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Evaluating the Differentiation Capacity of Mouse Prostate Epithelial Cells Using Organoid Culture
Published on: November 22, 2019
An androgen receptor switch underlies lineage infidelity in treatment-resistant prostate cancer
Alastair Davies1,2, Shaghayegh Nouruzi1,2, Dwaipayan Ganguli2
1Department of Urologic Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Abstract:
Cancers adapt to increasingly potent targeted therapies by reprogramming their phenotype. Here we investigated such a phenomenon in prostate cancer, in which tumours can escape epithelial lineage confinement and transition to a high-plasticity state as an adaptive response to potent androgen receptor (AR) antagonism. We found that AR activity can be maintained as tumours adopt alternative lineage identities, with changes in chromatin architecture guiding AR transcriptional rerouting. The epigenetic regulator enhancer of zeste homologue 2 (EZH2) co-occupies the reprogrammed AR cistrome to transcriptionally modulate stem cell and neuronal gene networks-granting privileges associated with both fates. This function of EZH2 was associated with T350 phosphorylation and establishment of a non-canonical polycomb subcomplex. Our study provides mechanistic insights into the plasticity of the lineage-infidelity state governed by AR reprogramming that enabled us to redirect cell fate by modulating EZH2 and AR, highlighting the clinical potential of reversing resistance phenotypes.
Insights
Prostate cancers adapt to therapies by changing cell type. Targeting the enhancer of zeste homologue 2 (EZH2) and androgen receptor (AR) can reverse this resistance, offering new treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Epigenetics
Background:
- Cancers adapt to targeted therapies by altering their cellular phenotype.
- Prostate cancer can transition to a high-plasticity state to resist androgen receptor (AR) antagonism.
Purpose of the Study:
- Investigate adaptive resistance mechanisms in prostate cancer.
- Elucidate the role of the epigenetic regulator enhancer of zeste homologue 2 (EZH2) in AR-antagonist resistance.
- Explore therapeutic strategies to reverse lineage infidelity.
Main Methods:
- Analysis of AR activity and chromatin architecture changes.
- Investigated the role of EZH2 in modulating stem cell and neuronal gene networks.
- Studied EZH2 phosphorylation at T350 and non-canonical polycomb complex formation.
Main Results:
- AR activity is maintained during lineage transition.
- EZH2 co-occupies the reprogrammed AR cistrome, modulating stem cell and neuronal gene expression.
- EZH2's function is linked to T350 phosphorylation and a non-canonical polycomb subcomplex.
Conclusions:
- AR reprogramming drives prostate cancer plasticity and resistance.
- EZH2 plays a critical role in maintaining this adaptive state.
- Modulating EZH2 and AR offers potential for reversing resistance phenotypes and redirecting cell fate.
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