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Updated: Jun 7, 2025

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Published on: November 6, 2014
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.
Abstract:
Acquired resistance to hormonal therapy, particularly enzalutamide (ENZ), remains a significant obstacle in the treatment of advanced bone metastatic prostate cancer. Here, it is demonstrated that under ENZ treatment, osteoblasts in the bone microenvironment secrete increased levels of extracellular matrix protein 1 (ECM1), which affects surrounding prostate cancer cells, promoting tumor cell proliferation and anti-androgen resistance. Mechanistically, ECM1 interacts with the enolase 1 (ENO1) receptor on the prostate cancer cell membrane, leading to its phosphorylation at the Y189 site. This event further recruits adapter proteins including growth factor receptor-bound protein 2 (GRB2) and son of sevenless homolog 1 (SOS1), which activates the downstream mitogen-activated protein kinase (MAPK) signaling pathway to induce anti-androgen resistance. Furthermore, inhibiting ECM1 or utilizing the ENO1-targeting inhibitor phosphonoacetohydroxamate (PhAH) significantly restores tumor cell sensitivity to ENZ. Taken together, a potential mechanism is identified through which osteoblast-derived ECM1 drives resistance in bone metastatic prostate cancer under ENZ treatment. Additionally, the findings indicate that ECM1 and ENO1 may serve as potential targets for developing therapies for bone metastatic castration-resistant prostate cancer.
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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