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Updated: Jan 26, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Leukemia Inhibitory Factor Promotes Castration-resistant Prostate Cancer and Neuroendocrine Differentiation by
Yen-Nien Liu1,2,3, Shaoxi Niu4, Wei-Yu Chen5,6
1Graduate Institute of Cancer Biology and Drug Discovery, College of Medical Science and Technology, Taipei Medical University, Taipei, Taiwan. liuy@tmu.edu.tw xzhang@tjh.tjmu.edu.cn jiaoti.huang@duke.edu.
Purpose:
The molecular targets for castration-resistant prostate cancer (CRPC) are unknown because the disease inevitably recurs, and therapeutic approaches for patients with CRPC remain less well understood. We sought to investigate regulatory mechanisms that result in increased therapeutic resistance, which is associated with neuroendocrine differentiation of prostate cancer and linked to dysregulation of the androgen-responsive pathway.
Experimental Design:
The underlying intracellular mechanism that sustains the oncogenic network involved in neuroendocrine differentiation and therapeutic resistance of prostate cancer was evaluated to investigate and identify effectors. Multiple sets of samples with prostate adenocarcinomas and CRPC were assessed via IHC and other assays.
Results:
We demonstrated that leukemia inhibitory factor (LIF) was induced by androgen deprivation therapy (ADT) and was upregulated by ZBTB46 in prostate cancer to promote CRPC and neuroendocrine differentiation. LIF was found to be induced in patients with prostate cancer after ADT and was associated with enriched nuclear ZBTB46 staining in high-grade prostate tumors. In prostate cancer cells, high ZBTB46 output was responsible for the activation of LIF-STAT3 signaling and neuroendocrine-like features. The abundance of LIF was mediated by ADT-induced ZBTB46 through a physical interaction with the regulatory sequence of LIF. Analysis of serum from patients showed that cases of higher tumor grade and metastatic prostate cancer exhibited higher LIF titers.
Conclusions:
Our findings suggest that LIF is a potent serum biomarker for diagnosing advanced prostate cancer and that targeting the ZBTB46-LIF axis may therefore inhibit CRPC development and neuroendocrine differentiation after ADT.
Insights
Leukemia inhibitory factor (LIF) promotes castration-resistant prostate cancer (CRPC) and neuroendocrine differentiation following androgen deprivation therapy (ADT). Targeting the ZBTB46-LIF pathway may inhibit CRPC progression and serve as a diagnostic biomarker.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Castration-resistant prostate cancer (CRPC) presents therapeutic challenges due to unknown molecular targets and recurrence.
- Therapeutic resistance in CRPC is linked to neuroendocrine differentiation and androgen-responsive pathway dysregulation.
Purpose of the Study:
- To investigate regulatory mechanisms driving therapeutic resistance in prostate cancer.
- To identify effectors of the oncogenic network promoting neuroendocrine differentiation and resistance.
Main Methods:
- Assessed prostate adenocarcinoma and CRPC samples using immunohistochemistry (IHC) and other assays.
- Evaluated intracellular mechanisms sustaining neuroendocrine differentiation and therapeutic resistance.
Main Results:
- Leukemia inhibitory factor (LIF) is induced by androgen deprivation therapy (ADT) and upregulated by ZBTB46, promoting CRPC and neuroendocrine differentiation.
- High ZBTB46 expression activates LIF-STAT3 signaling, inducing neuroendocrine features; LIF abundance is mediated by ZBTB46 binding to the LIF regulatory sequence.
- Elevated serum LIF titers correlate with higher tumor grade and metastatic prostate cancer.
Conclusions:
- LIF is a potential serum biomarker for advanced prostate cancer diagnosis.
- Targeting the ZBTB46-LIF axis may inhibit CRPC development and neuroendocrine differentiation post-ADT.
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