Abstract

Advanced prostate cancer initially responds to hormonal treatment, but ultimately becomes resistant and requires more potent therapies. One mechanism of resistance observed in around 10–20% of these patients is lineage plasticity, which manifests in a partial or complete small cell or neuroendocrine prostate cancer (NEPC) phenotype. Here, we investigate the role of the mammalian SWI/SNF (mSWI/SNF) chromatin remodeling complex in NEPC. Using large patient datasets, patient-derived organoids and cancer cell lines, we identify mSWI/SNF subunits that are deregulated in NEPC and demonstrate that SMARCA4 (BRG1) overexpression is associated with aggressive disease. We also show that SWI/SNF complexes interact with different lineage-specific factors in NEPC compared to prostate adenocarcinoma. These data point to a role for mSWI/SNF complexes in therapy-related lineage plasticity, which may also be relevant for other solid tumors.

Highlights

  • Advanced prostate cancer initially responds to hormonal treatment, but becomes resistant and requires more potent therapies

  • To define somatic mutation frequencies of genes encoding SWI/SNF subunits across the entire spectrum of Prostate cancer (PCa), we conducted a comprehensive analysis of whole exome sequencing (WES) data from 600 PCa patients representing a wide range of the disease spectrum, including 56 castration-resistant prostate cancer (CRPC)-NE cases (Fig. 1a, Supplementary Data 1, Supplementary Data 2, Supplementary Data 3)

  • Expression levels of BRD7 were significantly lower in CRPC-NE compared to CRPC-Adeno, but not in CRPC-NE compared to localized PCa

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Summary

Introduction

Advanced prostate cancer initially responds to hormonal treatment, but becomes resistant and requires more potent therapies. We show that SWI/SNF complexes interact with different lineage-specific factors in NEPC compared to prostate adenocarcinoma These data point to a role for mSWI/SNF complexes in therapy-related lineage plasticity, which may be relevant for other solid tumors. Mammalian SWI/SNF complexes, known as Brg/Brahmaassociated factor (BAF) complexes, are a heterogeneous family of ATP-dependent chromatin remodeling complexes composed of about 11–15 protein subunits and generally considered as positive mediators of chromatin accessibility[16] These complexes are evolutionarily conserved in eukaryotes and required for normal embryonic development[16,17]. We provide evidence that SWI/SNF interacts with different lineage-specific partners throughout PCa transdifferentiation These findings suggest that specialized SWI/SNF complexes are associated with PCa disease progression and may play a role in therapy resistance

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