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Review Article
Regulation and Role of EZH2 in Cancer
Hirohito Yamaguchi, Mien-Chie Hung
Cancer Res Treat. 2014;46(3):209-222.   Published online July 15, 2014
DOI: https://doi.org/10.4143/crt.2014.46.3.209
AbstractAbstract PDFPubReaderePub
Polycomb repressive complex 2 (PRC2) is the epigenetic regulator that induces histone H3 lysine 27 methylation (H3K27me3) and silences specific gene transcription. Enhancer of zeste homolog 2 (EZH2) is an enzymatic subunit of PRC2, and evidence shows that EZH2 plays an essential role in cancer initiation, development, progression, metastasis, and drug resistance. EZH2 expression is indeed regulated by various oncogenic transcription factors, tumor suppressor miRNAs, and cancer-associated non-coding RNA. EZH2 activity is also controlled by post-translational modifications, which are deregulated in cancer. The canonical role of EZH2 is gene silencing through H3K27me3, but accumulating evidence shows that EZH2 methlyates substrates other than histone and has methylase-independent functions. These non-canonical functions of EZH2 are shown to play a role in cancer progression. In this review, we summarize current information on the regulation and roles of EZH2 in cancer. We also discuss various therapeutic approaches to targeting EZH2.

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  • Expression and inhibition of BRD4, EZH2 and TOP2A in neurofibromas and malignant peripheral nerve sheath tumors
    Azadeh Amirnasr, Rob M. Verdijk, Patricia F. van Kuijk, Walter Taal, Stefan Sleijfer, Erik A. C. Wiemer, Marta M. Alonso
    PLOS ONE.2017; 12(8): e0183155.     CrossRef
  • Morphoproteomics, E6/E7 in-situ hybridization, and biomedical analytics define the etiopathogenesis of HPV-associated oropharyngeal carcinoma and provide targeted therapeutic options
    Robert E. Brown, Syed Naqvi, Mary F. McGuire, Jamie Buryanek, Ron J. Karni
    Journal of Otolaryngology - Head & Neck Surgery.2017;[Epub]     CrossRef
  • Epigenetic Silencing of miRNA-34a in Human Cholangiocarcinoma via EZH2 and DNA Methylation
    Hyunjoo Kwon, Kyoungsub Song, Chang Han, Jinqiang Zhang, Lu Lu, Weina Chen, Tong Wu
    The American Journal of Pathology.2017; 187(10): 2288.     CrossRef
  • The role of EZH2 in overall survival of colorectal cancer: a meta-analysis
    Laura Vilorio-Marqués, Vicente Martín, Cristina Diez-Tascón, María Francisca González-Sevilla, Tania Fernández-Villa, Emiliano Honrado, Veronica Davila-Batista, Antonio J. Molina
    Scientific Reports.2017;[Epub]     CrossRef
  • Identification of coexistence of BRAF V600E mutation and EZH2 gain specifically in melanoma as a promising target for combination therapy
    Huan Yu, Meng Ma, Junya Yan, Longwen Xu, Jiayi Yu, Jie Dai, Tianxiao Xu, Huan Tang, Xiaowen Wu, Siming Li, Bin Lian, Lili Mao, Zhihong Chi, Chuanliang Cui, Jun Guo, Yan Kong
    Journal of Translational Medicine.2017;[Epub]     CrossRef
  • Decreased expression of JMJD3 predicts poor prognosis of patients with clear cell renal cell carcinoma
    Jiajun Wang, Li Liu, Qilai Long, Qi Bai, Yu Xia, Wei Xi, Jiejie Xu, Jianming Guo
    Oncology Letters.2017; 14(2): 1550.     CrossRef
  • Contributions of MET activation to BCR-ABL1 tyrosine kinase inhibitor resistance in chronic myeloid leukemia cells
    Masanobu Tsubaki, Tomoya Takeda, Toshiki Kino, Kazuko Sakai, Tatsuki Itoh, Motohiro Imano, Takashi Nakayama, Kazuto Nishio, Takao Satou, Shozo Nishida
