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Updated: Dec 10, 2025

Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
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.
Abstract:
The androgen receptor (AR) is a critical transcription factor in prostate cancer (PC) pathogenesis. Its activity in malignant cells is dependent on interactions with a diverse set of co-regulators. These interactions fluctuate depending on androgen availability. For example, the androgen depletion increases the dependence of castration-resistant PCs (CRPCs) on the ACK1 and HOXB13 cell survival pathways. Activated ACK1, an oncogenic tyrosine kinase, phosphorylates cytosolic and nuclear proteins, thereby avoiding the inhibitory growth consequences of androgen depletion. Notably, ACK1-mediated phosphorylation of histone H4, which leads to epigenetic upregulation of AR expression, has emerged as a critical mechanism of CRPC resistance to anti-androgens. This resistance can be targeted using the ACK1-selective small-molecule kinase inhibitor (R)- 9b. CRPCs also deploy the bromodomain and extra-terminal domain protein BRD4 to epigenetically increase HOXB13 gene expression, which in turn activates the MYC target genes AURKA/AURKB. HOXB13 also facilitates ligand-independent recruitment of the AR splice variant AR-V7 to chromatin, compensating for the loss of the chromatin remodeling protein, CHD1, and restricting expression of the mitosis control gene HSPB8. These studies highlight the crosstalk between AR-ACK1 and AR-HOXB13 pathways as key mediators of CRPC recurrence.
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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