CHD1 loss reprograms SREBP2-driven cholesterol synthesis to fuel androgen-responsive growth and castration resistance

Feiyu Chen1, Haoyan Li1, Yin Wang1

  • 1Department of Experimental Radiation Oncology, The University of Texas MD Anderson Cancer Center, Houston, TX, USA.

Nature Cancer
|May 13, 2025
PubMed

Insights

Loss of CHD1 accelerates prostate cancer progression and castration resistance by altering lipid metabolism. Combining anti-androgen therapy with cholesterol-lowering drugs shows promise for treating this specific prostate cancer subtype.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Genetics

Background:

  • Prostate cancer (PCa) often progresses to castration-resistant PCa (CRPC) despite treatment.
  • The androgen receptor (AR) remains a key driver in CRPC.
  • A unique PCa subtype with SPOP and CHD1 mutations presents therapeutic challenges.

Purpose of the Study:

  • Investigate the role of CHD1 loss in SPOP-mutated PCa progression and castration resistance.
  • Elucidate the molecular mechanisms linking CHD1 to tumor growth and therapy response.
  • Identify novel therapeutic strategies for CRPC with SPOP/CHD1 alterations.

Main Methods:

  • Genetic engineering in mouse models.
  • Multiomics analysis (genomics, transcriptomics, metabolomics).
  • In vitro and in vivo functional assays.

Main Results:

  • CHD1 loss accelerates PCa progression and castration resistance in SPOP-mutated tumors.
  • CHD1 regulates lipid metabolism by repressing SREBP2, leading to increased cholesterol production.
  • Loss of CHD1 enhances intratumoral androgen biosynthesis and AR activity.
  • Combined anti-androgen and cholesterol-lowering therapy demonstrated synergistic efficacy against CRPC with CHD1 loss and SPOP mutations.

Conclusions:

  • CHD1 loss promotes CRPC through lipid metabolism reprogramming and enhanced AR signaling.
  • Targeting cholesterol synthesis alongside androgen deprivation offers a promising therapeutic approach for this PCa subtype.
  • These findings provide a foundation for biomarker-driven treatment strategies in CRPC.