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Fumarate is an epigenetic modifier that elicits epithelial-to-mesenchymal transition.

Accepted version
Peer-reviewed

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Type

Article

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Authors

Sciacovelli, Marco 
Gonçalves, Emanuel 
Johnson, Timothy Isaac 
Zecchini, Vincent Roberto 
da Costa, Ana Sofia Henriques 

Abstract

Mutations of the tricarboxylic acid cycle enzyme fumarate hydratase cause hereditary leiomyomatosis and renal cell cancer. Fumarate hydratase-deficient renal cancers are highly aggressive and metastasize even when small, leading to a very poor clinical outcome. Fumarate, a small molecule metabolite that accumulates in fumarate hydratase-deficient cells, plays a key role in cell transformation, making it a bona fide oncometabolite. Fumarate has been shown to inhibit α-ketoglutarate-dependent dioxygenases that are involved in DNA and histone demethylation. However, the link between fumarate accumulation, epigenetic changes, and tumorigenesis is unclear. Here we show that loss of fumarate hydratase and the subsequent accumulation of fumarate in mouse and human cells elicits an epithelial-to-mesenchymal-transition (EMT), a phenotypic switch associated with cancer initiation, invasion, and metastasis. We demonstrate that fumarate inhibits Tet-mediated demethylation of a regulatory region of the antimetastatic miRNA cluster mir-200ba429, leading to the expression of EMT-related transcription factors and enhanced migratory properties. These epigenetic and phenotypic changes are recapitulated by the incubation of fumarate hydratase-proficient cells with cell-permeable fumarate. Loss of fumarate hydratase is associated with suppression of miR-200 and the EMT signature in renal cancer and is associated with poor clinical outcome. These results imply that loss of fumarate hydratase and fumarate accumulation contribute to the aggressive features of fumarate hydratase-deficient tumours.

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Keywords

Animals, Cell Movement, Cells, Cultured, Epigenesis, Genetic, Epithelial-Mesenchymal Transition, Fumarate Hydratase, Fumarates, HEK293 Cells, Humans, Kidney Neoplasms, Mesoderm, Mice, MicroRNAs, Transcription Factors, Transcriptome

Journal Title

Nature

Conference Name

Journal ISSN

0028-0836
1476-4687

Volume Title

537

Publisher

Springer Science and Business Media LLC
Sponsorship
Medical Research Council (G1100312)
Wellcome Trust (096956/Z/11/Z)
Department of Health (via National Institute for Health Research (NIHR)) (NF-SI-0514-10122)
Medical Research Council (MR/M010392/1)
Medical Research Council (MC_PC_12009)
Medical Research Council (MC_UU_12022/6)
MRC (unknown)
European Research Council (647685)
European Research Council (323004)
Worldwide Cancer Research (None)
This work was supported by the Medical Research Council (UK). S.F. was supported by a Herchel Smith Research Studentship and K.F. by an MRC Career Development Award. E.R.M is supported by the ERC Advanced Researcher award 323004–ONCOTREAT. P.H.M. is supported by Senior Investigator Awards from the Wellcome Trust and NIHR. The Cambridge Human Research Tissue Bank and A.W. are supported by the NIHR Cambridge Biomedical Research Centre.