,27. It interacts with EZH2 and SUZ12 to enhance EZH2 enzymatic activity1,28 and co-localizes with PRC2 at a number of target genes1,27.
JARID2 is a transcriptional repressor29 and a member of the Jumonji C (JmjC) and ARID domain protein family of histone demethylases, yet it lacks the key residues necessary for cofactor binding and is devoid of enzymatic activity1,21,30. The C-terminal half of JARID2 contains the conserved JmjC and JmjN domains, the ARID domain (a potential DNA-binding domain), and a zinc finger, while the N-terminal half contains an allosteric effect domain, a PRC2-binding region and a nucleosome-binding domain21,30,31,32. How JARID2 influences PRC2, in mechanistic terms, is less well defined. Methylated JARID2 mimics methylated H3K27me3 to recruit and activate PRC2, and knockdown/loss-of-function experiments revealed a partial mutual dependence on JARID2 and core PRC2 subunits for target binding21,30,31,32,33,34,35,36,37,38,39,40. JARID2 can bind to long noncoding RNAs (lncRNAs), whose presence stimulates JARID2-EZH2 interactions in vitro and JARID2-mediated recruitment of PRC2 to chromatin in vivo33. JARID2 can also modulate PRC2 histone methyltransferase activity in vitro; however, whether this influence is stimulatory or inhibitory is controversial21,30,31,32,33,37.
PCL proteins were first identified as crucial factors in maintaining normal body segmentation during differentiation in Drosophila41. Human PCL proteins include PHF1 (hPCL1), MTF2 (hPCL2) and PHF19 (hPCL3). They all contain a Tudor domain and two plant homeodomain (PHD) finger domains, which are conserved across species42,43,44. PCLs participate in PRC2 recruitment to their genomic targets for high-level H3K27 trimethylation and Hox gene silencing by an unidentified mechanism. PHF1, but not MTF2, can physically interact with EZH2 via its PHD domain and specifically stimulates EZH2 H3K27me3 activity over H3K27me2 activity45,46, suggesting that PHF1 not only functions in site-specific PRC2 recruitment but also enhances PRC2's epigenetic repression activity. In addition to its functions in PcGs, PHF1 also plays an important role in double-strand break (DSB) signaling and promoting non-homologous end-joining repair through interaction with Ku70/Ku8047, thus playing a critical role in genome maintenance processes. Another feature worthy of attention is the ability of PHF1 to bind and protect p53 from MDM2-mediated ubiquitination and degradation48, implicating PHF1 in regulating cell growth arrest and apoptosis. MTF2/PCL2 function has been mainly analyzed in ES cells, where it is a component of biochemically distinct PRC2 complexes that it recruits to HOX genes and other target loci to regulate transcriptional networks during axial development49,50. Paradoxically, MTF2 is also involved in activating the CDKN2A gene and promotes cellular senescence49, suggesting that MTF2 might locally suppress the catalytic activity of PRC2. PHF19, the third PCL homologue identified, can form two PHF19 isoforms by alternative splicing, a long form with Tudor and both PHD domains, and a shorter isoform that lacks the C-terminal PHD2. PHF19 binds EZH2 through the Tudor and PHD2 domains51. PHF19 specifically forms a complex with PRC2 lacking JARID2 in an inter-dependent way52,53,54, indicating that it is a potential PRC2-recruting factor. Both PHF19 and PHF1 are able to bind H3K36me3, a well-known marker of active chromatin, through their Tudor domains 53,54,55. Stunningly, recognition of H3K36me3 is necessary for H3K27me3 deposition and PRC2-colocalization with PHF19 and the specific H3K36 demethylases NO66 and KDM2B53,54, suggesting that PHF19 targets PRC2 to repress active gene loci. Although much progress has been achieved in unraveling PCL protein functions in PRC2-mediated repression, further research is required to understand when and how PHF1 or PHF19 recognize the H3K36me3 marker and interact with PRC2 to activate its catalytic activity.
