Division of Cancer Biology and Therapeutics, Departments of Surgery & Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
The Center for Bioinformatics and Functional Genomics, Department of Biomedical Sciences, Cedars-Sinai Medical Center, Los Angeles, CA, USA.
Nat Med. 2018 Dec;24(12):1887-1898. doi: 10.1038/s41591-018-0241-1. Epub 2018 Nov 26.
Treatment of prostate cancer (PC) by androgen suppression promotes the emergence of aggressive variants that are androgen receptor (AR) independent. Here we identify the transcription factor ONECUT2 (OC2) as a master regulator of AR networks in metastatic castration-resistant prostate cancer (mCRPC). OC2 acts as a survival factor in mCRPC models, suppresses the AR transcriptional program by direct regulation of AR target genes and the AR licensing factor FOXA1, and activates genes associated with neural differentiation and progression to lethal disease. OC2 appears active in a substantial subset of human prostate adenocarcinoma and neuroendocrine tumors. Inhibition of OC2 by a newly identified small molecule suppresses metastasis in mice. These findings suggest that OC2 displaces AR-dependent growth and survival mechanisms in many cases where AR remains expressed, but where its activity is bypassed. OC2 is also a potential drug target in the metastatic phase of aggressive PC.
雄激素抑制治疗前列腺癌 (PC) 会促进雄激素受体 (AR) 不依赖的侵袭性变体的出现。在这里,我们将转录因子 ONECUT2 (OC2) 鉴定为转移性去势抵抗性前列腺癌 (mCRPC) 中 AR 网络的主要调节因子。OC2 作为 mCRPC 模型中的存活因子,通过直接调节 AR 靶基因和 AR 许可因子 FOXA1 来抑制 AR 转录程序,并激活与神经分化和致命疾病进展相关的基因。OC2 似乎在大量人类前列腺腺癌和神经内分泌肿瘤中活跃。通过新鉴定的小分子抑制 OC2 可抑制小鼠的转移。这些发现表明,在 AR 仍然表达但活性被绕过的许多情况下,OC2 取代了 AR 依赖性的生长和存活机制。OC2 也是侵袭性 PC 转移阶段的一个潜在药物靶点。