Androgen receptor splice variants (AR-Vs) are implicated in castration-resistant prostate cancer (CRPC). When expressed alone, some AR-Vs localize primarily to the nucleus, whereas others localize to the cytoplasm. The clinical relevance of the latter is often dismissed due to their cytoplasm localization. This study demonstrates a significant role of these cytoplasmic-localized AR-Vs in castration resistant disease through dimerizing with the nucleus-predominant AR-Vs and AR. The findings reveal important consequences for clinical castration resistance due to simultaneous expression of AR and different AR-Vs in patient tumors and suggest that dissecting their interactions will lead to effective strategies to disrupt AR-V signaling.While therapeutic benefit of bromodomain and extra-terminal (BET) protein inhibitors for hematological malignancies has been reported, the identification of sensitive solid tumor indications has been challenging. Castration-resistant prostate cancer (CRPC) dependence on transcription factor drivers rendered it exquisitely sensitive to ABBV-075, a novel BET inhibitor currently in clinical trials. ABBV-075 disrupted the functional interaction of AR and BRD4 at enhancers to inhibit the androgen receptor (AR) gene expression signature in both androgen-dependent and enzalutamide-resistant models. ABBV-075 activity also converged on parallel transcription factor drivers of CRPC progression, MYC and TMRPSS2-ETS. Thus, this proof-of-concept study supports the development of ABBV-075 in CRPC and similar transcription-factor dependent tumors.In this issue, Balaji and colleagues define a novel role for the AXL receptor tyrosine kinase in modulating the DNA damage and repair (DDR) response across three different cancer model systems. Higher AXL levels associate with higher expression of homologous recombination (HR) genes critical for DNA repair. Furthermore, inhibition of AXL decreases HR gene expression, impairs DNA repair function, and sensitizes to PARP therapy. Given the current clinical development of AXL and PARP inhibitors for both lung and breast cancer, these findings demonstrate that combinatorial inhibition of AXL and PARP significantly increases the therapeutic response beyond either inhibitor alone by inducing a type of synthetic lethality through AXL blockade.Tumor-derived exosomes are emerging mediators of tumorigenesis and tissue-specific metastasis. Proteomic profiling has identified Annexin A2 (AnxA2) as one of the most highly expressed proteins in exosomes; however, studies focused on the biological role of exosomal-Annexin A2 (exo-AnxA2) are still lacking. Using various in vitro and in vivo techniques, Maji and colleagues illustrate that exo-AnxA2 is functionally active and is capable of promoting angiogenesis in a tPA-dependent manner. Furthermore, exo-AnxA2 causes macrophage-mediated activation of the p38MAPK, NF-κB, and STAT3 signaling pathways and increases secretion of IL-6 and TNF-α to promote breast cancer metastasis. Collectively, these data establish for the first time that exo-AnxA2 is an important mediator in breast cancer pathogenesis.
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