Journal of Clinical Investigation,
Journal Year:
2024,
Volume and Issue:
134(19)
Published: Aug. 13, 2024
BACKGROUNDAndrogen
receptor
signaling
inhibitors
(ARSIs)
have
improved
outcomes
for
patients
with
metastatic
castration-resistant
prostate
cancer
(mCRPC),
but
their
clinical
benefit
is
limited
by
treatment
resistance.METHODSTo
investigate
the
mechanisms
of
ARSI
resistance,
we
analyzed
whole-genome
(n
=
45)
and
transcriptome
31)
sequencing
data
generated
from
paired
biopsies
obtained
before
initiation
first-line
therapy
mCRPC
after
radiographic
disease
progression.
We
investigated
effects
genetic
pharmacologic
modulation
SSTR1
in
22Rv1
cells,
a
representative
cell
line.RESULTSWe
confirmed
predominant
role
tumor
alterations
converging
on
augmenting
androgen
(AR)
increased
transcriptional
heterogeneity
lineage
plasticity
during
emergence
resistance.
further
identified
amplifications
involving
putative
enhancer
downstream
AR
downregulation
SSTR1,
encoding
somatostatin
1,
ARSI-resistant
tumors.
found
that
SSTR1-low
tumors
derived
less
subsequent
retrospective
cohort.
showed
was
antiproliferative
cells
FDA-approved
drug
pasireotide
suppressed
proliferation.CONCLUSIONOur
findings
expand
knowledge
resistance
point
out
actionable
next
steps,
exemplified
potentially
targeting
to
improve
patient
outcomes.FUNDINGNational
Cancer
Institute
(NCI),
NIH;
Prostate
Foundation;
Conquer
Cancer,
American
Society
Clinical
Oncology
UCSF
Benioff
Initiative
Research;
Netherlands
Institute.
Advanced Science,
Journal Year:
2024,
Volume and Issue:
11(18)
Published: March 14, 2024
Abstract
Prostate
cancer
(PCa)
is
an
extensive
heterogeneous
disease
with
a
complex
cellular
ecosystem
in
the
tumor
microenvironment
(TME).
However,
manner
which
heterogeneity
shaped
by
tumors
and
stromal
cells,
or
vice
versa,
remains
poorly
understood.
In
this
study,
single‐cell
RNA
sequencing,
spatial
transcriptomics,
bulk
ATAC‐sequence
are
integrated
from
series
of
patients
PCa
healthy
controls.
A
stemness
subset
club
cells
marked
SOX9
high
AR
low
expression
identified,
markedly
enriched
after
neoadjuvant
androgen‐deprivation
therapy
(ADT).
Furthermore,
CD8
+
CXCR6
T
that
function
as
effector
reduced
malignant
PCa.
For
transcriptome
analysis,
machine
learning
computational
intelligence
comprehensively
utilized
to
identify
diversity
prostate
cell‐cell
communication
situ.
Macrophage
neutrophil
state
transitions
along
trajectory
progression
also
examined.
Finally,
immunosuppressive
advanced
found
be
associated
infiltration
regulatory
(Tregs),
potentially
induced
FAP
fibroblast
subset.
summary,
delineated
stage‐specific
at
resolution,
uncovering
their
reciprocal
crosstalk
progression,
can
helpful
promoting
diagnosis
therapy.
Cancer Research,
Journal Year:
2023,
Volume and Issue:
83(16), P. 2763 - 2774
Published: June 8, 2023
Abstract
Systemic
targeted
therapy
in
prostate
cancer
is
primarily
focused
on
ablating
androgen
signaling.
Androgen
deprivation
and
second-generation
receptor
(AR)–targeted
selectively
favor
the
development
of
treatment-resistant
subtypes
metastatic
castration-resistant
(mCRPC),
defined
by
AR
neuroendocrine
(NE)
markers.
Molecular
drivers
double-negative
(AR−/NE−)
mCRPC
are
poorly
defined.
In
this
study,
we
comprehensively
characterized
treatment-emergent
integrating
matched
RNA
sequencing,
whole-genome
bisulfite
sequencing
from
210
tumors.
AR−/NE−
tumors
were
clinically
molecularly
distinct
other
subtypes,
with
shortest
survival,
amplification
chromatin
remodeler
CHD7,
PTEN
loss.
Methylation
changes
CHD7
candidate
enhancers
linked
to
elevated
expression
AR−/NE+
Genome-wide
methylation
analysis
nominated
Krüppel-like
factor
5
(KLF5)
as
a
driver
phenotype,
KLF5
activity
was
RB1
These
observations
reveal
aggressiveness
could
facilitate
identification
therapeutic
targets
highly
aggressive
disease.
Significance:
Comprehensive
characterization
five
identified
transcription
factors
that
drive
each
subtype
showed
has
worst
prognosis.
