ID2 Promotes Lineage Transition of Prostate Cancer through FGFR and JAK-STAT Signaling

Jinxiong Zhang1, Zhihao Chen1, Yongxin Mao1

  • 1Department of Urology, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China.

Cancers
|January 23, 2024
PubMed

Insights

Increased ID2 expression drives aggressive AR-null prostate cancer (PCa) and resistance to enzalutamide. This study identifies ID2 as a key factor in PCa progression and a potential therapeutic target.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Androgen receptor pathway inhibitors (ARPIs) increase AR-null prostate cancer (PCa), including neuroendocrine PCa (NEPC) and double-negative PCa (DNPC).
  • The mechanism driving this lineage transition remains unclear.

Purpose of the Study:

  • To investigate the role of ID2 in AR-null PCa development and enzalutamide resistance.
  • To identify biomarkers for predicting treatment response and patient prognosis.

Main Methods:

  • In vitro and in vivo studies to assess ID2 function in PCa cells.
  • Generation of an ID2 UP50 signature for resistance prediction.
  • Analysis of signaling pathways (JAK/STAT, FGFR, AR) affected by ID2.

Main Results:

  • ID2 expression is elevated in AR-null PCa.
  • ID2 promotes PCa malignancy and confers resistance to enzalutamide.
  • The ID2 UP50 signature predicts enzalutamide resistance and patient prognosis.
  • ID2 activates stemness pathways (JAK/STAT, FGFR) and inhibits AR signaling.

Conclusions:

  • ID2 is strongly associated with the acquisition of a stem-like phenotype in PCa cells.
  • ID2 contributes to resistance against androgen deprivation therapy (ADT) and next-generation ARPIs.
  • ID2 represents a potential therapeutic target for overcoming treatment resistance in advanced PCa.

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