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Updated: Jun 11, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Androgen-induced TOP2B-mediated double-strand breaks and prostate cancer gene rearrangements
Michael C Haffner1, Martin J Aryee, Antoun Toubaji
1Sidney Kimmel Comprehensive Cancer Center, Johns Hopkins University, Baltimore, Maryland, USA.
Abstract:
DNA double-strand breaks (DSBs) can lead to the development of genomic rearrangements, which are hallmarks of cancer. Fusions between TMPRSS2, encoding the transmembrane serine protease isoform 2, and ERG, encoding the v-ets erythroblastosis virus E26 oncogene homolog, are among the most common oncogenic rearrangements observed in human cancer. We show that androgen signaling promotes co-recruitment of androgen receptor and topoisomerase II beta (TOP2B) to sites of TMPRSS2-ERG genomic breakpoints, triggering recombinogenic TOP2B-mediated DSBs. Furthermore, androgen stimulation resulted in de novo production of TMPRSS2-ERG fusion transcripts in a process that required TOP2B and components of the DSB repair machinery. Finally, unlike normal prostate epithelium, prostatic intraepithelial neoplasia cells showed strong coexpression of androgen receptor and TOP2B. These findings implicate androgen-induced TOP2B-mediated DSBs in generating TMPRSS2-ERG rearrangements.
Insights
Androgen signaling drives TMPRSS2-ERG gene fusions, common in cancer, by promoting DNA double-strand breaks (DSBs) via topoisomerase II beta (TOP2B). This mechanism is crucial for generating these oncogenic rearrangements.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Genomic rearrangements, particularly gene fusions, are critical drivers of cancer development.
- The TMPRSS2-ERG fusion is a prevalent oncogenic rearrangement in human cancers, especially prostate cancer.
- Androgen signaling plays a significant role in prostate cancer pathogenesis.
Purpose of the Study:
- To elucidate the molecular mechanisms by which androgen signaling contributes to the formation of TMPRSS2-ERG gene fusions.
- To investigate the role of topoisomerase II beta (TOP2B) in mediating DNA double-strand breaks (DSBs) at TMPRSS2-ERG breakpoints.
- To examine the expression patterns of androgen receptor and TOP2B in normal and pre-cancerous prostate tissues.
Main Methods:
- Investigated the co-recruitment of androgen receptor and TOP2B to TMPRSS2-ERG genomic breakpoints under androgen stimulation.
- Assessed the induction of TMPRSS2-ERG fusion transcripts following androgen stimulation.
- Utilized techniques to evaluate the requirement of TOP2B and DNA double-strand break repair machinery in fusion transcript production.
- Compared the coexpression of androgen receptor and TOP2B in normal prostate epithelium versus prostatic intraepithelial neoplasia (PIN) cells.
Main Results:
- Androgen signaling promotes the co-recruitment of androgen receptor and TOP2B to TMPRSS2-ERG breakpoints.
- This co-recruitment triggers TOP2B-mediated DNA double-strand breaks (DSBs) at these specific genomic locations.
- Androgen stimulation leads to the de novo production of TMPRSS2-ERG fusion transcripts, dependent on TOP2B and DSB repair pathways.
- Prostatic intraepithelial neoplasia (PIN) cells exhibit strong coexpression of androgen receptor and TOP2B, unlike normal prostate epithelium.
Conclusions:
- Androgen-induced DNA double-strand breaks mediated by TOP2B are implicated in the generation of TMPRSS2-ERG rearrangements.
- The findings highlight a novel mechanism linking hormonal signaling to oncogenic genomic instability.
- Targeting the androgen-TOP2B interaction or DSB repair pathways may offer therapeutic strategies for cancers driven by TMPRSS2-ERG fusions.
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