恩杂鲁胺诱导前列腺癌转录的分子决定因素。
Molecular determinants for enzalutamide-induced transcription in prostate cancer.
机构信息
Department of Pathology, Duke University School of Medicine, Durham, NC 27710, USA.
Department of Cancer Biology and Genetics, The Ohio State University College of Medicine, Columbus, OH 43210, USA.
出版信息
Nucleic Acids Res. 2019 Nov 4;47(19):10104-10114. doi: 10.1093/nar/gkz790.
Enzalutamide, a second-generation androgen receptor (AR) antagonist, has demonstrated clinical benefit in men with prostate cancer. However, it only provides a temporary response and modest increase in survival, indicating a rapid evolution of resistance. Previous studies suggest that enzalutamide may function as a partial transcriptional agonist, but the underlying mechanisms for enzalutamide-induced transcription remain poorly understood. Here, we show that enzalutamide stimulates expression of a novel subset of genes distinct from androgen-responsive genes. Treatment of prostate cancer cells with enzalutamide enhances recruitment of pioneer factor GATA2, AR, Mediator subunits MED1 and MED14, and RNA Pol II to regulatory elements of enzalutamide-responsive genes. Mechanistically, GATA2 globally directs enzalutamide-induced transcription by facilitating AR, Mediator and Pol II loading to enzalutamide-responsive gene loci. Importantly, the GATA2 inhibitor K7174 inhibits enzalutamide-induced transcription by decreasing binding of the GATA2/AR/Mediator/Pol II transcriptional complex, contributing to sensitization of prostate cancer cells to enzalutamide treatment. Our findings provide mechanistic insight into the future combination of GATA2 inhibitors and enzalutamide for improved AR-targeted therapy.
恩扎卢胺是第二代雄激素受体(AR)拮抗剂,已被证明可使前列腺癌患者受益。然而,它仅提供暂时的反应和生存的适度增加,表明耐药性迅速发展。先前的研究表明,恩扎卢胺可能作为部分转录激动剂发挥作用,但恩扎卢胺诱导转录的潜在机制仍知之甚少。在这里,我们表明恩扎卢胺刺激了一组不同于雄激素反应基因的新型基因的表达。用恩扎卢胺处理前列腺癌细胞可增强先驱因子 GATA2、AR、中介体亚基 MED1 和 MED14 以及 RNA Pol II 到恩扎卢胺反应基因调控元件的募集。从机制上讲,GATA2 通过促进 AR、中介体和 Pol II 加载到恩扎卢胺反应基因座,全局指导恩扎卢胺诱导的转录。重要的是,GATA2 抑制剂 K7174 通过降低 GATA2/AR/中介体/Pol II 转录复合物的结合,抑制恩扎卢胺诱导的转录,有助于提高前列腺癌细胞对恩扎卢胺治疗的敏感性。我们的研究结果为未来将 GATA2 抑制剂与恩扎卢胺联合用于改善 AR 靶向治疗提供了机制上的见解。