Department of Histology and Embryology, Molecular Carcinogenesis Group, Medical School, National and Kapodistrian University of Athens, Athens, Greece.
Biomedical Research Foundation, Academy of Athens, Athens, Greece.
J Exp Clin Cancer Res. 2023 Jul 29;42(1):187. doi: 10.1186/s13046-023-02769-z.
BACKGROUND: Prostate cancer is a major cause of cancer morbidity and mortality in men worldwide. Androgen deprivation therapy (ADT) has proven effective in early-stage androgen-sensitive disease, but prostate cancer gradually develops into an androgen-resistant metastatic state in the vast majority of patients. According to our oncogene-induced model for cancer development, senescence is a major tumor progression barrier. However, whether senescence is implicated in the progression of early-stage androgen-sensitive to highly aggressive castration-resistant prostate cancer (CRPC) remains poorly addressed. METHODS: Androgen-dependent (LNCaP) and -independent (C4-2B and PC-3) cells were treated or not with enzalutamide, an Androgen Receptor (AR) inhibitor. RNA sequencing and pathway analyses were carried out in LNCaP cells to identify potential senescence regulators upon treatment. Assessment of the invasive potential of cells and senescence status following enzalutamide treatment and/or RNAi-mediated silencing of selected targets was performed in all cell lines, complemented by bioinformatics analyses on a wide range of in vitro and in vivo datasets. Key observations were validated in LNCaP and C4-2B mouse xenografts. Senescence induction was assessed by state-of-the-art GL13 staining by immunocytochemistry and confocal microscopy. RESULTS: We demonstrate that enzalutamide treatment induces senescence in androgen-sensitive cells via reduction of the replication licensing factor CDC6. Mechanistically, we show that CDC6 downregulation is mediated through endogenous activation of the GATA2 transcription factor functioning as a CDC6 repressor. Intriguingly, GATA2 levels decrease in enzalutamide-resistant cells, leading to CDC6 stabilization accompanied by activation of Epithelial-To-Mesenchymal Transition (EMT) markers and absence of senescence. We show that CDC6 loss is sufficient to reverse oncogenic features and induce senescence regardless of treatment responsiveness, thereby identifying CDC6 as a critical determinant of prostate cancer progression. CONCLUSIONS: We identify a key GATA2-CDC6 signaling axis which is reciprocally regulated in enzalutamide-sensitive and -resistant prostate cancer environments. Upon acquired resistance, GATA2 repression leads to CDC6 stabilization, with detrimental effects in disease progression through exacerbation of EMT and abrogation of senescence. However, bypassing the GATA2-CDC6 axis by direct inhibition of CDC6 reverses oncogenic features and establishes senescence, thereby offering a therapeutic window even after acquiring resistance to therapy.
背景:前列腺癌是全世界男性癌症发病率和死亡率的主要原因。雄激素剥夺疗法(ADT)已被证明对早期雄激素敏感疾病有效,但前列腺癌在绝大多数患者中逐渐发展为雄激素抵抗的转移性状态。根据我们的癌基因诱导癌症发展模型,衰老是一个主要的肿瘤进展障碍。然而,衰老是否与早期雄激素敏感到高度侵袭性去势抵抗性前列腺癌(CRPC)的进展有关仍未得到充分解决。
方法:用雄激素受体(AR)抑制剂恩扎卢胺处理或不处理依赖雄激素(LNCaP)和不依赖雄激素(C4-2B 和 PC-3)的细胞。在 LNCaP 细胞中进行 RNA 测序和通路分析,以确定治疗后潜在的衰老调节因子。在所有细胞系中进行恩扎卢胺治疗和/或选定靶标 RNAi 介导沉默后细胞侵袭潜力和衰老状态的评估,并在广泛的体外和体内数据集上进行生物信息学分析。在 LNCaP 和 C4-2B 小鼠异种移植中验证了关键观察结果。通过免疫细胞化学和共聚焦显微镜用最先进的 GL13 染色评估衰老诱导。
结果:我们证明恩扎卢胺通过降低复制许可因子 CDC6 诱导雄激素敏感细胞衰老。从机制上讲,我们表明 CDC6 的下调是通过内源性激活 GATA2 转录因子作为 CDC6 抑制剂来介导的。有趣的是,在恩扎卢胺耐药细胞中,GATA2 水平下降,导致 CDC6 稳定,同时激活上皮间质转化(EMT)标志物并缺乏衰老。我们表明,即使在治疗反应性方面,CDC6 的丢失足以逆转致癌特征并诱导衰老,从而将 CDC6 鉴定为前列腺癌进展的关键决定因素。
结论:我们确定了一个关键的 GATA2-CDC6 信号轴,它在恩扎卢胺敏感和耐药前列腺癌环境中是相互调节的。在获得耐药性后,GATA2 的抑制导致 CDC6 的稳定,通过加剧 EMT 和消除衰老,对疾病进展产生不利影响。然而,通过直接抑制 CDC6 绕过 GATA2-CDC6 轴可逆转致癌特征并建立衰老,从而即使在获得治疗耐药性后也提供了治疗窗口。
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