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IMP A1 衍生的肌醇通过 IMPDH2 的激活来维持去势抵抗性前列腺癌的干性。

IMPA1-derived inositol maintains stemness in castration-resistant prostate cancer via IMPDH2 activation.

机构信息

Department of Pathology, Duke University Medical Center, Duke University School of Medicine, Durham, NC, USA.

Department of Cancer Biology, Wake Forest Baptist Medical Center, Wake Forest University, Winston Salem, NC, USA.

出版信息

J Exp Med. 2024 Nov 4;221(11). doi: 10.1084/jem.20231832. Epub 2024 Oct 29.

DOI:10.1084/jem.20231832
PMID:39470689
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11528126/
Abstract

Acquisition of prostate cancer stem cells (PCSCs) manifested during androgen ablation therapy (ABT) contributes to castration-resistant prostate cancer (CRPC). However, little is known about the specific metabolites critically orchestrating this process. Here, we show that IMPA1-derived inositol enriched in PCSCs is a key metabolite crucially maintaining PCSCs for CRPC progression and ABT resistance. Notably, conditional Impa1 knockout in the prostate abrogates the pool and properties of PCSCs to orchestrate CRPC progression and prolong the survival of TRAMP mice. IMPA1-derived inositol serves as a cofactor that directly binds to and activates IMPDH2, which synthesizes guanylate nucleotides for maintaining PCSCs with ARlow/- features leading to CRPC progression and ABT resistance. IMPA1/inositol/IMPDH2 axis is upregulated in human prostate cancer, and its overexpression predicts poor survival outcomes. Genetically and pharmacologically targeting the IMPA1/inositol/IMPDH2 axis abrogates CRPC and overcomes ABT resistance in various CRPC xenografts, patient-derived xenograft (PDX) tumor models, and TRAMP mouse models. Our study identifies IMPDH2 as an inositol sensor whose activation by inositol represents a key mechanism for maintaining PCSCs for CRPC and ABT resistance.

摘要

在雄激素剥夺疗法 (ABT) 期间获得的前列腺癌干细胞 (PCSCs) 有助于导致去势抵抗性前列腺癌 (CRPC)。然而,对于严格协调这一过程的特定代谢物知之甚少。在这里,我们表明,PCSCs 中富含肌醇的 IMPA1 衍生的肌醇是一种关键代谢物,对于维持 PCSCs 用于 CRPC 进展和 ABT 耐药性至关重要。值得注意的是,前列腺中的条件性 Impa1 敲除会破坏 PCSCs 的池和特性,以协调 CRPC 进展并延长 TRAMP 小鼠的存活时间。IMPA1 衍生的肌醇作为辅因子,可直接结合并激活 IMPDH2,后者合成鸟苷酸核苷酸,用于维持具有 ARlow/- 特征的 PCSCs,从而导致 CRPC 进展和 ABT 耐药性。IMPDA1/肌醇/IMPDH2 轴在人前列腺癌中上调,其过表达预示着预后不良。通过遗传和药理学靶向 IMPA1/肌醇/IMPDH2 轴,可在各种 CRPC 异种移植瘤、患者来源的异种移植瘤 (PDX) 肿瘤模型和 TRAMP 小鼠模型中消除 CRPC 并克服 ABT 耐药性。我们的研究确定了 IMPDH2 作为肌醇传感器,其肌醇激活代表了维持 PCSCs 用于 CRPC 和 ABT 耐药性的关键机制。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/11528126/ba3c178486a6/JEM_20231832_Fig10.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/11528126/ba3c178486a6/JEM_20231832_Fig10.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/11528126/b2736b23e3cc/JEM_20231832_GA.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/11528126/60b0f2b88bd3/JEM_20231832_Fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f307/11528126/b60da4d46920/JEM_20231832_FigS1.jpg
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