Toll-like receptor 4 signaling activates ERG function in prostate cancer and provides a therapeutic target

Benjamin M Greulich1, Joshua P Plotnik2, Travis J Jerde3

  • 1Medical Sciences, Indiana University School of Medicine, Bloomington, IN 47405, USA.

NAR Cancer
|February 8, 2021
PubMed

Insights

The TMPRSS2-ERG gene fusion drives prostate cancer. Targeting the toll-like receptor 4 (TLR4) pathway, upstream of ERG, shows promise for treating ERG-positive prostate cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • The TMPRSS2-ERG gene fusion is the most common genetic abnormality in prostate cancer, leading to ERG transcription factor overexpression.
  • ERG drives tumor progression, but its function as a transcription factor makes it difficult to target therapeutically.

Purpose of the Study:

  • To identify novel therapeutic targets for ERG-positive prostate cancer.
  • To elucidate the functional relationship between ERG and the toll-like receptor 4 (TLR4) signaling pathway.

Main Methods:

  • Genetic screening to identify pathways critical for ERG function.
  • Utilizing a constitutively active ERG mutant to investigate TLR4 signaling.
  • Employing the TLR4 inhibitor TAK-242 to assess its effects on ERG-driven phenotypes.

Main Results:

  • The toll-like receptor 4 (TLR4) signaling pathway was identified as crucial for ERG function in prostate cells.
  • TLR4 signaling acts upstream to promote ERG phosphorylation at serine 96, enhancing its transcriptional activity.
  • Inhibition of TLR4 with TAK-242 reduced ERG-mediated cell migration, survival, gene activation, and tumor growth.

Conclusions:

  • TLR4 signaling is essential for ERG's oncogenic functions in prostate cancer.
  • Targeting TLR4 represents a potential therapeutic strategy for ERG-positive prostate tumors.

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