Prostate cancer (PCa) has a proclivity to metastasize to bone. The mechanism by which PCa cells are able to survive and progress in the bone microenvironment is not clear. Identification of molecules that play critical roles in the progression of PCa in bone will provide essential targets for therapy. Ribosomal S6 protein kinase (RSKs) have been shown to mediate many cellular functions critical for cancer progression. Whether RSK plays a role in the progression of PCa in bone is unknown. Immunohistochemical (IHC) analysis of human PCa specimens showed increased phosphorylation of RSK in the nucleus of PCa cells in a significant fraction of human PCa bone metastasis specimens, compared to the primary site or lymph node metastasis. Expression of constitutively active myristylated-RSK in C4-2B4 cells (C4-2B4/RSK) increased their survival and anchorage-independent growth compared to C4-2B4/vector cells. Using an orthotopic bone injection model, it was determined that injecting C4-2B4/RSK cells into mouse femurs enhanced their progression in bone compared to control cells. In PC3-mm2 cells, knockdown of RSK1 (RPS6KA1), the predominant RSK isoform, but not RSK2 (RPS6KA2) alone, decreased anchorage-independent growth in vitro and reduced tumor progression in bone and tumor-induced bone remodeling in vivo. Mechanistic studies showed that RSK regulates anchorage-independent growth through transcriptional regulation of factors that modulate cell survival, including ING3, CKAP2 and PTK6. Together, these data provide strong evidence that RSK is an important driver in PCa progression in bone.
Implications
RSK, an important driver in PCa progression in bone, has promising potential as a therapeutic target for PCa bone metastasis.