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Updated: Sep 25, 2025

Evaluating the Differentiation Capacity of Mouse Prostate Epithelial Cells Using Organoid Culture
Published on: November 22, 2019
ASCL1 activates neuronal stem cell-like lineage programming through remodeling of the chromatin landscape in prostate
Shaghayegh Nouruzi1,2, Dwaipayan Ganguli2, Nakisa Tabrizian1,2
1Department of Urologic Sciences, University of British Columbia, Vancouver, BC, V5Z 1M9, Canada.
Abstract:
Treatment with androgen receptor pathway inhibitors (ARPIs) in prostate cancer leads to the emergence of resistant tumors characterized by lineage plasticity and differentiation toward neuroendocrine lineage. Here, we find that ARPIs induce a rapid epigenetic alteration mediated by large-scale chromatin remodeling to support activation of stem/neuronal transcriptional programs. We identify the proneuronal transcription factor ASCL1 motif to be enriched in hyper-accessible regions. ASCL1 acts as a driver of the lineage plastic, neuronal transcriptional program to support treatment resistance and neuroendocrine phenotype. Targeting ASCL1 switches the neuroendocrine lineage back to the luminal epithelial state. This effect is modulated by disruption of the polycomb repressive complex-2 through UHRF1/AMPK axis and change the chromatin architecture in favor of luminal phenotype. Our study provides insights into the epigenetic alterations induced by ARPIs, governed by ASCL1, provides a proof of principle of targeting ASCL1 to reverse neuroendocrine phenotype, support luminal conversion and re-addiction to ARPIs.
Insights
Androgen receptor pathway inhibitors (ARPIs) in prostate cancer cause neuroendocrine differentiation. Targeting ASCL1 reverses this, restoring the luminal state and ARPI sensitivity.
Area of Science:
- Oncology
- Epigenetics
- Molecular Biology
Background:
- Androgen receptor pathway inhibitors (ARPIs) are used for prostate cancer treatment.
- ARPIs can lead to treatment resistance via lineage plasticity and neuroendocrine differentiation.
Purpose of the Study:
- Investigate the epigenetic mechanisms driving ARPI resistance.
- Identify therapeutic targets to reverse neuroendocrine prostate cancer phenotype.
Main Methods:
- Analyzed chromatin accessibility and gene expression changes induced by ARPIs.
- Utilized transcription factor motif enrichment analysis.
- Investigated the role of ASCL1 and the UHRF1/AMPK axis in chromatin remodeling.
Main Results:
- ARPIs induce rapid chromatin remodeling, activating stem/neuronal programs.
- ASCL1 is a key driver of neuroendocrine differentiation and ARPI resistance.
- Targeting ASCL1 promotes luminal epithelial state conversion and re-sensitization to ARPIs.
- Disruption of polycomb repressive complex-2 via UHRF1/AMPK modulates chromatin architecture.
Conclusions:
- ARPIs induce ASCL1-governed epigenetic alterations driving neuroendocrine prostate cancer.
- Targeting ASCL1 offers a strategy to reverse neuroendocrine phenotype and restore ARPI sensitivity.
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