Abstract

The Polycomb protein enhancer of zeste homolog 2 (EZH2) has critical roles in prostate cancer (PCa) progression and drug-resistance, which remains an obstacle for PCa treatment. Enzalutamide (ENZ) is a second-generation androgen receptor antagonist employed for treatment of metastatic castration-resistant prostate cancer A considerable proportion of tumors eventually develop resistance during treatment. Thus, agents that can overcome resistance to PCa are needed urgently. Ilicicolin A (Ili-A), an ascochlorin derivative isolated from the coral-derived fungus Acremonium sclerotigenum GXIMD 02501, shows antiproliferative activity in human PCa cells, but its mechanism of action against Castration-resistant prostate cancer is not known. Herein, RNA-sequencing showed the EZH2 pathway to be involved in PCa proliferation. Ili-A at low doses reduced the protein level of EZH2, leading to transcriptional change. Interestingly, Ili-A suppressed the binding of EZH2 to promoter regions in AR/serine/threonine polo-like kinase-1/aurora kinase A. Moreover, Ili-A could enhance the anticancer activity of enzalutamide in CRPC cancer models. These data suggest that Ili-A could be used in combination with enzalutamide to treat CRPC.

Highlights

  • Cancer of the prostate gland, known commonly as “prostate cancer” (PCa), is the most commonly diagnosed cancer in men living in the United States PCa is responsible for ∼10% of all cancer-related deaths in men (Siegel et al, 2021)

  • enhancer of zeste homolog 2 (EZH2) has a pivotal role in the development and progression of PCa, so we examined whether Ilicicolin A (Ili-A) could inhibit survival of CRPC cells by blocking EZH2 signaling

  • We investigated the functional importance of EZH2 expression in the EZH2 signaling pathway by characterizing the inhibition effect of Ili-A on EZH2 activity

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Summary

Introduction

Cancer of the prostate gland, known commonly as “prostate cancer” (PCa), is the most commonly diagnosed cancer in men living in the United States PCa is responsible for ∼10% of all cancer-related deaths in men (Siegel et al, 2021). Surgery or androgendeprivation therapy has become the first-line treatment for PCa patients (Litwin and Tan, 2017). Taxane-based chemotherapies, next-generation antiandrogens, and biosynthesis inhibitors, such as enzalutamide ( named MDV3100), abiraterone acetate, and cabazitaxel, have been administered to patients who developed mCRPC (Litwin and Tan, 2017; Oudard et al, 2017; Thakur et al, 2018). Despite the clinical efficacy of these drugs in mCRPC patients, the almost inevitable emergence of drug resistance hampers a definitive cure, possibly due to amplification or gain-of-function somatic mutations of AR, aberrant posttranslational modification of the AR protein, alternative splicing events that result in hyperactive receptors, and cofactor dysregulation and/or intracrine androgen synthesis (Watson et al, 2015). Considerable effort has been made on improving these weaknesses, but an efficient and efficacious method is lacking

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