KMT2D, an epigenetic regulator of 5-fluorouracil drug response in PDAC
Despite decades of research into pancreatic cancer, we have not seen any significant improvements in patient survival. We have identified genetic drivers and mutations associated with PDAC, for which many systemic and targeted therapies have been developed. Yet these therapies fail when taken to the clinic. So, it stands to reason that there is more to PDAC progression and drug response besides genetic drivers, such as epigenetic drivers.
I focused on the MLL/KMT family of histone methyltransferases, in particular, KMT2D, which is mutated in approximately 15% of PDAC patients (thus comprising a decent subset of patients, and highlighting the clinical significance of this mutation).
In my thesis, I was able to demonstrate that even a heterozygous mutation in KMT2D induces resistance to 5-fluorouracil in PDAC cells.