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Updated: Sep 18, 2025

Evaluating the Differentiation Capacity of Mouse Prostate Epithelial Cells Using Organoid Culture
Published on: November 22, 2019
Divergent FOXA1 mutations drive prostate tumorigenesis and therapy-resistant cellular plasticity
Sanjana Eyunni1,2,3, Rahul Mannan1,2, Yuping Zhang1,2
1Department of Pathology, University of Michigan, Ann Arbor, MI, USA.
Abstract:
FOXA1 is altered in 10 to 40% of prostate cancers, yet its oncogenic mechanisms remain uncharacterized in vivo. We developed knock-in mouse models representing distinct classes of FOXA1 mutations. Histopathological and multiomic analyses of prostate tissues and organoids revealed that Class 1 mutations, in conjunction with p53 inactivation, drive androgen-dependent adenocarcinomas through coactivation of mTORC1/2 and oncogenic AR signaling stemming from chimeric AR-half enhancers. By contrast, Class 2 mutations induce intraluminal plasticity by reprogramming differentiated luminal cells into a progenitor-like state through activation of KLF5 and AP-1 neo-enhancer circuitries, which enables enhanced survival and proliferation even under castrate androgen levels. Our findings establish FOXA1 as a multifaceted oncogene, with distinct mutational classes divergently evolving to drive prostate tumorigenesis or therapy-resistant progression.
Insights
Distinct FOXA1 mutations drive prostate cancer progression. Class 1 mutations promote androgen-dependent tumors, while Class 2 mutations enable therapy resistance by reprogramming cells.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Forkhead box A1 (FOXA1) is frequently altered in prostate cancer, but its in vivo oncogenic roles are unclear.
- Understanding FOXA1's function is crucial for developing targeted prostate cancer therapies.
Purpose of the Study:
- To elucidate the in vivo oncogenic mechanisms of distinct FOXA1 mutations in prostate cancer.
- To investigate how different FOXA1 alterations contribute to tumor initiation and progression.
Main Methods:
- Development of knock-in mouse models for specific FOXA1 mutations.
- Histopathological and multiomic analyses of prostate tissues and organoids.
- Investigation of signaling pathways including mTOR, AR, KLF5, and AP-1.
Main Results:
- Class 1 FOXA1 mutations with p53 inactivation drive androgen-dependent prostate adenocarcinomas via mTORC1/2 and AR coactivation.
- Class 2 FOXA1 mutations induce luminal cell reprogramming to a progenitor-like state, activating KLF5 and AP-1.
- Class 2 mutations promote cell survival and proliferation, even under low androgen conditions, suggesting therapy resistance.
Conclusions:
- FOXA1 acts as a multifaceted oncogene in prostate cancer.
- Distinct FOXA1 mutation classes employ divergent strategies to drive tumorigenesis and therapy-resistant progression.
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