CRISPR 全基因组筛选鉴定 PAK1 为前列腺癌进展中 ARSI 交叉耐药的关键驱动因素。

CRISPR genome-wide screening identifies PAK1 as a critical driver of ARSI cross-resistance in prostate cancer progression.

机构信息

Department of Urology, School of Medicine, Xinhua Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, 200092, China; Department of Urology, Shanghai Children's Hospital, Shanghai Jiao Tong University, Shanghai, 200062, China.

Department of Urology, School of Medicine, Xinhua Hospital Affiliated to Shanghai Jiao Tong University, Shanghai, 200092, China; Department of Urology, Chinese PLA General Hospital of Central Theater Command, Wuhan, 430064, China.

出版信息

Cancer Lett. 2024 Apr 10;587:216725. doi: 10.1016/j.canlet.2024.216725. Epub 2024 Feb 15.

Abstract

Next-generation androgen receptor signaling inhibitors (ARSIs), such as enzalutamide (Enza) and darolutamide (Daro), are initially effective for the treatment of advanced prostate cancer (PCa) and castration-resistant prostate cancer (CRPC). However, patients often relapse and develop cross-resistance, which consequently makes drug resistance an inevitable cause of CRPC-related mortality. By conducting a comprehensive analysis of GEO datasets, CRISPR genome-wide screening results, ATAC-seq data, and RNA-seq data, we systemically identified PAK1 as a significant contributor to ARSI cross-resistance due to the activation of the PAK1/RELA/hnRNPA1/AR-V7 axis. Inhibition of PAK1 followed by suppression of NF-κB pathways and AR-V7 expression effectively overcomes ARSI cross-resistance. Our findings indicate that PAK1 represents a promising therapeutic target gene for the treatment of ARSI cross-resistant PCa patients in the clinic. STATEMENT OF SIGNIFICANCE: PAK1 drives ARSI cross-resistance in prostate cancer progression.

摘要

下一代雄激素受体信号抑制剂(ARSIs),如恩扎鲁胺(Enza)和达罗他胺(Daro),最初可有效治疗晚期前列腺癌(PCa)和去势抵抗性前列腺癌(CRPC)。然而,患者经常复发并产生交叉耐药性,这使得耐药性成为 CRPC 相关死亡的必然原因。通过对 GEO 数据集、CRISPR 全基因组筛选结果、ATAC-seq 数据和 RNA-seq 数据进行综合分析,我们系统地鉴定了 PAK1 是由于 PAK1/RELA/hnRNPA1/AR-V7 轴的激活而导致 ARSI 交叉耐药的重要贡献者。抑制 PAK1 后抑制 NF-κB 途径和 AR-V7 表达,可有效克服 ARSI 交叉耐药性。我们的研究结果表明,PAK1 是治疗临床中 ARSI 交叉耐药性 PCa 患者的有前途的治疗靶基因。

意义声明

PAK1 驱动前列腺癌进展中的 ARSI 交叉耐药性。

文献AI研究员

20分钟写一篇综述,助力文献阅读效率提升50倍

立即体验

用中文搜PubMed

大模型驱动的PubMed中文搜索引擎

马上搜索