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Updated: Jan 30, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
IRE1α-XBP1s pathway promotes prostate cancer by activating c-MYC signaling
Xia Sheng1,2, Hatice Zeynep Nenseth1, Su Qu1
1Department of Biosciences, University of Oslo, 0316, Oslo, Norway.
Abstract:
Activation of endoplasmic reticulum (ER) stress/the unfolded protein response (UPR) has been linked to cancer, but the molecular mechanisms are poorly understood and there is a paucity of reagents to translate this for cancer therapy. Here, we report that an IRE1α RNase-specific inhibitor, MKC8866, strongly inhibits prostate cancer (PCa) tumor growth as monotherapy in multiple preclinical models in mice and shows synergistic antitumor effects with current PCa drugs. Interestingly, global transcriptomic analysis reveal that IRE1α-XBP1s pathway activity is required for c-MYC signaling, one of the most highly activated oncogenic pathways in PCa. XBP1s is necessary for optimal c-MYC mRNA and protein expression, establishing, for the first time, a direct link between UPR and oncogene activation. In addition, an XBP1-specific gene expression signature is strongly associated with PCa prognosis. Our data establish IRE1α-XBP1s signaling as a central pathway in PCa and indicate that its targeting may offer novel treatment strategies.
Insights
Targeting the IRE1α-XBP1s pathway with MKC8866 inhibits prostate cancer growth. This pathway is crucial for c-MYC oncogene activation, offering new therapeutic strategies for prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Biology
Background:
- Endoplasmic reticulum (ER) stress and the unfolded protein response (UPR) are implicated in cancer.
- The precise molecular mechanisms linking UPR to cancer and therapeutic strategies remain unclear.
Purpose of the Study:
- To investigate the role of the IRE1α-XBP1s pathway in prostate cancer (PCa).
- To evaluate the therapeutic potential of targeting this pathway in PCa.
Main Methods:
- Utilized an IRE1α RNase-specific inhibitor (MKC8866) in preclinical PCa models.
- Performed global transcriptomic analysis to assess pathway activity.
- Correlated XBP1-specific gene expression signatures with PCa prognosis.
Main Results:
- MKC8866 demonstrated significant inhibition of PCa tumor growth as monotherapy and synergistic effects with existing drugs.
- IRE1α-XBP1s pathway activity was found to be essential for c-MYC signaling in PCa.
- Established a direct link between UPR activation and oncogene expression, with XBP1s regulating c-MYC.
- An XBP1-specific gene signature strongly correlated with PCa patient prognosis.
Conclusions:
- The IRE1α-XBP1s signaling pathway is a critical regulator in prostate cancer.
- Targeting IRE1α-XBP1s represents a promising novel therapeutic strategy for prostate cancer.
- Understanding the UPR-oncogene link provides new avenues for cancer treatment development.
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