Sequences enriched in CpG islands may play a widespread role in recruiting PRC2 complexes in mammals1,6,7. PRC2 is recruited indirectly to CpG islands via PRC1, whose accessory subunit KDM2B specifically recognizes un-methylated CpG islands to recruit PRC1; PRC2 is then recruited through ubiquitylation of histone H2A lysine 119 by RING1B, which is part of the same variant complex that also contains KDM2B56.
Several recent reports suggest that lncRNAs play an important role in gene silencing and PRC2 recruitment to selective loci22,33,38,57,58,59,60,61,62,63,64,65,66,67. For instance, PRC2 and H3K27me3 accumulate on the inactive X chromosome during X inactivation. Subsequently, it was shown that the key regulator of X inactivation, the lncRNA Xist, can interact with PRC2 through the PRC2-cofactor JARID234,60. HOTAIR is a lncRNA that recruits PRC2 to the HOXD locus10168, whereas the lncRNA Kcnqot1 is involved in imprinting the Kcnq1 cluster in a process that requires PRC269. Moreover, RNA immunoprecipitation techniques have identified several thousand RNAs associated with PRC270, but their functional significance remains unclear1,6,7.
More recently, it has been shown that the pre-mRNA splicing regulator RBFox directly interacts with PRC2, and RBFox2 inactivation eradicates PRC2 targeting at the majority of bivalent gene promoters leading to transcriptional de-repression71.
PRC2: biological function
A central function of PRC2 is to methylate histone H3 on K27. While PRC2 can perform each of the three successive methyl transfers that ultimately yield H3K27me37, the tri-methylated product (H3K27me3) is widely viewed as the oppressive chromatin mark that accompanies PcG-mediated silencing7. While H3K27me2 is broadly distributed, H3K27me3 is more specifically localized at a number of silent genes, including key cell fate regulators72. Genome-wide mapping studies confirmed that PRC1 and PRC2 co-localize with H3K27me3 at the promoters of 10%–15% of all genes73,74. These genes include HOX and other developmental and cell fate determination genes, including BMP, WNT, NANOG and SOX73,74. More recently, PRC2 has been reported to support neuron specification during differentiation through silencing genes responsible for neurodegeneration75, suggesting an important role for PRC2 in protecting neurons against degeneration.
Based on biochemical and structural data, a PRC2 gene-silencing model was proposed in which PRC2 can either act independently or synergistically in response to different chromatin environments: when chromatin domains are targeted for repression, PRC2 is recruited to deposit the repressive H3K27me3 histone mark at nucleosome-associated regions of DNA. Existing H3K27me3 marks are recognized by EED and the stimulation-responsive motif (SRM) of EZH2, which, in cooperation with the SET activation loop (SAL) of EZH2, stabilize the catalytic SET domain of EZH2 to stimulate its methyltransferase activity. However, PRC2 enzymatic activity is inhibited by the active histone marks H3K4me3, H3K36me2, and H3K36me3, which in contrast to the unmodified H3 N-terminus are not bound by the VEFS domain of SUZ1213,20,28, to ensure that H3K27 trimethylation is limited only to repressed targets and does not spread into active regions.
PRC2 and diseases
Since 2010, multiple cancer genome-wide studies have revealed that the function of the PRC2 complex and H3K27methylation are widely associated with tumorigenesis4,5,12,76,77. Several lines of evidence suggest that EZH2 deregulation is an important driver of cancer development and progression and that inactivation of EZH2 may be therapeutically effective in many cancers4,5,11,12,73,76,77,78,79,80,81,82,83,84,85,86,87,88,89. EZH2 is highly expressed in a wide range of cancer types, including lung, breast, colon, prostate, bladder and pancreatic cancer, as well as sarcomas and lymphomas4,5,11,12,76,77,80,82,83,85,86,87,88. Correspondingly, overexpression of EZH2 often correlates with advanced stages of human cancer progression and poor prognosis4,12,76. Furthermore, somatic mutations and deletions of EZH2 are found in 22% of germinal-center diffuse large B-cell lymphomas, 7% of follicular lymphomas, and 12%–23% of patients with myelodysplastic and myeloproliferative disorders4,12,76. Similarly, mutations in some epigenetic regulators that are functionally related to EZH2 are also associated with oncogenesis4,12,76. For example, inactivating mutations of the H3K27 demethylase ubiquitously transcribed tetratricopeptide repeat gene on X chromosome (UTX) recurrently occur in a wide range of malignancies, which may be functionally equivalent to up-regulation of EZH2 methyltransferase activity88.
