Evidence map›Paper›PMID 36638328›Full record

ArticleCancer research2023

KDM6A Loss Triggers an Epigenetic Switch That Disrupts Urothelial Differentiation and Drives Cell Proliferation in Bladder Cancer.

Hong Qiu, Vladimir Makarov, Jennifer K Bolzenius, Angela Halstead, Yvonne Parker, Allen Wang, Gopakumar V Iyer, Hannah Wise, Daniel Kim, Varna Thayaparan and 8 more

Open access · hybridAbstract read
In one paragraph

Article in Cancer research, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 32 papers.

0numbers the graph read from it
0cells of the map it votes in
32citing papers in PubMed
7.1field-weighted citation impact, top 2% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

32 citing papers in PubMed, 46 citations in OpenAlex.

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  15. UTX (KDM6A) promotes differentiation noncatalytically in somatic self-renewing epithelia.Proceedings of the National Academy of Sciences of the United States of America · 2025
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4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

18 authors at 6 institutions in 3 countries.

Hong QiuCardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0001-5239-904X
Vladimir MakarovCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-4104-5876
Jennifer K BolzeniusDepartment of Internal Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0002-3536-474X
Angela HalsteadDepartment of Internal Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-4892-0642
Yvonne ParkerDepartment of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0003-1775-8814
Allen WangCenter for Epigenomics, University of California San Diego School of Medicine, La Jolla, California.ORCID 0000-0001-9870-7888
Gopakumar V IyerDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-5093-6099
Hannah WiseDepartment of Medicine, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0001-6443-0390
Daniel KimCardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-2871-2240
Varna ThayaparanCardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0001-9179-0666
Daniel J LindnerDepartment of Translational Hematology and Oncology Research, Taussig Cancer Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-8296-7703
Georges-Pascal HaberDepartment of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-7172-7050
Angela H TingGenomic Medicine, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-3214-3968
Bing RenCenter for Epigenomics, University of California San Diego School of Medicine, La Jolla, California.ORCID 0000-0002-5435-1127
Timothy A ChanCenter for Immunotherapy and Precision Immuno-Oncology, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-9265-0283
Vivek AroraDepartment of Internal Medicine, Division of Oncology, Washington University School of Medicine, St. Louis, Missouri.ORCID 0000-0003-1694-9109
David B SolitHuman Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, New York.ORCID 0000-0002-6614-802X
Byron H LeeCardiovascular and Metabolic Sciences, Lerner Research Institute, Cleveland Clinic, Cleveland, Ohio.ORCID 0000-0002-8755-9688
Cleveland Clinic · USCleveland Clinic Lerner College of Medicine · USMemorial Sloan Kettering Cancer Center · USWashington University in St. Louis · USLudwig Cancer Research · BEUniversity of California San Diego · US

Funding

X-RAY CRYSTALLOGRAPHYP30CA008748 · NCI · SLOAN-KETTERING INSTITUTE FOR CANCER RES · PI Hongbiao Carl Lekaye · 1985 to 2026
$347.4M
SPORE in Bladder CancerP50CA221745 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI BAJORIN, DEAN F. · 2018 to 2024
$11.8M
Translational and Clinical Trial Correlates CoreU54CA274513 · NCI · CLEVELAND CLINIC LERNER COM-CWRU · PI Timothy An-thy Chan · 2022 to 2026
$9.3M
TOWARDS PRECISION IMMUNO-ONCOLOGY: UNRAVELING THE GENOMIC DETERMINANTS AND MECHANISMS UNDERLYING IMMUNOTHERAPY EFFICACY AND RESISTANCER35CA232097 · NCI · SLOAN-KETTERING INST CAN RESEARCH · PI CHAN, TIMOTHY AN-THY · 2018 to 2024
$7.0M
Chromatin Modifier Gene Mutation and Enhancer Dysfunction in Bladder CancerK08CA237842 · NCI · UNIVERSITY OF TX MD ANDERSON CAN CTR · PI LEE, BYRON H · 2019 to 2023
$1.2M
NCI NIH HHS K08 CA237842NCI NIH HHS P30 CA008748NCI NIH HHS P50 CA221745NCI NIH HHS R35 CA232097NCI NIH HHS U54 CA274513
6 · The paper itself

Abstract

Disruption of KDM6A, a histone lysine demethylase, is one of the most common somatic alternations in bladder cancer. Insights into how KDM6A mutations affect the epigenetic landscape to promote carcinogenesis could help reveal potential new treatment approaches. Here, we demonstrated that KDM6A loss triggers an epigenetic switch that disrupts urothelial differentiation and induces a neoplastic state characterized by increased cell proliferation. In bladder cancer cells with intact KDM6A, FOXA1 interacted with KDM6A to activate genes instructing urothelial differentiation. KDM6A-deficient cells displayed simultaneous loss of FOXA1 target binding and genome-wide redistribution of the bZIP transcription factor ATF3, which in turn repressed FOXA1-target genes and activated cell-cycle progression genes. Importantly, ATF3 depletion reversed the cell proliferation phenotype induced by KDM6A deficiency. These data establish that KDM6A loss engenders an epigenetic state that drives tumor growth in an ATF3-dependent manner, creating a potentially targetable molecular vulnerability. SIGNIFICANCE: A gain-of-function epigenetic switch that disrupts differentiation is triggered by inactivating KDM6A mutations in bladder cancer and can serve as a potential target for novel therapies.

Indexed as

Urinary Bladder NeoplasmsCell DifferentiationCell ProliferationEpigenesis, GeneticHistone DemethylasesHumansHistone DemethylasesKDM6A protein, human

Identifiers

PMID36638328
PMCPMC10015223
OpenAlexW4316013201

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.