Targeting INMT and interrupting its methylation pathway for the treatment of castration resistant prostate cancer

Shangwei Zhong1, Ji-Hak Jeong1,2, Changhao Huang1

  • 1Department of Molecular Medicine, The Scripps Research Institute, Jupiter, FL, 33458, USA.

Abstract

Insights

Indolethylamine N-methyltransferase (INMT) drives castration-resistant prostate cancer (CRPC) by detoxifying anticancer compounds. Targeting INMT or its regulator SMYD3 offers a promising therapeutic strategy for CRPC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Castration-resistant prostate cancer (CRPC) presents a significant clinical challenge with a poor prognosis.
  • Current treatment options for CRPC are limited, necessitating the exploration of novel therapeutic targets.

Purpose of the Study:

  • To investigate the role of indolethylamine N-methyltransferase (INMT) in the development and progression of CRPC.
  • To identify epigenetic regulators of INMT and explore potential therapeutic strategies targeting INMT and its pathways.

Main Methods:

  • RNA-seq, qPCR, Western blot, and immunohistochemistry were used to assess INMT expression in CRPC.
  • ChIP assays identified SMYD3 as an epigenetic regulator of INMT. In vitro and in vivo models were used to evaluate therapeutic agents.

Main Results:

  • INMT expression is significantly elevated in CRPC and correlates with poor patient prognosis.
  • INMT promotes CRPC progression by detoxifying anticancer metabolites. Inhibition of INMT or its regulator SMYD3 suppressed CRPC development.
  • Knockdown of INMT enhanced the efficacy of selenium compounds (MSA, MSC) and Bis(7)-tacrine against CRPC.

Conclusions:

  • INMT is a key driver of castration resistance in prostate cancer through metabolic detoxification.
  • Targeting INMT, its regulator SMYD3, or its methylation metabolites presents a viable therapeutic approach for CRPC.