2017
DOI: 10.1016/j.ccell.2017.10.008
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Aberrant Activation of a Gastrointestinal Transcriptional Circuit in Prostate Cancer Mediates Castration Resistance

Abstract: Summary Prostate cancer exhibits a lineage-specific dependence on androgen signaling. Castration resistance involves reactivation of androgen signaling or activation of alternative lineage programs to bypass androgen requirement. We describe an aberrant gastrointestinal lineage transcriptome expressed in ~5% of primary prostate cancer that is characterized by abbreviated response to androgen deprivation therapy and in ~30% of castration-resistant prostate cancer. This program is governed by a transcriptional c… Show more

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Cited by 75 publications
(95 citation statements)
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“…Consequently, the binding motif of Hnf4g is the most significantly enriched transcription factor motif in the promoters of genes that are specifically upregulated in those tumor cells that lack a CSC phenotype ( Fig EV4B). This suggests that Hnf4g is playing a role in gene regulation even in transformed cancer cells, which is in line with recent reports on other cancer types, which revealed that dysregulated Hnf4g is associated with pancreatic (Klein et al, 2018), prostate (Shukla et al, 2017), and lung cancer (Wang et al, 2018). Overall, these observations illustrate the importance of system-wide interrogation and the power of integrative analyses to uncover novel biology related to intestinal homeostasis.…”
Section: Hnf4g Drives Enterocyte Differentiationsupporting
confidence: 89%
“…Consequently, the binding motif of Hnf4g is the most significantly enriched transcription factor motif in the promoters of genes that are specifically upregulated in those tumor cells that lack a CSC phenotype ( Fig EV4B). This suggests that Hnf4g is playing a role in gene regulation even in transformed cancer cells, which is in line with recent reports on other cancer types, which revealed that dysregulated Hnf4g is associated with pancreatic (Klein et al, 2018), prostate (Shukla et al, 2017), and lung cancer (Wang et al, 2018). Overall, these observations illustrate the importance of system-wide interrogation and the power of integrative analyses to uncover novel biology related to intestinal homeostasis.…”
Section: Hnf4g Drives Enterocyte Differentiationsupporting
confidence: 89%
“…In summary, we have shown that HOXC4 and HOXC6 regulate critical genes affecting prostate cancer proliferation. In addition, we showed colocalization of HOXC4 and HOXC6 at HOXB13 sites that are also bound by FOXA1 and AR, which have been previously linked to regulation of prostate cancer cell proliferation [9,15,21,32,33]. We suggest that the Fig 5.…”
Section: Discussionmentioning
confidence: 52%
“…The observation that a portion of prostate cancer samples overexpresses SPINK1, a trypsin inhibitor that protects the gastrointestinal tract from protease degradation, opened up to the possibility that a gastrointestinal (GI)-lineage specific expression program is activated to promote castration resistance. Accordingly, studies showed that SPINK overexpression is associated with worse prognosis and more rapid progression of resistant tumors [95][96][97][98] and a subclass of CRPC expresses high levels of hepatocyte nuclear factor 4-gamma (HNF4G) and 1-alpha (HNF1A) [99] . These two master transcription factors sustain a GI transcriptional program in prostate cancer, present non-overlapping cistrome with AR, and their exogenous expression leads to resistance to androgen depletion and to enzalutamide in prostate cancer cell lines and xenograft models [99] .…”
Section: Alternative Programs Of Resistancementioning
confidence: 99%