RT Journal Article SR Electronic T1 KDM6B promotes activation of the oncogenic CDK4/6-pRB-E2F pathway by maintaining enhancer activity in MYCN-amplified neuroblastoma JF bioRxiv FD Cold Spring Harbor Laboratory SP 2020.07.02.184986 DO 10.1101/2020.07.02.184986 A1 Alexandra D’Oto A1 Jie Fang A1 Hongjian Jin A1 Beisi Xu A1 Shivendra Singh A1 Anoushka Mullasseril A1 Victoria Jones A1 Ahmed Abu-Zaid A1 Xinyu von Buttlar A1 Bailey Cooke A1 Dongli Hu A1 Jason Shohet A1 Andrew J Murphy A1 Andrew M Davidoff A1 Jun Yang YR 2021 UL http://biorxiv.org/content/early/2021/10/26/2020.07.02.184986.abstract AB The H3K27me2/me3 histone demethylase KDM6B is over-expressed in neuroblastoma and is essential to neuroblastoma cell survival. While the KDM6B inhibitor, GSK-J4, has shown activity in in vitro and in vivo preclinical models, the mechanism of action remains poorly defined. We demonstrate that genetic and pharmacologic inhibition of KDM6B downregulates the pRB-E2F transcriptome and MYCN expression. Chemical genetic analyses show that high expression of the E2F transcriptome is positively correlated with sensitivity of cancer cells to GSK-J4. Mechanistically, inhibition of KDM6B activity 1) reduces the chromatin accessibility of E2F target genes and MYCN, 2) selectively leads to an increase of H3K27me3 but a decrease of the enhancer mark H3K4me1 at the CTCF and BORIS binding sites, which may, consequently, disrupt the long-range chromatin interaction of MYCN and E2F target genes, and 3) phenocopies the transcriptome induced by the specific CDK4/6 inhibitor palbociclib. Overexpression of CDK4/6 or Rb1 knockout confers neuroblastoma cell resistance to both palbociclib and GSK-J4. A gene signature targeted by KDM6B inhibition is associated with poor survival of patients with neuroblastoma regardless of the MYCN status. These data indicate that KDM6B activity promotes an oncogenic CDK4/6-pRB-E2F pathway in neuroblastoma cells via H3K27me3-dependent enhancer-promoter interactions, providing a rationale to target KDM6B for high-risk neuroblastoma.Competing Interest StatementThe authors have declared no competing interest.