    Oncotarget.2017; 8(24): 38717.     CrossRef
  • Methylation-mediated silencing of microRNA-211 promotes cell growth and epithelial to mesenchymal transition through activation of the AKT/β-catenin pathway in GBM
    Weidong Li, Xiaobo Miao, Lingling Liu, Yue Zhang, Xuejun Jin, Xiaojun Luo, Hai Gao, Xubin Deng
    Oncotarget.2017; 8(15): 25167.     CrossRef
  • EZH2 inhibition suppresses endometrial cancer progression via miR-361/Twist axis
    Kei Ihira, Peixin Dong, Ying Xiong, Hidemichi Watari, Yosuke Konno, Sharon JB Hanley, Masayuki Noguchi, Noriyuki Hirata, Futoshi Suizu, Takahiro Yamada, Masataka Kudo, Noriaki Sakuragi
    Oncotarget.2017; 8(8): 13509.     CrossRef
  • Inhibition of enhancer of zeste homolog 2 increases the expression of p16 and suppresses the proliferation and migration of ovarian carcinoma cells in�vitro and in�vivo
    Fangfang Lu, Hong Xu, Qi Wang, Meiyi Li, Jiahua Meng, Yan Kuang
    Oncology Letters.2017;[Epub]     CrossRef
  • miR-202 Diminishes TGFβ Receptors and Attenuates TGFβ1-Induced EMT in Pancreatic Cancer
    Hardik R. Mody, Sau Wai Hung, Rakesh K. Pathak, Jazmine Griffin, Zobeida Cruz-Monserrate, Rajgopal Govindarajan
    Molecular Cancer Research.2017; 15(8): 1029.     CrossRef
  • TET-Mediated Sequestration of miR-26 Drives EZH2 Expression and Gastric Carcinogenesis
    Min Deng, Ruixin Zhang, Zhengxi He, Qinwei Qiu, Xihong Lu, Jiang Yin, Hao Liu, Xiaoting Jia, Zhimin He
    Cancer Research.2017; 77(22): 6069.     CrossRef
  • The role of the polycomb repressive complex pathway in T and NK cell lymphoma: biological and prognostic implications
    Soo Hee Kim, Woo Ick Yang, Yoo Hong Min, Young Hyeh Ko, Sun Och Yoon
    Tumor Biology.2016; 37(2): 2037.     CrossRef
  • Interference with endogenous EZH2 reverses the chemotherapy drug resistance in cervical cancer cells partly by up-regulating Dicer expression
    Liqiong Cai, Zehua Wang, Denghua Liu
    Tumor Biology.2016; 37(5): 6359.     CrossRef
  • The Ezh2 polycomb group protein drives an aggressive phenotype in melanoma cancer stem cells and is a target of diet derived sulforaphane
    Matthew L. Fisher, Gautam Adhikary, Dan Grun, David M. Kaetzel, Richard L. Eckert
    Molecular Carcinogenesis.2016; 55(12): 2024.     CrossRef
  • Problems of glioblastoma multiforme drug resistance
    A. A. Stavrovskaya, S. S. Shushanov, E. Yu. Rybalkina
    Biochemistry (Moscow).2016; 81(2): 91.     CrossRef
  • High EZH2 Protein Expression Is Associated with Poor Overall Survival in Patients with Luminal A Breast Cancer
    Si-Hyong Jang, Jong Eun Lee, Mee-Hye Oh, Ji-Hye Lee, Hyun Deuk Cho, Kyung-Ju Kim, Sung Yong Kim, Sun Wook Han, Han Jo Kim, Sang Byung Bae, Hyun Ju Lee
    Journal of Breast Cancer.2016; 19(1): 53.     CrossRef
  • Expression of Mirna-26B in the Diagnosis and Prognosis of Patients with Non-Small-Cell Lung Cancer
    Li-Peng Jiang, Zhi-Tu Zhu, Chun-Yan He
    Future Oncology.2016; 12(9): 1105.     CrossRef
  • Targeting NK Cells for Anticancer Immunotherapy: Clinical and Preclinical Approaches
    Sebastian Carotta
    Frontiers in Immunology.2016;[Epub]     CrossRef
  • Role of EZH2 histone methyltrasferase in melanoma progression and metastasis
    Fade Mahmoud, Bradley Shields, Issam Makhoul, Laura F. Hutchins, Sara C. Shalin, Alan J. Tackett
    Cancer Biology & Therapy.2016; 17(6): 579.     CrossRef
