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IGFBP3 promotes resistance to Olaparib via modulating EGFR signaling in advanced prostate cancer
Amy R Leslie1, Shu Ning1, Cameron M Armstrong1
1Department of Urologic Surgery, University of California Davis, Davis, CA, USA.
Abstract:
Olaparib is a pioneering PARP inhibitor (PARPi) approved for treating castration-resistant prostate cancer (CRPC) tumors harboring DNA repair defects, but clinical resistance has been documented. To study acquired resistance, we developed Olaparib-resistant (OlapR) cell lines through chronic Olaparib treatment of LNCaP and C4-2B cell lines. Here, we found that IGFBP3 is highly expressed in acquired (OlapR) and intrinsic (Rv1) models of Olaparib resistance. We show that IGFBP3 expression promotes Olaparib resistance by enhancing DNA repair capacity through activation of EGFR and DNA-PKcs. IGFBP3 depletion enhances efficacy of Olaparib by promoting DNA damage accumulation and subsequently, cell death in resistant models. Mechanistically, we show that silencing IGFBP3 or EGFR expression reduces cell viability and resensitizes OlapR cells to Olaparib treatment. Inhibition of EGFR by Gefitinib suppressed growth of OlapR cells and improved Olaparib sensitivity, thereby phenocopying IGFBP3 inhibition. Collectively, our results highlight IGFBP3 and EGFR as critical mediators of Olaparib resistance.
Insights
Insulin-like growth factor-binding protein 3 (IGFBP3) drives resistance to Olaparib in prostate cancer by enhancing DNA repair. Inhibiting IGFBP3 or EGFR restores Olaparib sensitivity, offering new therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Olaparib, a PARP inhibitor (PARPi), treats prostate cancer with DNA repair defects.
- Clinical resistance to Olaparib is a significant challenge in castration-resistant prostate cancer (CRPC).
Purpose of the Study:
- To investigate the mechanisms of acquired Olaparib resistance in prostate cancer.
- To identify potential therapeutic targets to overcome Olaparib resistance.
Main Methods:
- Developed Olaparib-resistant (OlapR) prostate cancer cell lines (LNCaP, C4-2B).
- Assessed Insulin-like growth factor-binding protein 3 (IGFBP3) expression in resistant models.
- Investigated the role of IGFBP3, EGFR, and DNA-PKcs in DNA repair and Olaparib resistance.
- Utilized gene silencing and EGFR inhibition (Gefitinib) to evaluate therapeutic strategies.
Main Results:
- High IGFBP3 expression was observed in acquired and intrinsic Olaparib-resistant prostate cancer models.
- IGFBP3 promotes Olaparib resistance by enhancing DNA repair via EGFR and DNA-PKcs activation.
- IGFBP3 depletion resensitized resistant cells to Olaparib by increasing DNA damage and cell death.
- EGFR inhibition mimicked IGFBP3 inhibition, reducing cell viability and restoring Olaparib sensitivity.
Conclusions:
- IGFBP3 is a key mediator of Olaparib resistance in prostate cancer.
- Targeting IGFBP3 or EGFR represents a promising strategy to overcome acquired resistance to Olaparib.
- Combined inhibition of PARP and EGFR/IGFBP3 pathways may enhance treatment efficacy.
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