CRISPR screening identifies CDK12 as a conservative vulnerability of prostate cancer

Hanqi Lei1,2, Zifeng Wang3, Donggen Jiang1

  • 1Department of Urology, Kidney and Urology Center, Pelvic Floor Disorders Center, The Seventh Affiliated Hospital, Sun Yat-sen University, Shenzhen, China.

Cell Death & Disease
|July 28, 2021
PubMed

Insights

Targeting cyclin-dependent kinase 12 (CDK12) shows promise for prostate cancer (PCa) treatment. Inhibiting CDK12 with THZ531 and combining it with AR antagonists offers a potential new therapy for PCa patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Androgen receptor (AR) signaling inhibitors offer limited survival benefits for prostate cancer (PCa).
  • Limited genomic lesions in PCa restrict effective targeted treatments.
  • Identifying critical PCa dependencies is crucial for developing new therapeutic strategies.

Purpose of the Study:

  • To identify novel therapeutic targets and strategies for prostate cancer.
  • To investigate the role of cyclin-dependent kinase 12 (CDK12) in PCa cell survival and AR signaling.
  • To evaluate the efficacy of CDK12 inhibition and its combination with AR antagonists in PCa.

Main Methods:

  • A kinome-scale CRISPR/Cas9 screen was employed to identify essential genes in PCa.
  • The covalent inhibitor THZ531 was used to suppress CDK12 activity.
  • AR signaling, CDK12-inhibition-sensitive transcripts (CDK12-ISTs), super-enhancer (SE) landscape, and H3K27ac signaling were analyzed.
  • Synergistic effects of THZ531 with AR antagonists were assessed.

Main Results:

  • CDK12 was identified as essential for PCa cell survival.
  • THZ531 demonstrated significant anti-PCa effects by downregulating AR signaling and repressing CDK12-ISTs.
  • Integration of SE landscape and CDK12-ISTs revealed potential PCa oncogenes.
  • THZ531 synergized with AR antagonists, potentially via attenuated H3K27ac signaling and enhanced apoptosis.

Conclusions:

  • CDK12 is a druggable target for prostate cancer therapy.
  • The combination of THZ531 and AR antagonists shows significant therapeutic potential for PCa.
  • Targeting CDK12 offers a novel approach to overcome limitations of current PCa treatments.

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