PRC2 has also been implicated in various immune functions. For instance, Gunawan et al found that EZH2 is involved in regulating lymphocyte activation through modulation of integrin signaling and adhesion dynamics of neutrophils and dendritic cells90. Bantug and Hess reported that glycolysis and EZH2 synergistically stimulate T cell responses against tumors91, and Zhao et al showed that EZH2 activation stimulates expression of T cell polyfunctional cytokines and promotes T cell survival, resulting in enhanced patient survival92.
PRC2 structure
Recently, three PRC2 structures were determined: PRC2 of the thermophilic fungus Chaetomium thermophilum (ctPRC2) in a stimulated and basal state93, human PRC2 in a stimulated state94 and a human/chameleon (Anolis carolinensis) hybrid PRC2 [Hs/AcPRC2] in complex with a pyridine-based PRC2 inhibitor95. Although human and fungal PRC2 have low sequence conservation, they share a similar overall structure. The complex crystal structures of all three groups contain EZH2, EED and the VEFS domain of SUZ12. They show that the PRC2 complex has at least two states: a basal state, as shown for PRC2 in the absence of a stimulatory peptide, and a stimulated state in which the same complex contains either the stimulatory H3K27me3 peptide or a stimulatory JARID2-K116me3 peptide93,94. These complexes were further stabilized by binding of SAH cofactor and a substrate-trapping H3K27M peptide in the catalytic cleft. H3K27M is an oncogenic mutant histone that binds the EZH2 subunit and inhibits active PRC2 by blocking its methyltransferase activity94.
Overall, EZH2, EED, and the VEFS domain of SUZ12 (SUZ12(VEFS)) associate intimately to form a compact structure, which is roughly divided into a regulatory module and a catalytic module. The regulatory module is composed of the seven-bladed β-propeller fold of EED surrounded by a “belt” of the six N-terminal EZH2 domains consisting of the SANT1 domain (in fungal PRC2 SANT1-like domain), the SANT1-binding domain (SBD), the EED-binding domain (EBD), the β-addition motif (BAM), the SET activation loop (SAL) and the stimulation-responsive motif (SRM). The catalytic module is composed of SUZ12(VEFS) and the four C-terminal domains of EZH2, consisting of the motif connecting SANT1 and SANT2 (MCSS), SANT2 (in fungal PRC2 SANT2-like domain), the cysteine-rich domain (CXC), and the Su(var)3-9, enhancer of zeste, trithorax domain (SET). The SET domain is positioned above EED and SUZ12(VEFS) and adjacent to the SRM93,94.
Within the EZH2 N-terminal fragment, the N-terminal SBD forms a long helix that packs against the C-terminal SANT1 domain to complete an interdomain four-helix bundle. Thus, the first and last of the domains from the EZH2 N-terminal fragment interact to close the ring that EZH2 forms around the EED subunit94. The EBD and BAM domains pack against the bottom and side of the EED. SAL and SRM together link the catalytic SET domain to the H3K27me3-sensing EED to communicate H3K27me3 binding to the catalytic center of the SET domain to stimulate its HMTase activity94. The MCSS and SANT2 domains provide most of the contacts between EZH2 and the SUZ12(VEFS) domain. SANT2 has a significant proportion of basic residues and a zinc-coordinating site, suggestive of a role in nucleic acid recognition. The HMTase activity of the SET domains requires two adjacent cysteine-rich regions, the pre-SET (CXC) and post-SET domains. The pre-SET domain is characterized by two zinc-binding motifs. In the first motif, three Zn2+ ions are coordinated by eight cysteines and one histidine (Zn3Cys8His1), and in the second motif, another three Zn2+ ions are coordinated by nine cysteines (Zn3Cys9). The motif interacts with SET, SUZ12(VEFS) and the MCSS domain of the catalytic module. The largely disordered post-SET following the SET domain completes, with the SET domain, the lysine access channel and the active site94. The SET-I region of EZH2 in the human PRC2 complex adopts an anti-clockwise rigid-body rotation relative to its position in isolated structures. Residues 112 to 121 of the SAL pack against the SET-I region to stabilize its conformation in the active complex, and the conserved acidic residues 584–588 of SUZ12 in turn also pack against residues 112–121 of the SAL94. This SUZ12 region was previously reported to mediate binding to histone H3 (31 to 42), resulting in stimulation of PRC2 activity94.
