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Updated: Feb 5, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
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.
Abstract:
Resistance to androgen receptor (AR) antagonists is a significant problem in the treatment of castration-resistant prostate cancers (CRPC). Identification of the mechanisms by which CRPCs evade androgen deprivation therapies (ADT) is critical to develop novel therapeutics. We uncovered that CRPCs rely on BRD4-HOXB13 epigenetic reprogramming for androgen-independent cell proliferation. Mechanistically, BRD4, a member of the BET bromodomain family, epigenetically promotes HOXB13 expression. Consistently, genetic disruption of HOXB13 or pharmacological suppression of its mRNA and protein expression by the novel dual-activity BET bromodomain-kinase inhibitors directly correlates with rapid induction of apoptosis, potent inhibition of tumor cell proliferation and cell migration, and suppression of CRPC growth. Integrative analysis revealed that the BRD4-HOXB13 transcriptome comprises a proliferative gene network implicated in cell-cycle progression, nucleotide metabolism, and chromatin assembly. Notably, although the core HOXB13 target genes responsive to BET inhibitors (HOTBIN10) are overexpressed in metastatic cases, in ADT-treated CRPC cell lines and patient-derived circulating tumor cells (CTC) they are insensitive to AR depletion or blockade. Among the HOTBIN10 genes, AURKB and MELK expression correlates with HOXB13 expression in CTCs of mCRPC patients who did not respond to abiraterone (ABR), suggesting that AURKB inhibitors could be used additionally against high-risk HOXB13-positive metastatic prostate cancers. Combined, our study demonstrates that BRD4-HOXB13-HOTBIN10 regulatory circuit maintains the malignant state of CRPCs and identifies a core proproliferative network driving ADT resistance that is targetable with potent dual-activity bromodomain-kinase inhibitors.
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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