Abstract
Abstract Skeletal metastasis is the most life-threatening complication in prostate cancer. The molecular mechanisms behind the interactions between prostate cancer and the bone marrow premetastatic niche remain unknown. Understanding and preventing such interactions could lead to new promising therapeutic strategies against lethal prostate cancer. Annexin 2 receptor (ANXA2R) was originally identified as a cell surface receptor for Annexin 2 (ANXA2) that mediates the stimulatory effects of ANXA2 during osteoclastic activation and osteoblast mineralization. Moreover, ANXA2R is able to induce apoptosis independent of its ligand, partially through activating caspases using non-conventional apoptotic pathways. Osteoblasts and marrow endothelial cells express ANXA2 which functions as a regulator of hematopoietic stem cell engraftment. Previous studies demonstrated blocking ANXA2 or its receptor prevents prostate cancer cells from establishing bone metastases in mouse models. It has been recently proven that ANXA2R does not bind to ANXA2 directly but to S100A10 present in the complex annexin A2 heterotetramer (AIIt), composed of 2 ANXA2 bound to a S100A10 dimer. Higher levels of ANXA2 and S100A10 are associated with proliferating and invasive cancers and correlate with poor prognosis. However, the loss of ANXA2 expression appears to be specific for prostate cancer. Previous work on prostate cancer has focused solely on ANXA2 as a ligand. In this study, we demonstrate that S100A10 and ANXA2 are co-localized in prostate cancer, and their expression and ANXA2R levels vary with grade in primary tumors as well as within the different metastatic sites. Given prostate cancer cells as well as bone marrow stroma can simultaneously express the ligand and receptor and levels of AIIt decrease with tumor stage in the primary site, we hypothesize prostate cancer cells require S100A10 and not only ANXA2 to spread to bone and other tissues. ANXA2R could act as a dependence receptor, mediating withdrawal-induced programed cell death in prostate cancer cells in the absence of AIIt. Furthermore, AIIt-ANXA2R interactions between prostate cancer cells and the premetastatic bone marrow niche might play an important role in the development of skeletal metastasis by inducing selective pressures on prostate cancer cells to metastasize to the bone marrow which is abundant of AIIt. Citation Format: Gonzalo Torga, Kenneth J. Pienta. Investigating the role of ANXA2R in metastatic prostate cancer [abstract]. In: Proceedings of the American Association for Cancer Research Annual Meeting 2017; 2017 Apr 1-5; Washington, DC. Philadelphia (PA): AACR; Cancer Res 2017;77(13 Suppl):Abstract nr 3909. doi:10.1158/1538-7445.AM2017-3909
Published Version
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