Targeting ADAR1 with a small molecule for the treatment of prostate cancer

Xiao Wang1,2,3, Jiaxing Li4,5, Yasheng Zhu4,5

  • 1State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, China. xiaowang@cpu.edu.cn.

Nature Cancer
|February 10, 2025
PubMed

Insights

Most prostate cancers (PCa) relapse after treatment. This study identifies ADAR1 as a key driver of PCa and develops ZYS-1, an effective ADAR1 inhibitor with antitumor and immune-potentiating effects.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Development

Background:

  • Prostate cancer (PCa) often relapses after androgen signaling therapy, leading to incurable disease.
  • The role of ADAR1 in PCa progression and potential inhibitors are not well understood.
  • Identifying novel therapeutic targets is crucial for overcoming treatment resistance in PCa.

Purpose of the Study:

  • To investigate the oncogenic role of ADAR1 in prostate cancer progression.
  • To develop and evaluate a novel small-molecule inhibitor of ADAR1.
  • To explore the therapeutic potential of ADAR1 inhibition in PCa, including its effects on metastasis and immunotherapy.

Main Methods:

  • Analysis of ADAR1 expression in PCa.
  • Development of a small-molecule ADAR1 inhibitor (ZYS-1).
  • In vitro and in vivo studies assessing the efficacy of ADAR1 inhibition on PCa growth, metastasis, and immune response.
  • Investigation of the molecular mechanism involving ADAR1, MTDH translation, and PCa cell behavior.

Main Results:

  • High ADAR1 expression is crucial for PCa progression and is a viable oncogenic target.
  • The developed ADAR1 inhibitor, ZYS-1, demonstrated significant antitumor efficacy and a good safety profile.
  • Inhibition of ADAR1 suppressed PCa growth and metastasis, and enhanced antitumor immunity.
  • ZYS-1 potentiated the efficacy of immunotherapy in PCa models.
  • ADAR1 was found to repress MTDH translation in an editing-dependent manner, promoting PCa cell proliferation and invasion.

Conclusions:

  • ADAR1 is a druggable target for prostate cancer treatment.
  • ADAR1 inhibition, particularly with ZYS-1, offers a promising therapeutic strategy for PCa.
  • ADAR1 inhibitors may have broad applicability in treating various malignancies.