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Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Reactivation of androgen receptor-regulated TMPRSS2:ERG gene expression in castration-resistant prostate cancer
Changmeng Cai1, Hongyun Wang, Youyuan Xu
1Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts 02215, USA.
Abstract:
It seems clear that androgen receptor (AR)-regulated expression of the TMPRSS2:ERG fusion gene plays an early role in prostate cancer (PC) development or progression, but the extent to which TMPRSS2:ERG is down-regulated in response to androgen deprivation therapy (ADT) and whether AR reactivates TMPRSS2:ERG expression in castration-resistant PC (CRPC) have not been determined. We show that ERG message levels in TMPRSS2:ERG fusion-positive CRPC are comparable with the levels in fusion gene-positive primary PC, consistent with the conclusion that the TMPRSS2:ERG expression is reactivated by AR in CRPC. To further assess whether TMPRSS2:ERG expression is initially down-regulated in response to ADT, we examined VCaP cells, which express the TMPRSS2:ERG fusion gene, and xenografts. ERG message and protein rapidly declined in response to removal of androgen in vitro and castration in vivo. Moreover, as observed in the clinical samples, ERG expression was fully restored in the VCaP xenografts that relapsed after castration, coincident with AR reactivation. AR reactivation in the relapsed xenografts was also associated with marked increases in mRNA encoding AR and androgen synthetic enzymes. These results show that expression of TMPRSS2:ERG, similarly to other AR-regulated genes, is restored in CRPC and may contribute to tumor progression.
Insights
Androgen receptor (AR) reactivates TMPRSS2:ERG expression in castration-resistant prostate cancer (CRPC). This fusion gene, crucial for PC development, is restored during CRPC, potentially driving tumor progression.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Androgen receptor (AR)-regulated TMPRSS2:ERG fusion gene expression is implicated in prostate cancer (PC) development.
- The regulation of TMPRSS2:ERG during androgen deprivation therapy (ADT) and its reactivation in castration-resistant PC (CRPC) remain unclear.
Purpose of the Study:
- To determine if TMPRSS2:ERG expression is downregulated by ADT.
- To investigate whether AR reactivates TMPRSS2:ERG expression in CRPC.
Main Methods:
- Analysis of ERG message levels in CRPC and primary PC samples.
- Examination of VCaP cells and xenografts to assess ERG expression changes in response to androgen withdrawal and castration.
- Evaluation of AR and androgen synthetic enzyme mRNA levels in relapsed xenografts.
Main Results:
- ERG message levels in fusion-positive CRPC are comparable to primary PC, suggesting TMPRSS2:ERG reactivation by AR.
- ERG expression rapidly declined in VCaP cells and xenografts upon androgen removal/castration.
- ERG expression was restored in relapsed xenografts, coinciding with AR reactivation and increased AR and androgen synthetic enzyme mRNA.
Conclusions:
- TMPRSS2:ERG expression is downregulated by ADT but reactivated by AR in CRPC.
- Reactivated TMPRSS2:ERG may contribute to tumor progression in CRPC.
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