  • Prognostic value of UTX expression in patients with clear cell renal cell carcinoma
    Jiajun Wang, Li Liu, Wei Xi, Qilai Long, Yiwei Wang, Qi Bai, Yu Xia, Jiejie Xu, Jianming Guo
    Urologic Oncology: Seminars and Original Investigations.2016; 34(8): 338.e19.     CrossRef
  • Squamous Cell Cancers: A Unified Perspective on Biology and Genetics
    G. Paolo Dotto, Anil K. Rustgi
    Cancer Cell.2016; 29(5): 622.     CrossRef
  • Genomic and Epigenomic Alterations in Cancer
    Balabhadrapatruni V.S.K. Chakravarthi, Saroj Nepal, Sooryanarayana Varambally
    The American Journal of Pathology.2016; 186(7): 1724.     CrossRef
  • Epigenetic mechanisms of cell adhesion-mediated drug resistance in multiple myeloma
    Yusuke Furukawa, Jiro Kikuchi
    International Journal of Hematology.2016; 104(3): 281.     CrossRef
  • Down-Regulation of TSLP After EZH2 Silencing in ESCC Cell Line
    Gholamreza Karami Madani, Abolfazl Rad, Mohammad Mahdi Forghanifard
    Journal of Biomedicine.2016;[Epub]     CrossRef
  • High EZH2 expression is correlated to metastatic disease in pediatric soft tissue sarcomas
    Maria Ramaglia, Velia D’Angelo, Adriana Iannotta, Daniela Di Pinto, Elvira Pota, Maria Carmen Affinita, Vittoria Donofrio, Maria Elena Errico, Angela Lombardi, Cristiana Indolfi, Fiorina Casale, Michele Caraglia
    Cancer Cell International.2016;[Epub]     CrossRef
  • DNA-PK-mediated phosphorylation of EZH2 regulates the DNA damage-induced apoptosis to maintain T-cell genomic integrity
    Y Wang, H Sun, J Wang, H Wang, L Meng, C Xu, M Jin, B Wang, Y Zhang, Y Zhang, T Zhu
    Cell Death & Disease.2016; 7(7): e2316.     CrossRef
  • Significance of EZH2 expression in canine mammary tumors
    Hyun-Ji Choi, Sungwoong Jang, Jae-Eun Ryu, Hyo-Ju Lee, Han-Byul Lee, Woo-Sung Ahn, Hye-Jin Kim, Hyo-Jin Lee, Hee Jin Lee, Gyung-Yub Gong, Woo-Chan Son
    BMC Veterinary Research.2016;[Epub]     CrossRef
  • Identification of (R)-N-((4-Methoxy-6-methyl-2-oxo-1,2-dihydropyridin-3-yl)methyl)-2-methyl-1-(1-(1-(2,2,2-trifluoroethyl)piperidin-4-yl)ethyl)-1H-indole-3-carboxamide (CPI-1205), a Potent and Selective Inhibitor of Histone Methyltransferase EZH2, Suitabl
    Rishi G. Vaswani, Victor S. Gehling, Les A. Dakin, Andrew S. Cook, Christopher G. Nasveschuk, Martin Duplessis, Priyadarshini Iyer, Srividya Balasubramanian, Feng Zhao, Andrew C. Good, Robert Campbell, Christina Lee, Nico Cantone, Richard T. Cummings, Emm
    Journal of Medicinal Chemistry.2016; 59(21): 9928.     CrossRef
  • MiR-101 Targets the EZH2/Wnt/β-Catenin the Pathway to Promote the Osteogenic Differentiation of Human Bone Marrow-Derived Mesenchymal Stem Cells
    Hongrui Wang, Yake Meng, Quanjun Cui, Fujun Qin, Haisong Yang, Yu Chen, Yajun Cheng, Jiangang Shi, Yongfei Guo
    Scientific Reports.2016;[Epub]     CrossRef
  • EZH2 mediates lidamycin-induced cellular senescence through regulating p21 expression in human colon cancer cells
    Ming-Quan Sha, Xiao-Li Zhao, Liang Li, Li-Hui Li, Yi Li, Tian-Geng Dong, Wei-Xin Niu, Li-Jun Jia, Rong-Guang Shao, Yong-Su Zhen, Zhen Wang
    Cell Death & Disease.2016; 7(11): e2486.     CrossRef
  • Marginal zone lymphoma-derived interfollicular diffuse large B-cell lymphoma harboring 20q12 chromosomal deletion and missense mutation of BIRC3 gene: a case report
    Joseph Hatem, April M. Schrank-Hacker, Christopher D. Watt, Jennifer J. D. Morrissette, Adam I. Rubin, Ellen J. Kim, Sunita D. Nasta, Mariusz A. Wasik, Agata M. Bogusz
