Chromatin profiles classify castration-resistant prostate cancers suggesting therapeutic targets

Fanying Tang1,2, Duo Xu1,2,3,4, Shangqian Wang5,6

  • 1Sandra and Edward Meyer Cancer Center, Weill Cornell Medicine, New York, NY 10021, USA.

Science (New York, N.Y.)
|May 26, 2022
PubMed

Insights

Castration-resistant prostate cancer (CRPC) has new subtypes identified, including a stem cell-like (SCL) group driven by activator protein-1 (AP-1). This molecular classification reveals potential drug targets for aggressive tumors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genomics

Background:

  • Castration-resistant prostate cancer (CRPC) presents aggressive tumors with limited treatment options following androgen receptor (AR) dependence loss.
  • Understanding the molecular heterogeneity of CRPC is crucial for developing effective therapies.

Purpose of the Study:

  • To molecularly classify CRPC subtypes beyond AR-dependent and neuroendocrine phenotypes.
  • To identify novel therapeutic targets and guide treatment strategies for CRPC.

Main Methods:

  • Utilized ATAC-seq, RNA-seq, and DNA sequencing on organoids, patient-derived xenografts, and cell lines.
  • Applied transcriptomic signatures to classify a cohort of 366 CRPC patients.

Main Results:

  • Identified two novel AR-negative/low subtypes: Wnt-dependent and stem cell-like (SCL).
  • The SCL subtype, driven by activator protein-1 (AP-1) transcription factors, is the second most prevalent CRPC subtype.
  • Discovered AP-1 interaction with YAP/TAZ and TEAD proteins maintains SCL subtype-specific chromatin accessibility and transcriptomic profiles.

Conclusions:

  • A molecular classification of CRPC reveals distinct subtypes, including the SCL group.
  • The findings highlight AP-1, YAP/TAZ, and TEAD as potential therapeutic targets in SCL CRPC.
  • This classification can inform personalized treatment decisions for CRPC patients.