The EED structure is essentially identical to previously determined crystal structures. Its H3K27me3 recognition site is at the center of the beta-propeller and interacts with the SET domain via SAL and SRM94.
The N-terminal 29 residues (561–589) of the SUZ12(VEFS) form a random coil that is sandwiched between the EED and EZH2 SET domain, serving as the glue that holds them together95. Residues 590–685 of SUZ12(VEFS) form a helical bundle with exclusive interactions with different parts of EZH295. The first four helices interact intimately with the EZH2 MSCC subdomain, and the C-terminal two helices provide an interaction surface for the two N-terminal helices of the EZH2 SANT2 subdomain94,95 (Figure 2).
Asp652, Gln648, Leu666, Asn668 and Tyr726 of human EZH2 interact with the H3 (22–31) K27M peptide (Figure 3A), while Ala622, Trp624, Ser664, Asn688, His689 and Asp725 form hydrogen bonds with the co-factor SAH (Figure 3C). Therefore, the C-terminal loop is necessary for both SAH and H3K27 peptide binding. The methionine 27 side chain in the H3K27M cancer mutant protein occupies the “lysine” access channel in the active site. Importantly, the interaction with methionine is much stronger than with the wild-type lysine residue and, in the context of full-length PRC2 and H3K27M-containing nucleosomes, is thought to inhibit PRC2 activity by almost irreversible binding of the complex to H3K27M94. In the stimulated state of PRC2, Asp362, Arg414 of human EED and Asp140 of human EZH2 respond to the binding of the JARID2K116me3 peptide (Figure 3B), while Glu337, Gln326, Glu39, Arg526, Phe327, Val325 and His326 of fungal EED and Asp329 of fungal EZH2 are involved in H3K27me3 peptide binding (Figure 3D).
More recently, Zhang et al point out that a flexible peptide from ctSUZ12 (aa533–538, LPGRGV) instead of oncogenic H3K27M peptide binds to the active pocket of the ctEZH2 SET catalytic domain in the ctPRC2 structure, leading to misidentification of H3K27M-EZH2 SET interaction96. Jiao et al replaced the corresponding peptide with an H3K27M peptide sequence in the context of the same EZH2-SUZ12(VEFS) fusion protein and solved the structure of the sequence-modified ctPRC2 in complex with SAM. The renewed structure shows that a methionine but not an arginine residue in the replaced H3K27M sequence from a neighboring asymmetric unit inserts into the active pocket of the ctEZH2 SET domain, which suggests that H3K27M inhibits ctPRC2 catalysis via the same structural mechanism as for human PRC297.
Although fungal (C thermophilum) PRC2 has a similar overall structure as human PRC2, they have significant differences: first, the fungal EED has three helixes (α1, α2 and α3) and two β-sheets (β27 and β28) from Ile342 to Tyr501 that have unknown function and are not found in human EED. Second, the SBD, SANT1L, SANT2L, CXC and SET domains of fungal EZH2 have different orientations compared to the corresponding domains in human EZH2. As shown biochemically, these structural differences do not affect PRC2 HMTase activity, but they may impact other functions of PRC2 such as RNA binding (Figure 2C).
The flexible SRM of EZH2 is absent in the electron density map of the PRC2 ternary complex in the basal state, suggesting that it is highly flexible in the absence of the stimulating H3K27me3 peptide93. Comparison between the basal and stimulated states of fungal PRC2 visualizes a dramatic disorder-to-order conformational transition of the SRM upon binding of the H3K27me3 peptide and suggests an allosteric activation model for EZH2 HMTase activity93,94. According to this model, binding of H3K27me3 or JARID2K116me3 peptide induces an interaction with the SRM, through which the SRM becomes structured and binds the catalytic SET-I domain of EZH2. This coupled interaction is associated with a rotation of SET-I and an opening of the substrate-binding cleft, which results in stimulation of PRC2 activity (Figure 4).
