ii
Abstract
ING proteins are epigenetic “readers” that can target various chromatin modifying
complexes to chromatin. They are involved in various cellular processes such as DNA
repair, apoptosis and cellular senescence. This study focuses on examining the potential
role of ING1 as a therapeutic agent and prognostic marker for breast cancer.
We began by asking whether dysregulating epigenetic pathways with different
chemical inhibitors could show synergistic effects with ING1 on killing cancer cells. We
tested whether ING1 could synergize better with chemotherapeutics that target the same
epigenetic mechanism or a different epigenetic mechanism. Combination treatment of
ING1b with LBH589 (HDAC inhibitor) showed synergy, but the combination of ING1b
with 5azaC (DNMT inhibitor), thus targeting two distinct epigenetic mechanisms, was
more effective. Adenoviral delivery of ING1b combined with 5azaC also inhibited cancer
cell growth in a xenograft model and led to tumor regression. These data showed that
targeting distinct epigenetic pathways in our model was more effective in blocking cancer
cell line growth than targeting the same pathway with multiple agents.
Since ING1 expression is frequently repressed in breast carcinomas, but its
mechanistic role in breast cancer development and metastasis was unknown, we analyzed
ING1 levels in patient samples and correlated it to patient outcome. We also studied the
effects of altering ING1 levels in metastasis assays in vitro and mouse metastasis model
in vivo. ING1 levels were lower in tumors compared to adjacent normal breast tissue and
correlated with tumor size and distant recurrence. ING1 could also predict disease-
specific and distant metastasis-free survival in these patients. Decreasing levels of ING1