Zhao Xin, Feng Shiyun, Nitie Xiaoping, Muluo Shibu, Lei Yi
Department of Urology, The Affiliated Hospital of Southwest Medical University, Luzhou, Sichuan, China.
Department of Urology, The First People's Hospital of Yuexi County, Liangshan Prefecture, China.
Cancer Biol Ther. 2025 Dec;26(1):2545062. doi: 10.1080/15384047.2025.2545062. Epub 2025 Aug 11.
PURPOSE: Metastatic castration-resistant prostate cancer (mCRPC) remains a significant therapeutic challenge and a leading cause of cancer-related mortality in men. PARP inhibitors like Olaparib are effective in homologous recombination repair (HRR)-deficient tumors, but resistance often arises through DNA repair restoration. This study explores the role of the structure-specific endonuclease subunit SLX1, a catalytic subunit of the SLX1-SLX4 endonuclease complex, in Olaparib resistance. METHODS: Data from The Cancer Genome Atlas (TCGA) were used for expression and survival analyses. The CRPC cell line DU145, which harbors BRCA1 and BRCA2 mutations, was used as a cell model for both in vitro and in vivo studies. RESULTS: Elevated SLX1A expression in prostate cancer tissues was associated with significantly reduced progression-free and overall survival. SLX1 protein was upregulated in androgen-resistant prostate cancer cell lines (DU145, 22RV1, PC3) and further increased in Olaparib-resistant DU145 (DU145-OR) cells. Silencing SLX1 via shRNA enhanced Olaparib sensitivity, reducing colony formation and increasing DNA damage and apoptosis in DU145 and DU145-OR cells. Mechanistically, SLX1 knockdown disrupted SLX4 interactions with critical DNA repair proteins (ERCC1-XPF, PLK1, and TOPBP1), impairing DNA repair complex stability. In vivo, SLX1-silenced DU145 xenografts treated with Olaparib showed significantly reduced tumor growth with decreased Ki-67 expression and increased apoptosis/necrosis compared to controls. CONCLUSION: This study highlights SLX1 as both a prognostic marker and potential therapeutic target to enhance PARPi efficacy in advanced prostate cancer. Targeting SLX1 may be a promising strategy to overcome Olaparib resistance in mCRPC patients with homologous recombination deficiency.
目的:转移性去势抵抗性前列腺癌(mCRPC)仍然是一个重大的治疗挑战,并且是男性癌症相关死亡的主要原因。像奥拉帕尼这样的PARP抑制剂在同源重组修复(HRR)缺陷的肿瘤中有效,但耐药性通常通过DNA修复恢复而产生。本研究探讨结构特异性核酸内切酶亚基SLX1(SLX1-SLX4核酸内切酶复合物的催化亚基)在奥拉帕尼耐药中的作用。 方法:来自癌症基因组图谱(TCGA)的数据用于表达和生存分析。携带BRCA1和BRCA2突变的CRPC细胞系DU145用作体外和体内研究的细胞模型。 结果:前列腺癌组织中SLX1A表达升高与无进展生存期和总生存期显著缩短相关。SLX1蛋白在雄激素抵抗性前列腺癌细胞系(DU145、22RV1、PC3)中上调,并在奥拉帕尼耐药的DU145(DU145-OR)细胞中进一步增加。通过shRNA沉默SLX1可增强奥拉帕尼敏感性,减少DU145和DU145-OR细胞中的集落形成,并增加DNA损伤和凋亡。机制上,SLX1敲低破坏了SLX4与关键DNA修复蛋白(ERCC1-XPF、PLK1和TOPBP1)的相互作用,损害了DNA修复复合物的稳定性。在体内,用奥拉帕尼治疗的SLX1沉默的DU145异种移植瘤与对照组相比,肿瘤生长显著减少,Ki-67表达降低,凋亡/坏死增加。 结论:本研究强调SLX1既是一种预后标志物,也是增强PARPi在晚期前列腺癌中疗效的潜在治疗靶点。靶向SLX1可能是克服同源重组缺陷的mCRPC患者奥拉帕尼耐药的一种有前景的策略。
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