RESEARCH ARTICLE Repurposing of KLF5 activates a cell cycle signature during the progression from a precursor state to oesophageal adenocarcinoma Connor Rogerson1, Samuel Ogden1, Edward Britton1, The OCCAMS Consortium, Yeng Ang2,3*, Andrew D Sharrocks1* 1School of Biological Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; 2School of Medical Sciences, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom; 3GI Science Centre, Salford Royal NHS FT, University of Manchester, Salford, United Kingdom Abstract Oesophageal adenocarcinoma (OAC) is one of the most common causes of cancer deaths. Barrett’s oesophagus (BO) is the only known precancerous precursor to OAC, but our understanding about the molecular events leading to OAC development is limited. Here, we have integrated gene expression and chromatin accessibility profiles of human biopsies and identified a strong cell cycle gene expression signature in OAC compared to BO. Through analysing associated chromatin accessibility changes, we have implicated the transcription factor KLF5 in the transition from BO to OAC. Importantly, we show that KLF5 expression is unchanged during this transition, but instead, KLF5 is redistributed across chromatin to directly regulate cell cycle genes specifically in OAC cells. This new KLF5 target gene programme has potential prognostic significance as high *For correspondence: levels correlate with poorer patient survival. Thus, the repurposing of KLF5 for novel regulatory
[email protected] (YA); activity in OAC provides new insights into the mechanisms behind disease progression. andrew.d.sharrocks@manchester. ac.uk (ADS) Competing interests: The authors declare that no Introduction competing interests exist. Oesophageal cancer is the eighth most common cancer worldwide, and its 5-year survival rate of Funding: See page 18 15% makes it the sixth most-common cause of cancer-related death (Ferlay et al., 2015; Received: 24 March 2020 Pennathur et al., 2013).