    Diagnostic Pathology.2016;[Epub]     CrossRef
  • Expression Profile and Function Analysis of LncRNAs during Priming Phase of Rat Liver Regeneration
    Jun Li, Wei Jin, Yanli Qin, Weiming Zhao, Cuifang Chang, Cunshuan Xu, Klaus Roemer
    PLOS ONE.2016; 11(6): e0156128.     CrossRef
  • Non-Canonical EZH2 Transcriptionally Activates RelB in Triple Negative Breast Cancer
    Cortney L. Lawrence, Albert S. Baldwin, Aamir Ahmad
    PLOS ONE.2016; 11(10): e0165005.     CrossRef
  • Identification of Polycomb Group Protein EZH2-Mediated DNA Mismatch Repair Gene MSH2 in Human Uterine Fibroids
    Qiwei Yang, Archana Laknaur, Lelyand Elam, Nahed Ismail, Larisa Gavrilova-Jordan, John Lue, Michael P. Diamond, Ayman Al-Hendy
    Reproductive Sciences.2016; 23(10): 1314.     CrossRef
  • The relationship between EZH2 expression and microRNA-31 in colorectal cancer and the role in evolution of the serrated pathway
    Hiroyoshi Kurihara, Reo Maruyama, Kazuya Ishiguro, Shinichi Kanno, Itaru Yamamoto, Keisuke Ishigami, Kei Mitsuhashi, Hisayoshi Igarashi, Miki Ito, Tokuma Tanuma, Yasutaka Sukawa, Kenji Okita, Tadashi Hasegawa, Kohzoh Imai, Hiroyuki Yamamoto, Yasuhisa Shin
    Oncotarget.2016; 7(11): 12704.     CrossRef
  • The histone methyltransferase EZH2 as a novel prosurvival factor in clinically aggressive chronic lymphocytic leukemia
    Nikos Papakonstantinou, Stavroula Ntoufa, Elisavet Chartomatsidou, Konstantia Kotta, Andreas Agathangelidis, Lefki Giassafaki, Tzeni Karamanli, Panagiota Bele, Theodoros Moysiadis, Panagiotis Baliakas, Lesley Ann Sutton, Niki Stavroyianni, Achilles Anagno
    Oncotarget.2016; 7(24): 35946.     CrossRef
  • Proximal and distal regulation of the HYAL1 gene cluster by the estrogen receptor α in breast cancer cells
    Lydia Edjekouane, Samira Benhadjeba, Maïka Jangal, Hubert Fleury, Nicolas Gévry, Euridice Carmona, André Tremblay
    Oncotarget.2016; 7(47): 77276.     CrossRef
  • Overexpression of EZH2 is associated with the poor prognosis in osteosarcoma and function analysis indicates a therapeutic potential
    Ranran Sun, Jacson Shen, Yan Gao, Yubing Zhou, Zujiang Yu, Francis Hornicek, Quancheng Kan, Zhenfeng Duan
    Oncotarget.2016; 7(25): 38333.     CrossRef
  • GSK3β inactivation promotes the oncogenic functions of EZH2 and enhances methylation of H3K27 in human breast cancers
    How-Wen Ko, Heng-Huan Lee, Longfei Huo, Weiya Xia, Cheng-Chieh Yang, Jennifer L. Hsu, Long-Yuan Li, Chien-Chen Lai, Li-Chuan Chan, Chien-Chia Cheng, Adam M. Labaff, Hsin-Wei Liao, Seung-Oe Lim, Chia-Wei Li, Yongkun Wei, Lei Nie, Hirohito Yamaguchi, Mien-C
    Oncotarget.2016; 7(35): 57131.     CrossRef
  • Upregulation of the long noncoding RNA TUG1 promotes proliferation and migration of esophageal squamous cell carcinoma
    Youtao Xu, Jie Wang, Mantang Qiu, Lei Xu, Ming Li, Feng Jiang, Rong Yin, Lin Xu
    Tumor Biology.2015; 36(3): 1643.     CrossRef
  • Role of the ubiquitin proteasome system in hematologic malignancies
    Anagh A. Sahasrabuddhe, Kojo S. J. Elenitoba‐Johnson
    Immunological Reviews.2015; 263(1): 224.     CrossRef
  • The roles of chromatin-remodelers and epigenetic modifiers in kidney cancer
    Lili Liao, Joseph R. Testa, Haifeng Yang
    Cancer Genetics.2015; 208(5): 206.     CrossRef
  • The role of aberrant proteolysis in lymphomagenesis
