Department of Anatomy, Cell Biology and Physiological Sciences, Faculty of Medicine, American University of Beirut, Beirut, Lebanon.
Arkadi M. Rywlin M.D. Department of Pathology and Laboratory Medicine, Mount Sinai Medical Center, Miami Beach, FL, United States of America.
PLoS One. 2020 Aug 13;15(8):e0237442. doi: 10.1371/journal.pone.0237442. eCollection 2020.
Prostate cancer (PCa) is the most commonly diagnosed cancer and the second leading cause of cancer-related deaths among adult males globally. The poor prognosis of PCa is largely due to late diagnosis of the disease when it has already progressed to an advanced stage marked by androgen-independence, thus necessitating new strategies for early detection and treatment. We construe that these direly needed advances are limited by our poor understanding of early events in the progression of PCa and that would thus represent ideal targets for early intervention. To begin to fill this void, we interrogated molecular "oncophenotypes" that embody the transition of PCa from an androgen-dependent (AD) to-independent (AI) state.
To accomplish this aim, we used our previously established AD and AI murine PCa cell lines, PLum-AD and PLum-AI, respectively, which recapitulate primary and progressive PCa morphologically and molecularly. We statistically surveyed global gene expressions in these cell lines by microarray analysis. Differential profiles were functionally interrogated by pathways, gene set enrichment and topological gene network analyses.
Gene expression analysis of PLum-AD and PLum-AI transcriptomes (n = 3 each), revealed 723 differentially expressed genes (392 upregulated and 331 downregulated) in PLum-AI compared to PLum-AD cells. Gene set analysis demonstrated enrichment of biological functions and pathways in PLum-AI cells that are central to tumor aggressiveness including cell migration and invasion facilitated by epithelial-to-mesenchymal transition (EMT). Further analysis demonstrated that the p38 mitogen-activated protein kinase (MAPK) was predicted to be significantly activated in the PLum-AI cells, whereas gene sets previously associated with favorable response to the p38 inhibitor SB203580 were attenuated (i.e., inversely enriched) in the PLum-AI cells, suggesting that these aggressive cells may be therapeutically vulnerable to p38 inhibition. Gene set and gene-network analysis also alluded to activation of other signaling networks particularly those associated with enhanced EMT, inflammation and immune function/response including, but not limited to Tnf, IL-6, Mmp 2, Ctgf, and Ptges. Accordingly, we chose SB203580 and IL-6 to validate their effect on PLum-AD and PLum-AI. Some of the common genes identified in the gene-network analysis were validated at the molecular and functional level. Additionally, the vulnerability to SB203580 and the effect of IL-6 were also validated on the stem/progenitor cell population using the sphere formation assay.
In summary, our study highlights pathways associated with an augmented malignant phenotype in AI cells and presents new high-potential targets to constrain the aggressive malignancy seen in the castration-resistant PCa.
前列腺癌(PCa)是最常见的癌症,也是全球成年男性癌症相关死亡的第二大主要原因。PCa 预后不良主要是由于疾病诊断较晚,此时已经进展到雄激素非依赖性的晚期阶段,因此需要新的策略来进行早期检测和治疗。我们认为,这些迫切需要的进展受到我们对 PCa 进展早期事件了解不足的限制,因此这些事件将成为早期干预的理想目标。为了开始填补这一空白,我们研究了体现 PCa 从雄激素依赖性(AD)到非依赖性(AI)状态转变的分子“癌表型”。
为了实现这一目标,我们使用了先前建立的 AD 和 AI 小鼠 PCa 细胞系 PLum-AD 和 PLum-AI,分别模拟原发性和进行性 PCa 的形态和分子特征。我们通过微阵列分析对这些细胞系中的全局基因表达进行了统计调查。通过途径、基因集富集和拓扑基因网络分析对差异表达谱进行了功能分析。
对 PLum-AD 和 PLum-AI 转录组的基因表达分析(每组 3 个样本),在 PLum-AI 细胞中发现了 723 个差异表达的基因(392 个上调,331 个下调)。基因集分析表明,PLum-AI 细胞中富集了与肿瘤侵袭性相关的生物学功能和途径,包括上皮间质转化(EMT)促进的细胞迁移和侵袭。进一步的分析表明,p38 丝裂原活化蛋白激酶(MAPK)在 PLum-AI 细胞中被预测为显著激活,而先前与 p38 抑制剂 SB203580 治疗反应相关的基因集在 PLum-AI 细胞中被减弱(即反向富集),这表明这些侵袭性细胞可能对 p38 抑制具有治疗敏感性。基因集和基因网络分析还暗示了其他信号网络的激活,特别是那些与增强的 EMT、炎症和免疫功能/反应相关的网络,包括但不限于 TNF、IL-6、MMP2、CTGF 和 PTGES。因此,我们选择了 SB203580 和 IL-6 来验证它们对 PLum-AD 和 PLum-AI 的作用。在基因网络分析中鉴定的一些共同基因在分子和功能水平上得到了验证。此外,使用球体形成实验还验证了 SB203580 和 IL-6 对干细胞/祖细胞群体的敏感性。
综上所述,我们的研究强调了与 AI 细胞中恶性表型增强相关的途径,并提出了新的高潜力靶点,以限制去势抵抗性 PCa 中观察到的侵袭性恶性肿瘤。