NXP800 Activates the Unfolded Protein Response, Altering AR and E2F Function to Impact Castration-Resistant Prostate
Jonathan Welti1, Denisa Bogdan1, Ines Figueiredo1
1The Institute of Cancer Research, London, United Kingdom.
Purpose:
Advanced prostate cancer is invariably fatal, with the androgen receptor (AR) being a major therapeutic target. AR signaling inhibitors have improved overall survival for men with advanced prostate cancer, but treatment resistance is inevitable and includes reactivation of AR signaling. Novel therapeutic approaches targeting these mechanisms to block tumor growth is an urgent unmet clinical need. One attractive strategy is to target heat shock proteins (HSP) critical to AR functional activity.
Experimental Design:
We first did transcriptome analysis on multiple castration-resistant prostate cancer (CRPC) cohorts to correlate the association between the Gene Ontology cellular response to heat gene expression signature and overall survival. Next, we analyzed the impact of targeting the heat shock factor 1 (HSF1) pathway, with an inhibitor in clinical development, namely, NXP800 (formerly CCT361814), in models of treatment-resistant prostate cancer. Finally, we confirmed our mechanistic and phenotypic findings using an NXP800-resistant model and an in vivo model of CRPC.
Results:
We report that in multiple CRPC transcriptome cohorts, the Gene Ontology cellular response to heat gene expression signature associates with AR signaling and worse clinical outcome. We demonstrate the effects of targeting the HSF1 pathway, central to cellular stress, with an inhibitor in clinical development, namely, NXP800, in prostate cancer. Targeting the HSF1 pathway with the inhibitor NXP800 decreases HSP72 expression, activates the unfolded protein response, and inhibits AR- and E2F-mediated activity, inhibiting the growth of treatment-resistant prostate cancer models.
Conclusions:
Overall, NXP800 has antitumor activity against treatment-resistant prostate cancer models, including molecular subtypes with limited treatment options, supporting its consideration for prostate cancer-specific clinical development.
Insights
This study shows that targeting the heat shock factor 1 (HSF1) pathway with NXP800 inhibits growth in advanced prostate cancer models. This approach offers a new strategy for treatment-resistant prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Advanced prostate cancer remains a fatal disease with androgen receptor (AR) signaling as a key therapeutic target.
- Resistance to current AR inhibitors is inevitable, necessitating novel treatment strategies.
- Heat shock proteins (HSPs) play a critical role in AR activity and represent a potential therapeutic target.
Purpose of the Study:
- To investigate the association between the Gene Ontology cellular response to heat gene expression signature and clinical outcomes in castration-resistant prostate cancer (CRPC).
- To evaluate the efficacy of targeting the heat shock factor 1 (HSF1) pathway with NXP800 in preclinical models of treatment-resistant prostate cancer.
Main Methods:
- Transcriptome analysis of CRPC cohorts to correlate heat response signature with survival.
- In vitro and in vivo studies using NXP800 to target the HSF1 pathway in prostate cancer models.
- Assessment of NXP800's impact on HSP72 expression, unfolded protein response, and AR/E2F activity.
Main Results:
- The cellular response to heat gene expression signature is linked to AR signaling and poorer outcomes in CRPC.
- Inhibition of the HSF1 pathway with NXP800 reduces HSP72 levels and activates the unfolded protein response.
- NXP800 effectively inhibits AR- and E2F-mediated activity, leading to suppressed tumor growth in resistant prostate cancer models.
Conclusions:
- NXP800 demonstrates significant antitumor activity in treatment-resistant prostate cancer models.
- This HSF1-targeting strategy is effective against prostate cancer subtypes with limited therapeutic options.
- NXP800 warrants further clinical development for advanced and treatment-resistant prostate cancer.
Related Concept Videos
Regulation of the Unfolded Protein Response
The Unfolded Protein Response
Abnormal Proliferation
mTOR Signaling and Cancer Progression
The mTOR pathway or the...
The Ras Gene
Ras is a...
PI3K/mTOR/AKT Signaling Pathway


