PIM kinase inhibition counters resistance to radiotherapy and chemotherapy in human prostate cancer

Anne Rajkumar-Calkins1, Vinay Sagar2, Jian Wang3

  • 1Department of Radiation Oncology, Vanderbilt University Medical Center, 2220 Pierce Ave, B1003 PRB, Nashville, TN 37232, USA; Department of Radiation Oncology, Mayo Clinic, 200 First St. SW, Rochester, MN 55905, USA.

Abstract

Insights

PIM kinase inhibition overcomes resistance to docetaxel and radiotherapy in prostate cancer models. This strategy shows promise for treating resistant prostate cancers when combined with standard therapies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Therapeutics

Background:

  • PIM kinases are implicated in prostate cancer progression and treatment resistance.
  • These kinases play roles in DNA damage repair, metabolism, proliferation, and survival.

Purpose of the Study:

  • To investigate if PIM kinase inhibition can overcome treatment resistance to radiotherapy and docetaxel in prostate cancer.
  • To evaluate PIM inhibition in preclinical models of prostate cancer.

Main Methods:

  • PIM inhibition effects on DNA damage repair and cell survival were assessed in prostate cancer cell lines.
  • Tumor growth was monitored in mice with xenografts treated with PIM inhibitors, radiotherapy, or docetaxel.
  • RNA-Seq and immunostaining were used to analyze molecular changes.

Main Results:

  • PIM inhibition reduced DNA repair, proliferation, and survival in prostate cancer cells.
  • PIM inhibition enhanced the efficacy of radiotherapy and docetaxel in reducing tumor size in both hormone-dependent and -independent xenografts.
  • Gene expression analysis revealed altered ribosomal and cardiomyocyte signaling pathways, with changes in COX-2 and MDM2 protein levels.

Conclusions:

  • PIM kinase inhibition effectively addresses treatment resistance to docetaxel and radiotherapy in preclinical prostate cancer models.
  • PIM inhibitors represent a potential therapeutic strategy when combined with standard treatments for resistant prostate cancer.
  • Clinical trials are warranted to test PIM inhibitors in patients with treatment-resistant prostate cancer.

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