Targeting FGFR1 enhances olaparib sensitivity via MAPK-mediated BRCA2 downregulation in mCRPC

Jian Chen1, Jiarun Lai1, Yupeng Chen2

  • 1Guangdong Provincial Key Laboratory of Urology, The First Affiliated Hospital of Guangzhou Medical University, Guangzhou, China.

PubMed
Abstract

Insights

Fibroblast growth factor receptor 1 (FGFR1) signaling sustains BRCA2 expression, leading to resistance against PARP inhibitors like olaparib in metastatic castration-resistant prostate cancer (mCRPC). Inhibiting FGFR1 restores sensitivity to PARP inhibitors.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Olaparib shows promise for metastatic castration-resistant prostate cancer (mCRPC) with homologous recombination repair (HRR) gene mutations, particularly BRCA2.
  • Resistance to PARP inhibitors is a clinical challenge.
  • Fibroblast growth factor receptor 1 (FGFR1) signaling is often activated in mCRPC, but its role in DNA repair regulation is unclear.

Purpose of the Study:

  • To investigate if FGFR1 signaling influences BRCA2 expression.
  • To determine if FGFR1 signaling contributes to resistance against PARP inhibitors.

Main Methods:

  • Integrative transcriptomic analyses of mCRPC datasets to correlate FGFR1 and BRCA2 expression.
  • Functional assays (knockdown, inhibition, overexpression) in prostate cancer cell lines (DU145, PC3).
  • In vitro and in vivo models to assess FGFR1 modulation effects on olaparib sensitivity, apoptosis, and proliferation.
  • Gene set enrichment analysis (GSEA) to identify FGFR1-associated pathways.
  • Western blotting and pathway inhibition experiments to elucidate the mechanism.

Main Results:

  • A strong positive correlation was found between FGFR1 and BRCA2 expression in mCRPC datasets.
  • FGFR1 inhibition (genetic or pharmacological) significantly reduced BRCA2 expression and enhanced olaparib sensitivity in vitro and in vivo.
  • The MAPK/ERK pathway was identified as the predominant FGFR1-downstream pathway linked to BRCA2, forming an FGFR1-MAPK/ERK-BRCA2 axis.

Conclusions:

  • FGFR1 signaling drives a MAPK-dependent mechanism that maintains BRCA2 expression, leading to resistance to PARP inhibitors.
  • FGFR1 status may serve as a predictive biomarker for PARP inhibitor response in mCRPC.
  • Targeting FGFR1 in combination with PARP inhibitors could be a viable strategy for BRCA2-dependent mCRPC.

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