Department of Urology, Renmin Hospital of Wuhan University, Wuhan, Hubei 430060, P.R. China.
Int J Oncol. 2018 Dec;53(6):2503-2517. doi: 10.3892/ijo.2018.4577. Epub 2018 Sep 27.
Prostate cancer (PCa) is a malignant tumor with a high incidence in males. Localized tumors can be treated via surgery or radiation; however, it remains difficult to prevent disease progression. Bromodomain-containing protein 4 (BRD4) is an epigenetic reader protein that binds to acetylated lysine on histones and has been reported to serve critical roles in numerous types of cancers. In the present study, it was demonstrated that BRD4 expression levels were significantly increased in cancerous prostate tissue specimens and cells, which were associated with clinical stage and metastasis. In addition, the present study reported that inhibition of BRD4 via short hairpin RNA or JQ1 (a bromodomain inhibitor) decreased PCa cell proliferation, induced G0/G1 cell cycle arrest and apoptosis, mitigated cell invasion and migration in vitro, and impaired tumor growth in vivo. Mechanistically, BRD4 inhibition-induced suppression of cell cycle progression was associated with the upregulation of p21 and cyclin D1. c-Myc and B-cell lymphoma-2 (Bcl-2), important genes responsible for cell cycle regulation and anti-apoptotic functions, were downregulated in response to BRD4 inhibition. Furthermore, the present study revealed that c-Myc expression was negatively regulated by p21, and that the induction of p21 via BRD4 inhibition was mediated by forkhead box protein O1 (FOXO1), rather than p53. In summary, the results of the present study suggested that the aberrant expression of BRD4 in PCa may induce carcinogenesis. In addition, a mechanism by which BRD4 inhibition suppresses cell proliferation via the regulation of FOXO1-p21-Myc signaling was proposed in the present study, which may contribute to the development of novel therapeutic approaches in the management of PCa.
前列腺癌(PCa)是一种男性中发病率较高的恶性肿瘤。局限性肿瘤可以通过手术或放疗治疗;然而,仍然难以预防疾病进展。溴结构域蛋白 4(BRD4)是一种表观遗传读蛋白,它与组蛋白上的乙酰化赖氨酸结合,并被报道在多种类型的癌症中发挥关键作用。本研究表明,BRD4 表达水平在癌前列腺组织标本和细胞中显著升高,与临床分期和转移有关。此外,本研究报道通过短发夹 RNA 或 JQ1(一种溴结构域抑制剂)抑制 BRD4 可降低 PCa 细胞增殖,诱导 G0/G1 细胞周期停滞和细胞凋亡,减轻体外细胞侵袭和迁移,并损害体内肿瘤生长。在机制上,BRD4 抑制诱导的细胞周期进程抑制与 p21 和细胞周期蛋白 D1 的上调有关。c-Myc 和 B 细胞淋巴瘤-2(Bcl-2)是负责细胞周期调节和抗凋亡功能的重要基因,对 BRD4 抑制的反应下调。此外,本研究揭示 c-Myc 表达受 p21 负调控,BRD4 抑制通过 FOXO1 诱导 p21 的表达,而不是 p53。总之,本研究结果表明,PCa 中 BRD4 的异常表达可能诱导致癌作用。此外,本研究提出了 BRD4 抑制通过 FOXO1-p21-Myc 信号通路调节抑制细胞增殖的机制,可能有助于开发 PCa 管理的新治疗方法。