Toppling the HAT to Treat Lethal Prostate Cancer

Reyaz Ur Rasool1, Ramakrishnan Natesan1, Irfan A Asangani2,3

  • 1Department of Cancer Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Cancer Discovery
|May 5, 2021
PubMed

Insights

Researchers found that higher levels of CBP and p300 proteins correlate with treatment resistance in advanced prostate cancer. A new drug targeting these proteins shows promise in suppressing tumor growth and offers a potential therapy for advanced prostate cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Androgen receptor (AR) signaling is crucial in prostate cancer progression.
  • Resistance to androgen deprivation therapy (ADT) is a major challenge in advanced prostate cancer.
  • Histone acetyltransferases CBP and p300 are implicated in cancer development.

Purpose of the Study:

  • To investigate the role of CBP and p300 in ADT resistance in advanced prostate cancer.
  • To evaluate the therapeutic potential of a selective p300/CBP bromodomain inhibitor, CCS1477.

Main Methods:

  • Correlation analysis of CBP/p300 expression with AR signaling and ADT resistance.
  • Assessment of CCS1477's effect on AR- and MYC-regulated gene expression.
  • Evaluation of CCS1477's efficacy in preclinical castration-resistant prostate cancer xenograft models.
  • Analysis of biomarker modulation in early clinical trials.

Main Results:

  • Positive correlation observed between CBP/p300 expression and increased AR signaling.
  • Elevated CBP/p300 expression linked to ADT resistance in advanced prostate cancer.
  • CCS1477 effectively suppressed tumor growth in preclinical models.
  • CCS1477 demonstrated modulation of biomarkers in early clinical evaluation.

Conclusions:

  • CBP and p300 are key drivers of AR signaling and ADT resistance in advanced prostate cancer.
  • CCS1477 represents a novel therapeutic strategy for AR-addicted advanced prostate cancer.
  • Targeting p300/CBP bromodomains offers a promising avenue for prostate cancer treatment.

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