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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
A noncanonical AR addiction drives enzalutamide resistance in prostate cancer
Yundong He1, Ting Wei2, Zhenqing Ye2
1Department of Biochemistry and Molecular Biology, Mayo Clinic College of Medicine and Science, Rochester, MN, USA.
Abstract:
Resistance to next-generation anti-androgen enzalutamide (ENZ) constitutes a major challenge for the treatment of castration-resistant prostate cancer (CRPC). By performing genome-wide ChIP-seq profiling in ENZ-resistant CRPC cells we identify a set of androgen receptor (AR) binding sites with increased AR binding intensity (ARBS-gained). While ARBS-gained loci lack the canonical androgen response elements (ARE) and pioneer factor FOXA1 binding motifs, they are highly enriched with CpG islands and the binding sites of unmethylated CpG dinucleotide-binding protein CXXC5 and the partner TET2. RNA-seq analysis reveals that both CXXC5 and its regulated genes including ID1 are upregulated in ENZ-resistant cell lines and these results are further confirmed in patient-derived xenografts (PDXs) and patient specimens. Consistent with the finding that ARBS-gained loci are highly enriched with H3K27ac modification, ENZ-resistant PCa cells, organoids, xenografts and PDXs are hyper-sensitive to NEO2734, a dual inhibitor of BET and CBP/p300 proteins. These results not only reveal a noncanonical AR function in acquisition of ENZ resistance, but also posit a treatment strategy to target this vulnerability in ENZ-resistant CRPC.
Insights
Enzalutamide resistance in prostate cancer involves new androgen receptor binding sites. Targeting CXXC5 and BET/CBP/p300 proteins offers a novel therapeutic strategy for castration-resistant prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genomics
Background:
- Enzalutamide (ENZ) resistance is a significant hurdle in treating castration-resistant prostate cancer (CRPC).
- Understanding the molecular mechanisms underlying ENZ resistance is crucial for developing effective therapies.
Purpose of the Study:
- To identify novel mechanisms of androgen receptor (AR) binding and gene regulation in ENZ-resistant CRPC.
- To explore potential therapeutic targets for overcoming ENZ resistance.
Main Methods:
- Genome-wide ChIP-seq profiling to identify AR binding sites in ENZ-resistant CRPC cells.
- RNA-seq analysis to assess gene expression changes.
- Validation in patient-derived xenografts (PDXs) and patient specimens.
Main Results:
- Identified "ARBS-gained" loci with increased AR binding intensity, lacking canonical elements but enriched for CpG islands, CXXC5, and TET2.
- CXXC5 and its target gene ID1 were upregulated in ENZ-resistant models.
- ENZ-resistant cells showed hyper-sensitivity to NEO2734, a BET and CBP/p300 inhibitor, correlating with H3K27ac modification at ARBS-gained loci.
Conclusions:
- Revealed a noncanonical AR function in the development of ENZ resistance.
- Suggests targeting CXXC5 and BET/CBP/p300 pathways as a potential therapeutic strategy for ENZ-resistant CRPC.
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