The structure of the chimeric human-ac PRC2 in complex with inhibitor is similar to that of fungal PRC2 in the basal state but has several differences relative to active PRC2. The SRM in the absence of the stabilizing H3K27me3 or JARID2K116me3 peptides is not resolved, and inhibitor 1 competitively binds to the co-factor SAH binding site in the pocket of the SET domain, leading to inactivation of EZH2. In addition, the orientations of the SBD and SANT1 subdomains of PRC2 in the inhibitor-bound state differ from active PRC2, although it is not known whether these changes affect PRC2 function (Figure 5).
Drug discovery targeting PRC2
Given the evidence for oncogenic activity of EZH2 mutations and overexpression, the protein has become an attractive drug target for cancer therapy. Because EZH2 only possesses methytransferase activity when incorporated into PRC2, PRC2 is always used for inhibitor screening. In recent years, a series of potent inhibitors of PRC2 have been developed. Our group summarized those reported inhibitors in 201498. Since then, several new inhibitors have been developed (Table 1). Current inhibitors can be classified into three groups.
Table 1. Chemical structures and biochemical data for PRC2 inhibitors.
Compound | Structure | Mechanism and potency | Selectivity | Indication | Clinical status | Ref |
---|---|---|---|---|---|---|
DZNep | SAH hydrolase inhibitor | Non-selective | Various cancers | Preclinical | 99 | |
SAH | Product of the reactions catalyzed by PMTs, IC50 is 0.1 to 20 μmol/L | Non-selective | Preclinical | 99,110 | ||
Sinefungin | Natural product analogue of SAM and SAH, IC50 is 0.1 to 20 μmol/L | Non-selective | Preclinical | 100 | ||
GSK126 | SAM-competitive inhibitor of PRC2, Ki=0.5–3 nmol/L | >1000-fold over 20 other HMTs; ∼150-fold over EZH1 | NHL or potentially other solid tumors | Clinical Phase I | 77 | |
EPZ005687 | SAM-competitive inhibitor of PRC2, Ki=24 nmol/L | >500-fold over 15 other HMTs; ∼50-fold over EZH1 | Preclinical | 111 | ||
EI1 | SAM-competitive inhibitor of PRC2, IC50=15 nmol/L, Ki=13 nmol/L | >10 000-fold over other HMTs; ∼90-fold over EZH1 | NHL or potentially other solid tumors | Preclinical | 112 | |
UNC1999 | IC50<10 nmol/L | Non-selective for EZH1, ∼10-fold | DLBCL | Preclinical | 101 | |
GSK343 | IC50=4 nmol/L | EZH2 selective, >1000 fold selectivity against other histone methyltransferases | Breast cancer and prostate cancer | 113 | ||
EPZ6438 (EPZ7438, Tazemetostat) | Ki=2.5 nmol/L | EZH2 selective, ∼35-fold versus EZh1>4 500-fold relative to other HMTs tested | Advanced solid tumors or B-cell lymphoma | Clinical Phase II | 102 | |
CPI360 | IC50=0.5 nmol/L for wtEZH2 IC50=2.5 nmol/L for Y641N EZH2 | EZH2 selective | NHL | Preclinical | 114 | |
GSK503 | IC50=8 nmol/L | EZH2 selective | DLBCL | Preclinical | 115 | |
DCE_42 | IC50=22.6 μmol/L | Not determined | DLBCL | Preclinical | 103 | |
DCE_254 | IC50=10.3 μmol/L | Not determined | DLBCL | Preclinical | 103 | |
JQEZ5 | IC50=11 nmol/L | EZH2 selective | B-cell lymphoma | Preclinical | 78 | |
SAH-EZH2 | FSSNRXKILXRTQILNQEWKQRRIQPV | Disrupt EZH2–EED interaction Kd=320 nmol/L for EED | EZH2 selective | B-cell lymphoma | Preclinical | 104 |
NHL, Non-Hodgkin lymphoma; DLBCL, Diffuse large B-cell lymphoma.
