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Targeting Feedforward Loops Formed by Nuclear Receptor RORγ and Kinase PBK in mCRPC with Hyperactive AR Signaling
Xiong Zhang1, Zenghong Huang1, Junjian Wang1
1Department of Biochemistry and Molecular Medicine, School of Medicine, University of California, Davis, Sacramento, CA 95817, USA.
Abstract:
Metastatic castration-resistant prostate cancer (mCRPC) is a highly aggressive disease with few therapeutic options. Hyperactive androgen receptor (AR) signaling plays a key role in CRPC progression. Previously, we identified RAR-related orphan receptor gamma (RORγ) as a novel key driver of AR gene overexpression and increased AR signaling. We report here that several RORγ antagonists/inverse agonists including XY018 and compound 31 were orally effective in potent inhibition of the growth of tumor models including patient-derived xenograft (PDX) tumors. RORγ controls the expression of multiple aggressive-tumor gene programs including those of epithelial-mesenchymal transition (EMT) and invasion. We found that PDZ binding kinase (PBK), a serine/threonine kinase, is a downstream target of RORγ that exerts the cellular effects. Alterations of RORγ expression or function significantly downregulated the mRNA and protein level of PBK. Our further analyses demonstrated that elevated PBK associates with and stabilizes RORγ and AR proteins, thus constituting novel, interlocked feed-forward loops in hyperactive AR and RORγ signaling. Indeed, dual inhibition of RORγ and PBK synergistically inhibited the expression and function of RORγ, AR, and AR-V7, and the growth and survival of CRPC cells. Therefore, our study provided a promising, new strategy for treatment of advanced forms of prostate cancer.
Insights
New research identifies RAR-related orphan receptor gamma (RORγ) antagonists as a promising treatment for advanced prostate cancer. Dual inhibition of RORγ and PDZ binding kinase (PBK) shows synergistic effects against aggressive tumors.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) is an aggressive malignancy with limited treatment options.
- Hyperactive androgen receptor (AR) signaling is a critical driver of CRPC progression.
- RAR-related orphan receptor gamma (RORγ) was identified as a key regulator of AR gene overexpression.
Purpose of the Study:
- To investigate the therapeutic potential of RORγ antagonists in mCRPC.
- To elucidate the downstream targets and signaling pathways regulated by RORγ in prostate cancer.
- To evaluate the efficacy of combined RORγ and PDZ binding kinase (PBK) inhibition.
Main Methods:
- Administration of RORγ antagonists (e.g., XY018, compound 31) in preclinical mCRPC models, including patient-derived xenografts (PDX).
- Analysis of gene expression, protein levels, and signaling pathways, including epithelial-mesenchymal transition (EMT) and invasion markers.
- Investigation of the interaction between RORγ, AR, and PBK, and the effects of dual inhibition.
Main Results:
- RORγ antagonists effectively inhibited tumor growth in mCRPC models.
- RORγ regulates aggressive tumor gene programs, including EMT and invasion.
- PDZ binding kinase (PBK) was identified as a downstream target of RORγ, and PBK stabilizes RORγ and AR proteins, forming feed-forward loops.
- Dual inhibition of RORγ and PBK synergistically suppressed RORγ, AR, and AR-V7 expression and function, leading to reduced CRPC cell growth and survival.
Conclusions:
- RORγ antagonists represent a novel therapeutic strategy for mCRPC.
- The RORγ-PBK-AR signaling axis is a critical driver of prostate cancer progression.
- Combined inhibition of RORγ and PBK offers a promising approach for treating advanced prostate cancer.
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