Abstract
Metastatic castrate-resistant prostate cancer (mCRPC) is a genetically and phenotypically heterogeneous cancer where advancements are needed in biomarker discovery and targeted therapy. A critical and often effective component of treatment includes taxanes. We perform a high-throughput screen across a cohort of 30 diverse patient-derived castrate-resistant prostate cancer (CRPC) organoids to a library of 78 drugs. Combining quantitative response measures with transcriptomic analyses demonstrates that HNF1 homeobox A (HNF1A) drives a transcriptional program of taxane resistance, commonly dependent upon cellular inhibitor of apoptosis protein 2 (cIAP2). Monotherapy with cIAP2 inhibitor LCL161 is sufficient to treat HNF1A+ models of mCRPC previously resistant to docetaxel. These data may be useful in future clinical trial designs.
Keywords:
BIRC3; HNF1A; apoptosis; docetaxel; drug resistance; organoid; pharmacology; prostate cancer; xenograft.
Published by Elsevier Inc.
MeSH terms
-
Animals
-
Apoptosis* / drug effects
-
Baculoviral IAP Repeat-Containing 3 Protein / genetics
-
Baculoviral IAP Repeat-Containing 3 Protein / metabolism
-
Bridged-Ring Compounds / pharmacology
-
Bridged-Ring Compounds / therapeutic use
-
Cell Line, Tumor
-
Docetaxel / pharmacology
-
Docetaxel / therapeutic use
-
Drug Resistance, Neoplasm* / drug effects
-
Drug Resistance, Neoplasm* / genetics
-
Gene Expression Regulation, Neoplastic / drug effects
-
Hepatocyte Nuclear Factor 1-alpha* / genetics
-
Hepatocyte Nuclear Factor 1-alpha* / metabolism
-
Humans
-
Male
-
Organoids / drug effects
-
Organoids / metabolism
-
Organoids / pathology
-
Prostatic Neoplasms, Castration-Resistant* / drug therapy
-
Prostatic Neoplasms, Castration-Resistant* / genetics
-
Prostatic Neoplasms, Castration-Resistant* / metabolism
-
Prostatic Neoplasms, Castration-Resistant* / pathology
-
Taxoids* / pharmacology
-
Taxoids* / therapeutic use
Substances
-
Taxoids
-
Hepatocyte Nuclear Factor 1-alpha
-
taxane
-
HNF1A protein, human
-
Baculoviral IAP Repeat-Containing 3 Protein
-
Bridged-Ring Compounds
-
Docetaxel