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Updated: Jun 26, 2025

Author Spotlight: Combining Proximity Ligand Assay with Gamma-H2AX Staining to Characterize Protein Interactions in DNA Damage Response
Published on: August 2, 2024
Amino Terminal Acetylation of HOXB13 Regulates the DNA Damage Response in Prostate Cancer
Duy T Nguyen1,2, Urvashi Mahajan1,3, Duminduni Hewa Angappulige1
1Division of Urologic Surgery, Department of Surgery, Washington University in St. Louis, St. Louis, MO 63110, USA.
Abstract:
Advanced localized prostate cancers (PC) recur despite chemotherapy, radiotherapy and/or androgen deprivation therapy. We recently reported HOXB13 lysine (K)13 acetylation as a gain-of-function modification that regulates interaction with the SWI/SNF chromatin remodeling complex and is critical for anti-androgen resistance. However, whether acetylated HOXB13 promotes PC cell survival following treatment with genotoxic agents is not known. Herein, we show that K13-acetylated HOXB13 is induced rapidly in PC cells in response to DNA damage induced by irradiation (IR). It colocalizes with the histone variant γH2AX at sites of double strand breaks (DSBs). Treatment of PCs with the Androgen Receptor (AR) antagonist Enzalutamide (ENZ) did not suppress DNA-damage-induced HOXB13 acetylation. In contrast, HOXB13 depletion or loss of acetylation overcame resistance of PC cells to ENZ and synergized with IR. HOXB13K13A mutants show diminished replication fork progression, impaired G2/M arrest with significant cell death following DNA damage. Mechanistically, we found that amino terminus regulates HOXB13 nuclear puncta formation that is essential for proper DNA damage response. Therefore, targeting HOXB13 acetylation with CBP/p300 inhibitors in combination with DNA damaging therapy may be an effective strategy to overcome anti-androgen resistance of PCs.
Insights
Acetylated HOXB13 promotes prostate cancer survival after DNA damage. Targeting HOXB13 acetylation may overcome resistance to anti-androgen therapies and improve treatment outcomes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Advanced prostate cancer (PC) often recurs despite standard treatments like chemotherapy, radiotherapy, and androgen deprivation therapy.
- HOXB13 lysine (K)13 acetylation was previously identified as a gain-of-function modification crucial for anti-androgen resistance in PC.
- The role of acetylated HOXB13 in promoting PC cell survival following genotoxic stress remained unexplored.
Purpose of the Study:
- To investigate whether K13-acetylated HOXB13 promotes prostate cancer cell survival after DNA damage.
- To elucidate the mechanism by which HOXB13 acetylation influences DNA damage response and treatment resistance.
Main Methods:
- Induction of K13-acetylated HOXB13 in PC cells upon irradiation (IR) and its colocalization with γH2AX at double-strand break (DSB) sites.
- Assessment of HOXB13 acetylation status in PC cells treated with Enzalutamide (ENZ) and IR.
- Evaluation of HOXB13 depletion or acetylation loss on PC cell resistance to ENZ and synergy with IR.
- Analysis of HOXB13 K13A mutants' effects on DNA damage response, including replication fork progression and G2/M arrest.
Main Results:
- K13-acetylated HOXB13 is rapidly induced in PC cells following IR-induced DNA damage, localizing to DSBs.
- Enzalutamide (ENZ) treatment did not inhibit DNA-damage-induced HOXB13 acetylation.
- HOXB13 depletion or loss of acetylation sensitized PC cells to ENZ and synergized with IR.
- HOXB13 K13A mutants exhibited impaired DNA damage response, including reduced replication fork progression and G2/M arrest, leading to significant cell death.
Conclusions:
- K13-acetylated HOXB13 plays a critical role in promoting PC cell survival and resistance to anti-androgen therapy, particularly following DNA damage.
- Targeting HOXB13 acetylation, potentially with CBP/p300 inhibitors, in combination with DNA-damaging agents, represents a promising therapeutic strategy for overcoming treatment resistance in advanced prostate cancer.
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