What Is KDM5A and What Is Its Role in Disease?

KDM5A is a protein with a role in the human body, influencing gene regulation. It modifies how genetic material is structured and accessed. Proper function is important for cellular health and development. Disruptions can lead to various health conditions.

Understanding KDM5A: Its Identity and Function

KDM5A, also known as JARID1A, RBP2, or KIAA0043, is a protein encoded by the KDM5A gene. It belongs to the Jumonji, AT-rich interactive domain 1 (JARID1) family of histone demethylases. KDM5A acts as an enzyme that modifies histones, proteins that DNA wraps around to form chromatin.

The primary function of KDM5A involves the removal of methyl groups from lysine 4 of histone H3, specifically targeting trimethylated (H3K4me3) and dimethylated (H3K4me2) forms. This process, known as H3K4 demethylation, is important for regulating gene expression. Think of chromatin as a tightly wound spool of thread; if the thread (DNA) is too tightly wound, the instructions (genes) cannot be read. KDM5A helps to adjust the winding and unwinding of this spool, influencing which genes are turned “on” or “off.”.

KDM5A’s activity impacts various cellular processes, including cell differentiation, metabolism, the cell cycle, and gene transcription. It can act as both a transcriptional repressor and, sometimes, a transcriptional activator, sometimes independent of its demethylase activity. This dual role highlights its influence on gene expression and cell behavior.

KDM5A’s Role in Disease

Dysregulation or mutations in KDM5A are linked to various diseases, particularly cancer and neurodevelopmental disorders. In cancer, KDM5A’s altered activity promotes tumor growth, metastasis, and drug resistance. For instance, KDM5A is frequently overexpressed in breast cancer, contributing to increased proliferation, metastasis, and drug resistance. It promotes drug resistance to therapies like erlotinib by regulating genes such as p21 and BAK1.

KDM5A is also implicated in lung cancer, where its upregulation is associated with tumor progression and drug resistance to agents like gefitinib. In gastric cancer, KDM5A represses tumor suppressor genes and activates genes that promote angiogenesis, contributing to tumor progression and metastasis. Its role in cancer often involves altering gene expression pathways that control cell cycle progression, apoptosis, and cancer cell spread. For example, in triple-negative breast cancer, KDM5A inhibition has been shown to impair cell cycle and senescence by regulating p16 and p27.

Beyond cancer, KDM5A dysfunction is identified in neurodevelopmental disorders, including intellectual disability and autism spectrum disorders (ASD). Mutations in the KDM5A gene are found in patients with ASD who also experience a lack of speech and intellectual disability. Research using mouse models shows that inactivating KDM5A leads to ASD-like behaviors, such as deficits in social interaction, repetitive behaviors, and impaired vocalization. These studies suggest that KDM5A plays a role in establishing the identity of specific brain cell types, particularly in the hippocampus, a region important for memory and learning. Alterations in KDM5A can lead to an imbalance in the proportions of different cell types in the hippocampus, which may contribute to the symptoms observed in ASD.

KDM5A as a Research Target

KDM5A’s involvement in diseases like cancer and neurodevelopmental disorders makes it a focus for scientific research and drug development. Scientists are exploring KDM5A as a therapeutic target, particularly in cancers where it is overexpressed or contributes to drug resistance. The aim is to develop specific inhibitors or modulators that block KDM5A’s activity, disrupting disease progression.

Several small-molecule KDM5A inhibitors have shown promise in laboratory settings by increasing H3K4me3 levels, the opposite effect of KDM5A activity. These inhibitors aim to restore normal gene expression, suppressing tumor growth and promoting cancer cell death. For instance, some compounds selectively inhibit KDM5A without affecting other family members, demonstrating the feasibility of targeted approaches.

Despite the promising preclinical results, no specific KDM5A inhibitor has advanced to clinical trials. Challenges include ensuring inhibitors are highly specific to KDM5A to avoid off-target effects and understanding KDM5A’s context-dependent roles in various diseases. However, ongoing research continues to provide insights into KDM5A’s precise mechanisms, which will inform the development of more effective and targeted therapeutic strategies.

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