ACK1-AR and AR-HOXB13 signaling axes: epigenetic regulation of lethal prostate cancers

Eric H Kim1,2,3, Dengfeng Cao3,4, Nupam P Mahajan1,2,3

  • 1Division of Urologic Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.

NAR Cancer
|September 5, 2020
PubMed

Insights

Prostate cancer (PC) resistance to anti-androgens involves androgen receptor (AR) co-regulators ACK1 and HOXB13. Targeting ACK1 with (R)-9b may overcome resistance by disrupting these survival pathways.

Area of Science:

  • Oncology
  • Molecular Biology
  • Epigenetics

Background:

  • Androgen receptor (AR) is crucial in prostate cancer (PC) pathogenesis.
  • AR activity relies on co-regulators, with fluctuating dependence on androgen availability.
  • Castration-resistant PCs (CRPCs) increasingly depend on ACK1 and HOXB13 pathways for survival.

Purpose of the Study:

  • To elucidate the roles of ACK1 and HOXB13 in CRPC pathogenesis and anti-androgen resistance.
  • To investigate the crosstalk between AR, ACK1, and HOXB13 pathways in CRPC recurrence.
  • To evaluate the potential of targeting ACK1 for CRPC treatment.

Main Methods:

  • Analysis of AR co-regulator interactions in PC models.
  • Investigating ACK1-mediated phosphorylation of histone H4 and its effect on AR expression.
  • Examining the role of BRD4 in HOXB13 gene expression and AR-V7 recruitment.
  • Assessing the efficacy of the ACK1 inhibitor (R)-9b in CRPC models.

Main Results:

  • Androgen depletion enhances CRPC dependence on ACK1 and HOXB13.
  • ACK1 phosphorylates histone H4, epigenetically upregulating AR and conferring anti-androgen resistance.
  • (R)-9b, an ACK1 inhibitor, targets this resistance mechanism.
  • BRD4 upregulates HOXB13, which activates MYC targets (AURKA/AURKB) and facilitates AR-V7 recruitment.
  • Crosstalk between AR-ACK1 and AR-HOXB13 pathways drives CRPC recurrence.

Conclusions:

  • ACK1 and HOXB13 are key mediators of CRPC recurrence and resistance.
  • Targeting ACK1 with (R)-9b offers a potential therapeutic strategy for CRPC.
  • Understanding AR co-regulator pathways is critical for overcoming treatment resistance in prostate cancer.

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