Non-EZH2-targeted inhibitors: DZNep, a cyclopentanyl analog of 3-deazaadenosine, potently interferes with S-adenosyl-l-homocysteine (SAH) hydrolase, resulting in an increase in cellular SAH levels. SAH is the methyltransfer product of SAM and a potent product inhibitor of methyltransferases99. DZNep is therefore not selective for EZH2 but rather also decreases deposition of other histone methylation marks. Treatment with DZNep induces significant antitumor activity in various cancer types99. SAH can also be isolated from Streptomyces spp cultures as a natural inhibitor. Sinefungin is a PRC2-inhibiting natural SAM and SAH analog100.
Direct small molecule inhibitors: GSK126, EPZ6438 and UNC1999 are SAM-competitive PRC2 inhibitors that share similar SAM-like scaffolds and have high potency and selectivity77,101,102. According to a recent study, two novel EZH2 inhibitors, DEC_42 and DEC_254, have been discovered using a combined in silico screening and experimental study103. This class of inhibitors exhibits a new molecular structure that is different from other EZH2 inhibitors. However, the activities of these two compounds are very low (IC50 values of 22.6 μmol/L and 10.3 μmol/L, respectively)103 and require further optimization. JQEZ5 is the most efficacious compound in vitro and exhibits low toxicity and favorable pharmacokinetic properties in vivo, comparable to those of EZH2 inhibitors currently in clinical trials. JQEZ5 demonstrated marked in vivo antitumor activity in a faithful model of EZH2-mutant cancer78.
Peptide inhibitors: Kim et al designed a stabilized α-helix of EZH2 (SAH-EZH2) peptide based on the EED-EZH2 complex structure. This peptide selectively inhibits H3 Lys27 tri-methylation in a dose-dependent response by disrupting the EZH2–EED complex and reducing EZH2 protein levels104.
The combination of different drugs or methods in cancer therapy can enhance the curative effect and reduce resistance to, and toxicity of, drugs; this strategy has therefore been widely used in cancer therapy. Recently, several groups reported that PRC2/EZH2 inhibition shows strong synergism with other drugs in cancer treatments. Fillmore et al reported that EZH2 inhibition by DZNep or GSK126 sensitizes BRG1 and EGFR mutant lung tumors to topoisomerase II inhibitors105. Bitlers et al reported that EZH2 inhibition by GSK126 acts in a synthetic lethal manner in ARID1A-mutated ovarian cancer cells and that ARID1A mutational status correlates with response to the EZH2 inhibitor81. Souroullaso et al. reported an exquisite specific cooperation between activating genetic events of EZH2 and BRAF, which predicts synergistic activity for a combined therapy with RAF inhibitors and EZH2 inhibitors for B cell lymphomas and melanomas that harbor the oncogenic EZH2 Y641F mutation78. Pharmacological inhibition of EZH2 in combination with other drugs therefore provides a promising novel anti-cancer treatment strategy.
PRC2-inhibitor interaction
The recently solved structures of PRC2 with the pyridone-based inhibitor 1 or H3K27M substrate peptide provide mechanistic insights into PRC2-inhibitor versus PRC2-substrate binding. EPZ6438, GSK126 and UNC1999 are other pyridonyl-containing SAM-competitive inhibitors that have high affinity and selectivity for EZH2 over a range of unrelated HMTases (Kd from 0.1–10 nmol/L). We docked these compounds into the PRC2/Compound 1 structure (5IJ7) to investigate the PRC2-inhibitor binding model.
The pyridonyl group of inhibitor 1 occupies the same position as the homocysteine moiety of SAM and forms two hydrogen bonds with W624 of SUZ12(VEFS). In contrast, the bulk of the inhibitor occupies a unique pocket in which the carbonyl group of its 1-oxo-isoquinoline forms one hydrogen bond with Y111 and the chlorinated aromatic ring exhibits π-π stacking with Y111, Y661 and F665 of the activation loop. In addition, residues Y111, Y661, Y685, C663 and F665 form a hydrophobic channel for compound binding (Figure 6A). PRC2 with EZH2 mutations at Y661 or Y111 is resistant to pyridone inhibitors, consistent with the importance of these two residues for inhibitor binding.
