Department of Urology, Nowon Eulji Medical Center, Eulji University School of Medicine, Seoul, Republic of Korea.
Division of Immunology, Department of Molecular Cell Biology and Samsung Biomedical Research Institute, Sungkyunkwan University School of Medicine, Suwon, Republic of Korea.
Sci Rep. 2021 Nov 9;11(1):21984. doi: 10.1038/s41598-021-01003-0.
Abnormal expression of insulin gene enhancer-binding protein 1 (ISL1) has been demonstrated to be closely associated with cancer development and progression in several cancers. However, little is known about ISL1 expression in metastatic castration-resistant prostate cancer (CRPC). ISL1 has also been recognized as a positive modulator of epithelial-mesenchymal transition (EMT). In this study, we focused on ISL1 which showed maximum upregulation at the mRNA level in the enzalutamide-resistant cell line. Accordingly, we found that ISL1 was overexpressed in enzalutamide-resistant C4-2B cells and its expression was significantly related to EMT. Our findings reveal the important role of ISL1 in androgen receptor (AR)-dependent prostate cancer cell growth; ISL1 knockdown reduced the AR activity and cell growth. ISL1 knockdown using small-interfering RNA inhibited AR, PSA, and EMT-related protein expression in C4-2B ENZR cells. In addition, knock-down ISL1 reduced the levels of AKT and p65 phosphorylation in C4-2B ENZR cells and these suggest that knock-down ISL1 suppresses EMT in part by targeting the AKT/NF-κB pathway. Further, ISL1 downregulation could effectively inhibit tumor growth in a human CRPC xenograft model. Together, the present study shows that downregulation of ISL1 expression is necessary for overcoming enzalutamide resistance and improving the survival of CRPC patients.
胰岛素基因增强子结合蛋白 1(ISL1)的异常表达已被证明与多种癌症的发生和发展密切相关。然而,关于转移性去势抵抗性前列腺癌(CRPC)中 ISL1 的表达知之甚少。ISL1 也被认为是上皮-间充质转化(EMT)的正调节剂。在这项研究中,我们专注于 ISL1,它在恩扎鲁胺耐药细胞系中的 mRNA 水平上表现出最大程度的上调。因此,我们发现在恩扎鲁胺耐药的 C4-2B 细胞中过表达 ISL1,其表达与 EMT 显著相关。我们的研究结果揭示了 ISL1 在雄激素受体(AR)依赖性前列腺癌细胞生长中的重要作用;ISL1 敲低降低了 AR 活性和细胞生长。使用小干扰 RNA 敲低 ISL1 抑制了 C4-2B ENZR 细胞中的 AR、PSA 和 EMT 相关蛋白的表达。此外,敲低 ISL1 降低了 C4-2B ENZR 细胞中 AKT 和 p65 磷酸化的水平,这表明敲低 ISL1 通过靶向 AKT/NF-κB 通路部分抑制 EMT。此外,ISL1 的下调可有效抑制人 CRPC 异种移植模型中的肿瘤生长。总之,本研究表明下调 ISL1 表达对于克服恩扎鲁胺耐药和改善 CRPC 患者的生存至关重要。