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Updated: Jul 5, 2025

Evaluating the Differentiation Capacity of Mouse Prostate Epithelial Cells Using Organoid Culture
Published on: November 22, 2019
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.
Abstract:
The use of androgen receptor pathway inhibitors (ARPIs) has led to an increase in the proportion of AR-null prostate cancer, including neuroendocrine prostate cancer (NEPC) and double-negative prostate cancer (DNPC), but the mechanism underlying this lineage transition has not been elucidated. We found that ID2 expression was increased in AR-null prostate cancer. In vitro and in vivo studies confirmed that ID2 promotes PCa malignancy and can confer resistance to enzalutamide in PCa cells. We generated an ID2 UP50 signature, which is capable of determining resistance to enzalutamide and is valuable for predicting patient prognosis. Functional experiments showed that ID2 could activate stemness-associated JAK/STAT and FGFR signaling while inhibiting the AR signaling pathway. Our study indicates a potentially strong association between ID2 and the acquisition of a stem-like phenotype in adenocarcinoma cells, leading to resistance to androgen deprivation therapy (ADT) and next-generation ARPIs in prostate cancer.
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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