Cancer Cell,
Journal Year:
2024,
Volume and Issue:
42(7), P. 1301 - 1312.e7
Published: July 1, 2024
Extracellular
vesicles
(EVs)
secreted
by
tumors
are
abundant
in
plasma,
but
their
potential
for
interrogating
the
molecular
features
of
through
multi-omic
profiling
remains
widely
unexplored.
Genomic
and
transcriptomic
circulating
EV-DNA
EV-RNA
isolated
from
vitro
vivo
models
metastatic
prostate
cancer
(mPC)
reveal
a
high
contribution
tumor
material
to
EV-loaded
DNA/RNA,
validating
findings
two
cohorts
longitudinal
plasma
samples
collected
patients
during
androgen
receptor
signaling
inhibitor
(ARSI)
or
taxane-based
therapy.
genomic
recapitulate
matched-patient
biopsies
DNA
(ctDNA)
associate
with
clinical
progression.
We
develop
novel
approach
enable
(RExCuE).
report
how
transcriptome
EVs
is
enriched
tumor-associated
transcripts,
captures
certain
patient
features,
reflects
on-therapy
adaptation
changes.
Altogether,
we
show
that
EV
enables
mPC
liquid
biopsy.
Nucleic Acids Research,
Journal Year:
2024,
Volume and Issue:
52(13), P. 7740 - 7760
Published: June 27, 2024
Abstract
Androgen
receptor-
(AR-)
indifference
is
a
mechanism
of
resistance
to
hormonal
therapy
in
prostate
cancer
(PC).
Here
we
demonstrate
that
ONECUT2
(OC2)
activates
through
multiple
drivers
associated
with
adenocarcinoma,
stem-like
and
neuroendocrine
(NE)
variants.
Direct
OC2
gene
targets
include
the
glucocorticoid
receptor
(GR;
NR3C1)
NE
splicing
factor
SRRM4,
which
are
key
lineage
plasticity.
Thus,
OC2,
despite
its
previously
described
NEPC
driver
function,
can
indirectly
activate
portion
AR
cistrome
epigenetic
activation
GR.
Mechanisms
by
regulates
expression
promoter
binding,
enhancement
genome-wide
chromatin
accessibility,
super-enhancer
reprogramming.
Pharmacologic
inhibition
suppresses
plasticity
reprogramming
induced
signaling
inhibitor
enzalutamide.
These
results
promotes
range
drug
mechanisms
treatment-emergent
variation
PC
support
enhanced
efforts
therapeutically
target
as
means
suppressing
treatment-resistant
disease.
Cancer Research,
Journal Year:
2024,
Volume and Issue:
84(18), P. 3086 - 3100
Published: July 11, 2024
Metastatic
castration-resistant
prostate
cancer
(mCRPC)
is
a
lethal
disease
that
resists
therapy
targeting
androgen
signaling,
the
primary
driver
of
cancer.
mCRPC
receptor
(AR)
inhibitors
by
amplifying
AR
signaling
or
evolving
into
therapy-resistant
subtypes
do
not
depend
on
AR.
Elucidation
epigenetic
underpinnings
these
could
provide
important
insights
drivers
resistance.
In
this
study,
we
produced
chromatin
accessibility
maps
linked
to
binding
lineage-specific
transcription
factors
(TF)
performing
assay
for
transposase-accessible
sequencing
70
tissue
biopsies
integrated
with
transcriptome
and
whole-genome
sequencing.
had
distinct
global
profile
function.
Analysis
TF
occupancy
across
accessible
revealed
203
TFs
associated
subtypes.
Notably,
ZNF263
was
identified
as
putative
significant
impact
gene
activity
in
double-negative
subtype
(AR-
neuroendocrine-),
potentially
activating
MYC
targets.
Overall,
analysis
provides
valuable
changes
occur
during
progression
mCRPC.
Significance:
Integration
large
cohort
transcriptome,
whole-genome,
ATAC
characterizes
advanced
identifies
subtype-specific
modulate
oncogenic
programs.
Science Advances,
Journal Year:
2024,
Volume and Issue:
10(14)
Published: April 3, 2024
Histopathological
heterogeneity
is
a
hallmark
of
prostate
cancer
(PCa).
Using
spatial
and
parallel
single-nucleus
transcriptomics,
we
report
an
androgen
receptor
(AR)-positive
but
neuroendocrine-null
primary
PCa
subtype
with
morphologic
molecular
characteristics
small
cell
carcinoma.
Such
cell-like
(SCLPC)
clinically
aggressive
low
AR,
high
stemness
proliferation,
activity.
Molecular
characterization
prioritizes
protein
translation,
represented
by
up-regulation
many
ribosomal
genes,
SP1,
transcriptional
factor
that
drives
SCLPC
phenotype
overexpresses
in
castration-resistant
(CRPC),
as
two
potential
therapeutic
targets
AR-indifferent
CRPC.
An
SP1-specific
inhibitor,
plicamycin,
effectively
suppresses
CRPC
growth
vivo.
