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CDK7 抑制通过 MED1 失活抑制去势抵抗性前列腺癌。

CDK7 Inhibition Suppresses Castration-Resistant Prostate Cancer through MED1 Inactivation.

机构信息

Department of Cancer Biology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

Department of Pathology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, Pennsylvania.

出版信息

Cancer Discov. 2019 Nov;9(11):1538-1555. doi: 10.1158/2159-8290.CD-19-0189. Epub 2019 Aug 29.

DOI:10.1158/2159-8290.CD-19-0189
PMID:31466944
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7202356/
Abstract

Metastatic castration-resistant prostate cancer (CRPC) is a fatal disease, primarily resulting from the transcriptional addiction driven by androgen receptor (AR). First-line CRPC treatments typically target AR signaling, but are rapidly bypassed, resulting in only a modest survival benefit with antiandrogens. Therapeutic approaches that more effectively block the AR-transcriptional axis are urgently needed. Here, we investigated the molecular mechanism underlying the association between the transcriptional coactivator MED1 and AR as a vulnerability in AR-driven CRPC. MED1 undergoes CDK7-dependent phosphorylation at T1457 and physically engages AR at superenhancer sites, and is essential for AR-mediated transcription. In addition, a CDK7-specific inhibitor, THZ1, blunts AR-dependent neoplastic growth by blocking AR/MED1 corecruitment genome-wide, as well as reverses the hyperphosphorylated MED1-associated enzalutamide-resistant phenotype. , THZ1 induces tumor regression of AR-amplified human CRPC in a xenograft mouse model. Together, we demonstrate that CDK7 inhibition selectively targets MED1-mediated, AR-dependent oncogenic transcriptional amplification, thus representing a potential new approach for the treatment of CRPC. SIGNIFICANCE: Potent inhibition of AR signaling is critical to treat CRPC. This study uncovers a driver role for CDK7 in regulating AR-mediated transcription through phosphorylation of MED1, thus revealing a therapeutically targetable potential vulnerability in AR-addicted CRPC...

摘要

转移性去势抵抗性前列腺癌 (CRPC) 是一种致命疾病,主要由雄激素受体 (AR) 驱动的转录成瘾引起。一线 CRPC 治疗通常针对 AR 信号,但很快被绕过,导致抗雄激素治疗仅能带来适度的生存获益。迫切需要更有效地阻断 AR 转录轴的治疗方法。在这里,我们研究了转录共激活因子 MED1 与 AR 之间的关联的分子机制,作为 AR 驱动的 CRPC 中的一个脆弱性。MED1 在 T1457 处经历 CDK7 依赖性磷酸化,并在超级增强子位点与 AR 物理结合,是 AR 介导的转录所必需的。此外,一种 CDK7 特异性抑制剂 THZ1 通过阻断 AR/MED1 核心募集全基因组,以及逆转高磷酸化 MED1 相关的恩杂鲁胺耐药表型,削弱了 AR 依赖性肿瘤生长。THZ1 在异种移植小鼠模型中诱导 AR 扩增的人 CRPC 的肿瘤消退。总之,我们证明 CDK7 抑制选择性靶向 MED1 介导的、AR 依赖性的致癌转录扩增,因此代表了治疗 CRPC 的一种潜在新方法。意义:强效抑制 AR 信号对于治疗 CRPC 至关重要。本研究揭示了 CDK7 通过磷酸化 MED1 调节 AR 介导的转录的驱动作用,从而揭示了 AR 成瘾性 CRPC 中可治疗的潜在脆弱性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2935/7202356/86f3fc71e6c5/nihms-1538416-f0007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2935/7202356/314ecac64605/nihms-1538416-f0001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2935/7202356/adf95c8fc186/nihms-1538416-f0002.jpg
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