Targeting the BRD4-HOXB13 Coregulated Transcriptional Networks with Bromodomain-Kinase Inhibitors to Suppress

Niveditha Nerlakanti1,2, Jiqiang Yao3, Duy T Nguyen1,4

  • 1Tumor Biology Department, H. Lee Moffitt Cancer Center and Research Institute, Tampa, Florida.

Insights

Castration-resistant prostate cancers (CRPC) develop resistance through BRD4-HOXB13 reprogramming. Targeting this pathway with BET inhibitors halts tumor growth and offers new therapeutic strategies for advanced prostate cancer.

Area of Science:

  • Oncology
  • Epigenetics
  • Molecular Biology

Background:

  • Androgen receptor (AR) antagonist resistance is a major challenge in treating castration-resistant prostate cancers (CRPC).
  • Understanding the mechanisms of AR antagonist resistance is crucial for developing effective therapies.
  • CRPC evasion of androgen deprivation therapies (ADT) requires further investigation.

Purpose of the Study:

  • To identify the key molecular mechanisms driving CRPC resistance to ADT.
  • To investigate the role of BRD4 and HOXB13 in epigenetic reprogramming and CRPC proliferation.
  • To evaluate the therapeutic potential of targeting the BRD4-HOXB13 axis.

Main Methods:

  • Investigated the BRD4-HOXB13 epigenetic reprogramming in CRPC.
  • Utilized genetic disruption of HOXB13 and pharmacological inhibition of BRD4.
  • Employed dual-activity BET bromodomain-kinase inhibitors.
  • Performed integrative transcriptome analysis of BRD4-HOXB13 targets.
  • Analyzed gene expression in CRPC cell lines, patient-derived CTCs, and metastatic CRPC (mCRPC) patient samples.

Main Results:

  • CRPCs utilize BRD4-HOXB13 epigenetic reprogramming for androgen-independent proliferation.
  • BRD4 epigenetically upregulates HOXB13 expression, driving CRPC growth.
  • Disrupting HOXB13 or inhibiting BRD4 with BET inhibitors induced apoptosis, inhibited proliferation and migration, and suppressed CRPC growth.
  • The BRD4-HOXB13 transcriptome includes a proproliferative gene network (HOTBIN10).
  • HOTBIN10 genes, including AURKB and MELK, are overexpressed in metastatic CRPC and correlate with HOXB13 in abiraterone-resistant patients.

Conclusions:

  • The BRD4-HOXB13-HOTBIN10 regulatory circuit maintains the malignant phenotype of CRPCs.
  • This pathway represents a core proproliferative network driving ADT resistance.
  • Dual-activity BET bromodomain-kinase inhibitors effectively target this network.
  • AURKB inhibitors may offer additional therapeutic benefits for high-risk HOXB13-positive mCRPC.

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