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Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
BRD4 regulates key transcription factors that drive epithelial-mesenchymal transition in castration-resistant
Jordan S Shafran1,2, Naser Jafari1, Allison N Casey1,3
1Boston University-Boston Medical Center Cancer Center, Boston, MA, 02118, USA.
Background:
Androgen deprivation therapies for the hormone-dependent stages of prostate cancer have become so effective that new forms of chemoresistant tumors are emerging in clinical practice, and require new targeted therapies in the metastatic setting. Yet there are important gaps in our understanding of the relevant transcriptional networks driving this process. Progression from localized to metastatic castration resistant prostate cancer (mCRPC) occurs as a result of accumulated resistance mechanisms that develop upon sustained androgen receptor (AR) suppression. Critical to this progression is the plastic nature by which prostate tumor cells transition from epithelial to mesenchymal states (EMT).
Methods:
Here, using prostate cancer cell lines with different AR composition, we systematically manipulated somatic proteins of the Bromodomain and ExtraTerminal (BET) family (BRD2, BRD3, and BRD4) to determine which BET proteins influence EMT. We used the TCGA repository to correlate the expression of individual BET genes with key EMT genes and determined biochemical recurrence in 414 patients and progression free survival in 488 patients.
Results:
We found that only BRD4-and not BRD2 or BRD3-regulates the expression of SNAI1 and SNAI2, and that the downregulation of these EMT transcription factors significantly increases E-cadherin expression. Furthermore, of the BET genes, only BRD4 correlates with survival outcomes in prostate cancer patients. Moreover, selective degradation of BRD4 protein with MZ1 ablates EMT (transcriptionally and morphologically) induced by TGFß signaling.
Conclusions:
Many relapsed/refractory tumors share a neuroendocrine transcriptional signature that had been relatively rare until highly successful antiandrogen drugs like abiraterone and enzalutamide came into widespread use. New therapeutic targets must therefore be developed. Our results identify key EMT genes regulated by BRD4, and offers a novel druggable target to treat mCRPC. BRD4-selective protein degraders offer a promising next generation approach to treat the emerging forms of chemoresistance in advanced prostate cancer.
Insights
BRD4 protein drives the epithelial-to-mesenchymal transition (EMT) in prostate cancer. Targeting BRD4 offers a new therapeutic strategy for metastatic castration-resistant prostate cancer (mCRPC) and emerging chemoresistance.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Androgen deprivation therapies (ADT) are effective but lead to chemoresistant prostate cancer.
- Metastatic castration-resistant prostate cancer (mCRPC) progresses due to resistance mechanisms and epithelial-to-mesenchymal transition (EMT).
- Understanding transcriptional networks driving mCRPC progression is crucial for developing new therapies.
Purpose of the Study:
- To investigate the role of Bromodomain and ExtraTerminal (BET) family proteins in regulating EMT in prostate cancer.
- To identify specific BET proteins that influence EMT and correlate their expression with patient survival outcomes.
Main Methods:
- Systematic manipulation of BET proteins (BRD2, BRD3, BRD4) in prostate cancer cell lines.
- Analysis of The Cancer Genome Atlas (TCGA) data to correlate BET gene expression with EMT markers and patient survival.
- Treatment of cells with TGFß signaling and selective BRD4 protein degrader (MZ1).
Main Results:
- BRD4, but not BRD2 or BRD3, regulates SNAI1 and SNAI2, key EMT transcription factors.
- Downregulation of SNAI1/SNAI2 by BRD4 inhibition increases E-cadherin expression, reversing EMT.
- BRD4 expression correlates with improved survival outcomes in prostate cancer patients.
- Selective BRD4 degradation ablates TGFß-induced EMT.
Conclusions:
- BRD4 is a key regulator of EMT in prostate cancer.
- BRD4 represents a novel druggable target for treating mCRPC.
- BRD4-selective protein degraders show promise for overcoming chemoresistance in advanced prostate cancer.
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