In our docking models, the pyridonyl group of EPZ6438 also forms two hydrogen bonds with W624, while its amide group forms one hydrogen bond with Y111 and the phenyl group undergoes π-π stacking with Y111, Y661 and F665 (Figure 6B). Similarly, docking suggests that the pyridonyl group of GSK126 forms two hydrogen bonds with W624, the amide group one hydrogen bond with Y111 and the indole moiety forms π–π stacking with Y111, Y661 and F665. In addition, the nitrogen of the piperazine moiety may form a hydrogen bond with Y661 (Figure 6C). For UNC1999, in addition to the two hydrogen bonds of the pyridonyl group with W624, the amide group is predicted to form one hydrogen bond with Y111 and the indole moiety to π-π stack with Y111, Y661 and F665 (Figure 6D).
Future studies
Although the structure of the EZH2-EED-SUZ12(VEFS) heterotrimer has been determined, a number of key features of PRC2 function, regulation and structure remain to be understood, some of which we have discussed in this review. The understanding of PRC2-specific recruitment to chromatin is far from complete. Recruitment to different chromatin regions is likely mediated by an ensemble of factors, including bridging proteins, DNA elements and RNAs6,7,59, eg, (1) the interaction of the histone chaperones RbAp46/48 with histones25,106, (2) the interaction of JARID2 and AEBP2 with DNA27,30,37, (3) recognition of methylated H3K36 by the PCL family of proteins107, and (4) interactions of EZH2 and SUZ12 with transcription factors or noncoding RNA22,57,58,59,60,61,62,63,64,65,71,108,109, which may either act alone or in combination to allow PRC2 targeting to specific genomic loci1,6.
How do JARID2, AEBP2 and PLCs regulate PRC2 HMTase activity and gene targeting? Are transcription factors essential for initial recruitment, with PRC2 itself being sufficient to maintain gene silencing? What role does the function of noncoding RNAs play in this process? What are the respective functions of H3K27me1, H3K27me2 and H3K27me3, and how are these modifications regulated? The field is still far from having clear answers to these questions6.
High-resolution structures (Cryo-EM or X-ray) of PRC2 with different regulators or co-factors (JARID2, PCLs, RBFOX2, ncRNAs, etc) will provide critical details regarding these interactions. The structures of PRC2-nucleosome complexes harboring mono-, di-and tri-methylated H3K27 will likely provide clues into the functions of the different methylation states.
Answers to these questions will improve understanding of the function of PRC2 in stem cells and developmental control and of the contribution of PRC2 dysregulation to diseases such as cancer.
Currently, PRC2 inhibitors in clinical trials such as GSK126 and EPZ6438 are PRC2 co-factor SAM-competitive. The structure of the PRC2-inhibitor 1 complex provides high-resolution details of this interaction, which will help design and develop novel chemical scaffolds and molecules with higher selectivity and potency. The existing structures of PRC2 provide information on PRC2-H3K27, PRC2-H3K27me3, EZH2-EED, EZH2-SUZ12(VEFS) and EED-SUZ12(VEFS) interactions. In the future, we may develop novel compounds/peptides to disrupt these interactions to suppress PRC2 HMTase activity.
PRC2 is involved in multiple pathways related to cancer, stem cells, and immune responses, modulated by factors such as SWI-SNF, NOTCH/JAK-STAT, pRB, NF-κB/Ras and others12. PRC2 inhibition may therefore synergize with the drugs targeting these pathways; several studies have already confirmed the effectiveness of combination strategies, some of which we have discussed in this review. In the future, the pharmacological inhibition of PRC2 combined with other drugs or treatments may present novel anticancer therapies.
Acknowledgments
This work was supported by the Ministry of Science and Technology of China (No 2012CB910403 and 2013CB910601); the Strategic Priority Research Program of the Chinese Academy of Sciences (No XDB08020303); the Outstanding Young Scientist Foundation, Chinese Academy of Sciences; the Youth Innovation Promotion Association, Chinese Academy of Sciences and the Jay and Betty Van Andel Foundation, Amway (USA).
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