Wntless expression promotes lineage plasticity and is associated with neuroendocrine prostate cancer

Leandro S D'Abronzo1, Alan P Lombard1,2,3, Shu Ning1

  • 1Department of Urologic Surgery, University of California Davis Sacramento, California, USA.

Insights

Wntless (WLS) overexpression drives prostate cancer lineage plasticity and resistance to therapy. Targeting WLS may offer a new treatment strategy for advanced, lethal prostate cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • Androgen receptor (AR) targeted therapies are standard for prostate cancer but resistance leads to lethal disease.
  • Lineage plasticity, particularly neuroendocrine differentiation, is a common mechanism of resistance to AR-targeted therapies.
  • The underlying mechanisms driving lineage plasticity in prostate cancer are not fully understood.

Purpose of the Study:

  • To investigate the role of Wntless (WLS) in mediating lineage plasticity in prostate cancer.
  • To evaluate WLS as a potential therapeutic target for treatment-resistant prostate cancer.

Main Methods:

  • Utilized enzalutamide-resistant MDVR cell line models with lineage plastic characteristics.
  • Assessed WLS expression in various prostate cancer cell line models and patient samples.
  • Correlated WLS expression with neuroendocrine markers (SYP) in clinical data.
  • Targeted WLS inhibition in cellular models to assess impact on viability and gene expression.

Main Results:

  • Enzalutamide-resistant MDVR cells exhibited lineage plasticity and WLS overexpression.
  • WLS overexpression was prevalent in lineage plastic prostate cancer models and higher in neuroendocrine patient samples.
  • WLS expression positively correlated with the neuroendocrine marker SYP in clinical data.
  • WLS targeting reduced viability and repressed lineage plasticity-associated gene expression in cellular models.

Conclusions:

  • Wntless (WLS) plays a significant role in the development of lineage plasticity in prostate cancer.
  • WLS is a potential therapeutic target for overcoming resistance to AR-targeted therapies in advanced prostate cancer.

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