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Updated: Jan 29, 2026

Isolation of Cancer Stem Cells From Human Prostate Cancer Samples
Published on: March 14, 2014
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.
Abstract:
The aberrant activation of the ERG oncogenic pathway due to the TMPRSS2-ERG gene fusion is the major event that contributes to prostate cancer (PCa) development. However, the critical downstream effectors that can be therapeutically targeted remain to be identified. In this study, we have found that the expression of the α1 and β1 subunits of soluble guanylyl cyclase (sGC) was directly and specifically regulated by ERG in vitro and in vivo and was significantly associated with TMPRSS2-ERG fusion in clinical PCa cohorts. sGC is the major mediator of nitric oxide (NO)-cGMP signaling in cells that, upon NO binding, catalyzes the synthesis of cGMP and subsequently activates protein kinase G (PKG). We showed that cGMP synthesis was significantly elevated by ERG in PCa cells, leading to increased PKG activity and cell proliferation. Importantly, we also demonstrated that sGC inhibitor treatment repressed tumor growth in TMPRSS2-ERG-positive PCa xenograft models and can act in synergy with a potent AR antagonist, enzalutamide. This study strongly suggests that targeting NO-cGMP signaling pathways may be a novel therapeutic strategy to treat PCa with TMPRSS2-ERG gene fusion.
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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