Defined cellular reprogramming of androgen receptor-active prostate cancer to neuroendocrine prostate cancer

Shan Li1, Kai Song2, Huiyun Sun1,3

  • 1Human Biology Division, Fred Hutchinson Cancer Center, Seattle, WA, 98109, USA.

Insights

Researchers converted androgen receptor-positive prostate cancer (ARPC) to neuroendocrine prostate cancer (NEPC) using specific factors. This study reveals how ASCL1 and NeuroD1 silence AR signaling and drive NEPC development, offering insights into therapeutic resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Neuroendocrine prostate cancer (NEPC) often develops from androgen receptor-positive prostate cancer (ARPC) through neuroendocrine transdifferentiation (NEtD).
  • This NEtD is a resistance mechanism against therapies targeting androgen receptor (AR) signaling.
  • Models to study NEtD drivers and their impact on AR signaling are currently limited.

Purpose of the Study:

  • To develop a model system for studying NEtD in prostate cancer.
  • To identify key factors driving the conversion of ARPC to NEPC.
  • To understand the molecular mechanisms underlying AR signaling suppression and NEPC lineage establishment.

Main Methods:

  • Utilized a genetically defined cellular reprogramming strategy to convert ARPC to NEPC.
  • Employed candidate factors, including ASCL1 and NeuroD1, to induce transdifferentiation.
  • Analyzed transcriptomic and epigenomic changes during the ARPC to NEPC lineage conversion process.
  • Investigated the role of RE-1 silencing transcription factor (REST) in NEPC development.

Main Results:

  • Successfully converted ARPC to AR-independent NEPC using specific candidate factors.
  • Delineated critical roles for pioneer factors ASCL1 and NeuroD1 in silencing AR expression and signaling.
  • Demonstrated that ASCL1 and NeuroD1 remodel chromatin at AR regulatory elements.
  • Elucidated dynamic transcriptomic and epigenomic landscapes during acute lineage conversion.
  • Distinguished the roles of ASCL1/NeuroD1 from REST inactivation in NEPC lineage establishment and MHC I modulation.

Conclusions:

  • ASCL1 and NeuroD1 are key drivers of NEtD in prostate cancer, acting by silencing AR signaling through chromatin remodeling.
  • The study provides a novel model for investigating NEtD and its associated therapeutic resistance.
  • Findings offer crucial insights into the biological mechanisms of NEPC development and potential therapeutic targets.

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