TMPRSS2-ERG activates NO-cGMP signaling in prostate cancer cells

Feng Zhou1,2,3, Shuai Gao2,3, Dong Han2,3

  • 1Department of Urology, The First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, 310003, China.

Oncogene
|February 6, 2019
PubMed

Insights

Targeting the soluble guanylyl cyclase (sGC) pathway may offer a new treatment for prostate cancer (PCa) driven by the TMPRSS2-ERG gene fusion. Inhibiting sGC reduced tumor growth and enhanced enzalutamide effectiveness in preclinical models.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • The TMPRSS2-ERG gene fusion drives prostate cancer (PCa) via the ERG oncogenic pathway.
  • Identifying therapeutic targets downstream of ERG is crucial for effective PCa treatment.

Purpose of the Study:

  • To investigate the role of soluble guanylyl cyclase (sGC) and its downstream signaling in ERG-driven PCa.
  • To evaluate sGC inhibition as a potential therapeutic strategy for TMPRSS2-ERG-positive PCa.

Main Methods:

  • Assessed sGC subunit expression regulation by ERG in vitro and in vivo.
  • Analyzed the association between sGC expression and TMPRSS2-ERG fusion in clinical PCa samples.
  • Measured cGMP synthesis and protein kinase G (PKG) activity in PCa cells.
  • Evaluated the efficacy of sGC inhibitors, alone and in combination with enzalutamide, in PCa xenograft models.

Main Results:

  • ERG directly regulates the expression of sGC α1 and β1 subunits, which correlates with TMPRSS2-ERG fusion in PCa.
  • ERG-mediated elevation of cGMP synthesis leads to increased PKG activity and PCa cell proliferation.
  • sGC inhibition suppressed tumor growth in preclinical models of TMPRSS2-ERG-positive PCa.
  • Combined sGC inhibition and enzalutamide showed synergistic effects.

Conclusions:

  • ERG-driven upregulation of the NO-cGMP-PKG pathway promotes PCa growth.
  • Targeting sGC represents a promising therapeutic avenue for prostate cancer with TMPRSS2-ERG gene fusion.
  • Combination therapy with sGC inhibitors and androgen receptor antagonists may improve treatment outcomes.

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