3D genome architecture and epigenetic regulation of lineage identity in advanced prostate cancer

Songyan Qi1,2, Scott M Dehm1,3,4

  • 1Masonic Cancer Center, University of Minnesota, Minneapolis, MN 55455, USA.

Endocrinology
|June 17, 2026
PubMed

Insights

Prostate cancer progresses to castration-resistant prostate cancer (CRPC) through androgen receptor (AR) signaling reactivation or lineage plasticity. Understanding 3D genome structure and chromatin changes offers new therapeutic targets for CRPC.

Area of Science:

  • Oncology
  • Genomics
  • Molecular Biology

Background:

  • Prostate cancer (PC) progression relies on androgen receptor (AR) signaling.
  • Androgen-deprivation therapy (ADT) and AR signaling inhibitors (ARSIs) treat advanced PC but lead to castration-resistant prostate cancer (CRPC).
  • CRPC can involve AR signaling reactivation (CRPC-AR) or AR-independent phenotypes driven by lineage plasticity.

Purpose of the Study:

  • To explore mechanisms of CRPC progression, including AR-dependent and AR-independent phenotypes.
  • To investigate the role of chromatin modifications and 3D genome structure in CRPC.
  • To identify context-specific therapeutic targets for CRPC.

Main Methods:

  • Review of high-resolution investigations of the 3D genome.
  • Analysis of chromatin architecture and transcriptional regulation.
  • Examination of lineage plasticity in CRPC subtypes like neuroendocrine prostate cancer (NEPC) and double-negative prostate cancer (DNPC).

Main Results:

  • Lineage plasticity drives AR-independent CRPC phenotypes, including NEPC and DNPC.
  • Chromatin modifications and 3D genome alterations are crucial for controlling lineage states in CRPC.
  • Interdependence exists between chromatin architecture and transcriptional regulation in CRPC progression.

Conclusions:

  • High-resolution 3D genome studies reveal critical insights into CRPC mechanisms.
  • Understanding the interplay between 3D genome structure and gene expression can guide the development of novel therapeutic strategies.
  • Targeting chromatin and transcriptional regulation holds promise for overcoming CRPC.