Homoharringtonine,
Food
And
Drug
Administration-approved
translation
elongation
impedes
progression
preclinical
models
patients
We
construct
SCLPC-specific
signature
capable
stratifying
for
drug
selectivity.
Our
studies
reveal
the
existence
admixed
pathology,
which
may
mediate
tumor
relapse,
establish
SP1
actionable
JCI Insight,
Journal Year:
2023,
Volume and Issue:
8(15)
Published: July 13, 2023
Lysine-specific
demethylase
1
(LSD1)
is
a
histone
that
promotes
stemness
and
cell
survival
in
cancers
such
as
prostate
cancer.
Most
malignancies
are
adenocarcinomas
with
luminal
differentiation.
However,
some
tumors
undergo
cellular
reprogramming
to
more
lethal
subset
termed
neuroendocrine
cancer
(NEPC)
neuronal
The
frequency
of
NEPC
increasing
since
the
widespread
use
potent
androgen
receptor
signaling
inhibitors.
Currently,
there
no
effective
treatments
for
NEPC.
We
previously
determined
LSD1
adenocarcinoma
tumors.
role
unknown.
Here,
we
highly
upregulated
versus
patient
suppression
RNAi
or
allosteric
inhibitors
-
but
not
catalytic
reduced
survival.
RNA-Seq
analysis
revealed
represses
pathways
linked
differentiation,
TP53
was
top
reactivated
pathway.
confirmed
suppressed
pathway
by
reducing
occupancy
at
target
genes
while
LSD1's
function
dispensable
this
effect.
Mechanistically,
inhibition
disrupted
LSD1-HDAC
interactions,
acetylation
targets.
Finally,
tumor
growth
vivo.
These
findings
suggest
blocking
noncatalytic
may
be
promising
treatment
strategy
Clinical Cancer Research,
Journal Year:
2023,
Volume and Issue:
29(21), P. 4504 - 4517
Published: June 26, 2023
The
androgen
receptor
axis
inhibitors
(ARPI;
e.g.,
enzalutamide,
abiraterone
acetate)
are
administered
in
daily
practice
for
men
with
metastatic
castration-resistant
prostate
cancer
(mCRPC).
However,
not
all
patients
respond,
and
mechanisms
of
both
primary
acquired
resistance
remain
largely
unknown.In
the
prospective
trial
MATCH-R
(NCT02517892),
59
mCRPC
underwent
whole-exome
sequencing
(WES)
and/or
RNA
(RNA-seq)
samples
collected
before
starting
ARPI.
Also,
18
biopsy
at
time
resistance.
objectives
were
to
identify
genomic
alterations
associated
ARPIs
as
well
describe
clonal
evolution.
Associations
transcriptomic
determined
using
Wilcoxon
Fisher
exact
tests.WES
analysis
indicated
that
no
single-gene
strongly
RNA-seq
showed
(AR)
gene
expression
levels
similar
between
responders
nonresponders.
RNA-based
pathway
found
had
a
higher
Hedgehog
score,
lower
AR
score
NOTCH
than
response.
Subclonal
evolution
acquisition
new
AR-related
genes
or
neuroendocrine
differentiation
do
induce
significant
changes
tumor
transcriptome
most
patients;
however,
programs
cell
proliferation
enriched
resistant
samples.Low
activity,
activation
stemness
programs,
ARPIs'
resistance,
whereas
was
subclonal
evolution,
events,
differentiation.
See
related
commentary
by
Slovin,
p.
4323.
International Journal of Cancer,
Journal Year:
2025,
Volume and Issue:
unknown
Published: Jan. 23, 2025
Abstract
Prostate
cancer
is
a
common
malignancy
that
in
5%–30%
leads
to
treatment‐resistant
and
highly
aggressive
disease.
Metastasis‐potential
treatment‐resistance
thought
rely
on
increased
plasticity
of
the
cells—a
mechanism
whereby
cells
alter
their
identity
adapt
changing
environments
or
therapeutic
pressures
create
cellular
heterogeneity.
To
understand
molecular
basis
this
plasticity,
genomic
studies
have
uncovered
genetic
variants
capture
clonal
heterogeneity
primary
tumors
metastases.
As
largely
driven
by
non‐genetic
events,
complementary
epigenomics
are
now
being
conducted
identify
chromatin
.
These
variants,
defined
as
loci
show
changes
state
due
loss
gain
epigenomic
marks,
inclusive
histone
post‐translational
modifications,
DNA
methylation
considered
fundamental
units
In
prostate
hold
promise
guiding
new
era
precision
oncology.
review,
we
explore
role
cancer,
focusing
how
contribute
tumor
evolution
therapy
resistance.
We
therefore
discuss
impact
stochastic
highlighting
value
single‐cell
sequencing
liquid
biopsy
assays
uncover
targets
biomarkers.
Ultimately,
review
aims
support
oncology,
utilizing
insights
from
improve
patient
outcomes.