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FOXJ1 mediates taxane resistance through regulation of microtubule dynamics
Fang Xie1, Ada Gjyrezi2, Daniel Fein1
1Department of Medicine, Division of Oncology and Cancer Center, Beth Israel Deaconess Medical Center, Boston, MA, USA.
Abstract:
Docetaxel is the first-line chemotherapy for metastatic prostate cancer (PC), but clinically meaningful mechanisms of resistance remain to be established. Here we show, in an in vivo model of docetaxel resistant PC patient-derived xenografts, increased expression of genes that drive development of multiciliated cells including FOXJ1 and its effectors, many of which regulate microtubules (MTs). Mechanistically, FOXJ1 overexpression confers docetaxel resistance in vitro and in vivo, which is associated with decreased docetaxel-mediated MT bundling. Overexpression of a MT-associated FOXJ1-regulated gene (TPPP3) has similar effects. Conversely, FOXJ1 knockdown impairs basal MT function, enhances taxane binding to MTs, and increases docetaxel sensitivity. These results establish mechanistic causality between the FOXJ1 signaling axis, MT biology, and taxane resistance. Clinically, FOXJ1 gene amplification is increased in taxane-treated PC patients. Moreover, in the CHAARTED clinical trial of docetaxel combined with androgen deprivation for metastatic PC, higher baseline FOXJ1 is predictive of decreased survival in PC patients treated with docetaxel, further supporting clinical relevance. Together, these findings identify a previously unrecognized clinically impactful mechanism of taxane resistance whose exploitation could stratify patients who will not benefit from taxane treatment.
Insights
FOXJ1 gene expression drives docetaxel resistance in prostate cancer (PC) by altering microtubule dynamics. Targeting this FOXJ1 pathway may help identify patients unlikely to benefit from taxane chemotherapy.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Docetaxel is a primary chemotherapy for metastatic prostate cancer (PC).
- Mechanisms underlying docetaxel resistance in PC are not fully understood.
- Understanding resistance mechanisms is crucial for improving treatment efficacy.
Purpose of the Study:
- To investigate the role of FOXJ1 and its associated signaling in docetaxel resistance in prostate cancer.
- To establish the mechanistic link between FOXJ1, microtubule biology, and taxane resistance.
- To explore the clinical relevance of FOXJ1 as a predictive biomarker for taxane treatment.
Main Methods:
- Utilized in vivo models of docetaxel-resistant PC patient-derived xenografts.
- Assessed gene expression changes, focusing on FOXJ1 and its downstream effectors.
- Performed in vitro and in vivo experiments to evaluate the functional impact of FOXJ1 modulation on docetaxel sensitivity.
- Analyzed clinical data from the CHAARTED trial and patient samples for FOXJ1 amplification and expression.
Main Results:
- Increased expression of FOXJ1 and its effectors, which regulate microtubules (MTs), was observed in docetaxel-resistant PC xenografts.
- FOXJ1 overexpression conferred docetaxel resistance by decreasing docetaxel-mediated MT bundling.
- Knockdown of FOXJ1 enhanced docetaxel sensitivity by improving MT function and taxane binding.
- FOXJ1 gene amplification was elevated in taxane-treated PC patients, and high baseline FOXJ1 predicted poorer survival in the CHAARTED trial.
Conclusions:
- The FOXJ1 signaling axis is mechanistically linked to microtubule biology and confers taxane resistance in prostate cancer.
- FOXJ1 represents a novel, clinically relevant mechanism of docetaxel resistance.
- Exploiting the FOXJ1 pathway could enable patient stratification for taxane-based therapies.
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