Osteoblast-Derived ECM1 Promotes Anti-Androgen Resistance in Bone Metastatic Prostate Cancer

Xinwen Wang1,2, Min Wang2,3, Qijun Lin1,2

  • 1Department of Orthopedic Surgery, the First Affiliated Hospital, Sun Yat-Sen University, Guangzhou, 510080, China.

Insights

Osteoblasts secrete extracellular matrix protein 1 (ECM1) that drives enzalutamide (ENZ) resistance in bone metastatic prostate cancer by activating the MAPK pathway. Inhibiting ECM1 or enolase 1 (ENO1) restores sensitivity to ENZ.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Acquired resistance to enzalutamide (ENZ) is a major challenge in advanced bone metastatic prostate cancer.
  • The bone microenvironment plays a critical role in prostate cancer progression and treatment resistance.

Purpose of the Study:

  • To elucidate the mechanism by which osteoblasts contribute to anti-androgen resistance in prostate cancer.
  • To identify novel therapeutic targets for overcoming enzalutamide resistance.

Main Methods:

  • In vitro and in vivo models of bone metastatic prostate cancer.
  • Analysis of extracellular matrix protein 1 (ECM1) and enolase 1 (ENO1) expression and function.
  • Western blotting to assess protein phosphorylation and signaling pathway activation (MAPK).
  • Pharmacological inhibition of ECM1 and ENO1.

Main Results:

  • Enzalutamide treatment increases osteoblast-derived ECM1 secretion in the bone microenvironment.
  • ECM1 binds to enolase 1 (ENO1) on prostate cancer cells, promoting Y189 phosphorylation and activating the MAPK pathway.
  • This ECM1-ENO1-MAPK axis drives tumor cell proliferation and enzalutamide resistance.
  • Inhibition of ECM1 or ENO1 (using phosphonoacetohydroxamate, PhAH) restores prostate cancer cell sensitivity to enzalutamide.

Conclusions:

  • Osteoblast-derived ECM1 promotes enzalutamide resistance in bone metastatic prostate cancer via the ENO1-MAPK signaling pathway.
  • ECM1 and ENO1 represent potential therapeutic targets for overcoming treatment resistance in castration-resistant prostate cancer.

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