    Anagh A. Sahasrabuddhe, Kojo S.J. Elenitoba-Johnson
    Current Opinion in Hematology.2015; 22(4): 369.     CrossRef
  • Small Molecule Inhibitors of EZH2: the Emerging Translational Landscape
    Heike Keilhack, Jesse J Smith
    Epigenomics.2015; 7(3): 337.     CrossRef
  • Enhancer of zeste homolog 2 silencing inhibits tumor growth and lung metastasis in osteosarcoma
    Yang-Fan Lv, Guang-Ning Yan, Gang Meng, Xi Zhang, Qiao-Nan Guo
    Scientific Reports.2015;[Epub]     CrossRef
  • Characterization and pharmacologic targeting of EZH2, a fetal retinal protein and epigenetic regulator, in human retinoblastoma
    Mehnaz Khan, Laura L Walters, Qiang Li, Dafydd G Thomas, Jason M L Miller, Qitao Zhang, Andrew P Sciallis, Yu Liu, Brian J Dlouhy, Patrice E Fort, Steven M Archer, Hakan Demirci, Yali Dou, Rajesh C Rao
    Laboratory Investigation.2015; 95(11): 1278.     CrossRef
  • Methyltransferase expression and tumor suppressor gene methylation in sporadic and familial colorectal cancer
    Emmi I. Joensuu, Taina T. Nieminen, Johanna E. Lotsari, Walter Pavicic, Wael M. Abdel‐Rahman, Päivi Peltomäki
    Genes, Chromosomes and Cancer.2015; 54(12): 776.     CrossRef
  • Phosphorylation-mediated EZH2 inactivation promotes drug resistance in multiple myeloma
    Jiro Kikuchi, Daisuke Koyama, Taeko Wada, Tohru Izumi, Peter O. Hofgaard, Bjarne Bogen, Yusuke Furukawa
    Journal of Clinical Investigation.2015; 125(12): 4375.     CrossRef
  • Overexpression of enhancer of zeste homolog 2 (EZH2) characterizes an aggressive subset of prostate cancers and predicts patient prognosis independently from pre- and postoperatively assessed clinicopathological parameters
    Nathaniel Melling, Erik Thomsen, Maria Christina Tsourlakis, Martina Kluth, Claudia Hube-Magg, Sarah Minner, Christina Koop, Markus Graefen, Hans Heinzer, Corinna Wittmer, Guido Sauter, Waldemar Wilczak, Hartwig Huland, Ronald Simon, Thorsten Schlomm, Ste
    Carcinogenesis.2015; 36(11): 1333.     CrossRef
  • EZH2 in Bladder Cancer, a Promising Therapeutic Target
    Mónica Martínez-Fernández, Carolina Rubio, Cristina Segovia, Fernando López-Calderón, Marta Dueñas, Jesús Paramio
    International Journal of Molecular Sciences.2015; 16(11): 27107.     CrossRef
  • siRNA Silencing EZH2 Reverses Cisplatin-resistance of Human Non-small Cell Lung and Gastric Cancer Cells
    Wen Zhou, Jian Wang, Wang-Ying Man, Qing-Wei Zhang, Wen-Gui Xu
    Asian Pacific Journal of Cancer Prevention.2015; 16(6): 2425.     CrossRef
  • H3K27me3 is an Epigenetic Mark of Relevance in Endometriosis
    Mariano Colón-Caraballo, Janice B. Monteiro, Idhaliz Flores
    Reproductive Sciences.2015; 22(9): 1134.     CrossRef
  • A Gene Regulatory Program in Human Breast Cancer
    Renhua Li, John Campos, Joji Iida
    Genetics.2015; 201(4): 1341.     CrossRef
  • MiR-101 reverses the hypomethylation of the LMO3 promoter in glioma cells
    Xiaoping Liu, Qianqian Lei, Zhibin Yu, Gang Xu, Hailin Tang, Wei Wang, Zeyou Wang, Guiyuan Li, Minghua Wu
    Oncotarget.2015; 6(10): 7930.     CrossRef
  • Enhancer of zeste acts as a major developmental regulator ofCiona intestinalisembryogenesis
    Emilie Le Goff, Camille Martinand-Mari, Marianne Martin, Jérôme Feuillard, Yvan Boublik, Nelly Godefroy, Paul Mangeat, Stephen Baghdiguian, Giacomo Cavalli
    Biology Open.2015; 4(9): 1109.     CrossRef
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