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Omics · study · 2026

SMARCA2 Deficiency Drives BTK Inhibitor Resistance in Mantle Cell Lymphoma by Metabolic Reprogramming via Epigenetic TENT5C Silencing

Listed in NCBI GEO

Mantle cell lymphoma (MCL) remains incurable, and resistance to Bruton's tyrosine kinase inhibitors (BTKis) limits long-term outcomes.

Description

Here, we identified SMARCA2 deletion or low expression as a driver of BTKi resistance and poor survival in MCL. SMARCA2 loss promoted proliferation and resistance by activating oxidative phosphorylation (OXPHOS) and suppressing reactive oxygen species.

Integrative transcriptomic and epigenomic analyses identified TENT5C as a direct SMARCA2 target. SMARCA2 deficiency increased H3K27me3 at the TENT5C locus, reducing chromatin accessibility and silencing its expression. Restoring TENT5C reversed OXPHOS activation and ibrutinib resistance.

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Mechanistically, TENT5C interacted with ATP5A1, and upregulated its inhibitor IF1 to suppress ATP synthase activity. The flavonoid Isoginkgetin synergized with ibrutinib by inhibiting both OXPHOS and BCR signaling in preclinical models. Our findings reveal a SMARCA2-TENT5C-ATP axis linking chromatin remodeling to mitochondrial metabolism, offering novel biomarkers and therapeutic strategies for relapsed/refractory MCL.

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From keywords
Life Sciences
Provenance · 1 source records, 7 field assertions
SourceKeyLast seenRaw
NCBI GEOGSE32634514 d agoJSON v1
FieldAssertionExtractorEvidence
access_levelsource · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[field].local:field:life-sciencesmapping · NCBI GEOconnector:ncbi_geo@1.0.0
concepts[method].geo_series_type:genome-binding-occupancy-profiling-by-high-throughput-sequencingsource · NCBI GEOconnector:ncbi_geo@1.0.0/gdstype
concepts[organism].NCBITaxon:9606source · NCBI GEOconnector:ncbi_geo@1.0.0/taxon
descriptionsource · NCBI GEOconnector:ncbi_geo@1.0.0/summary
publication_datesource · NCBI GEOconnector:ncbi_geo@1.0.0
titlesource · NCBI GEOconnector:ncbi_geo@1.0.0/title