- Title
- KMT2A and chronic inflammation as potential drivers of sporadic parathyroid adenoma
- Creator
- Xu, Qin; La, Ting; Shao, Zehua; Zhang, Yuan Yuan; Zhao, Xiao Hong; Feng, Yu Chen; Jin, Lei; Baker, Mark; Thorne, Rrick F.; Zhang, Xu Dong; Shao, Feng-Min; Cao, Huixia; Ye, Kaihong; Wang, Li; Wang, Shasha; Hu, Yifeng; Teng, Liu; Yan, Lei; Li, Jinming; Zhang, Zhenhua
- Relation
- Clinical and Translational Medicine Vol. 14, Issue 6, no. e1734
- Publisher Link
- http://dx.doi.org/10.1002/ctm2.1734
- Publisher
- John Wiley & Sons
- Resource Type
- journal article
- Date
- 2024
- Description
- Background: Sporadic parathyroid adenoma (PA) is the most common cause of hyperparathyroidism, yet the mechanisms involved in its pathogenesis remain incompletely understood. Methods: Surgically removed PA samples, along with normal parathyroid gland (PG) tissues that were incidentally dissected during total thyroidectomy, were analysed using single-cell RNA-sequencing with the 10× Genomics Chromium Droplet platform and Cell Ranger software. Gene set variation analysis was conducted to characterise hallmark pathway gene signatures, and single-cell regulatory network inference and clustering were utilised to analyse transcription factor regulons. Immunohistochemistry and immunofluorescence were performed to validate cellular components of PA tissues. siRNA knockdown and gene overexpression, alongside quantitative polymerase chain reaction, Western blotting and cell proliferation assays, were conducted for functional investigations. Results: There was a pervasive increase in gene transcription in PA cells (PACs) compared with PG cells. This is associated with high expression of histone-lysine N-methyltransferase 2A (KMT2A). High KMT2A levels potentially contribute to promoting PAC proliferation through upregulation of the proto-oncogene CCND2, which is mediated by the transcription factors signal transducer and activator of transcription 3 (STAT3) and GATA binding protein 3 (GATA3). PA tissues are heavily infiltrated with myeloid cells, while fibroblasts, endothelial cells and macrophages in PA tissues are commonly enriched with proinflammatory gene signatures relative to their counterparts in PG tissues. Conclusions: We revealed the previously underappreciated involvement of the KMT2A‒STAT3/GATA3‒CCND2 axis and chronic inflammation in the pathogenesis of PA. These findings underscore the therapeutic promise of KMT2A inhibition and anti-inflammatory strategies, highlighting the need for future investigations to translate these molecular insights into practical applications.
- Subject
- CCND2; cyclin D2; epigenetics; KMT2A; single-cell analysis; sporadic patathyroid adenoma
- Identifier
- http://hdl.handle.net/1959.13/1507114
- Identifier
- uon:55965
- Identifier
- ISSN:2001-1326
- Rights
- x
- Language
- eng
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