Harnessing transcriptionally driven chromosomal instability adaptation to target therapy-refractory lethal prostate cancer Journal Article


Authors: Dhital, B.; Santasusagna, S.; Kirthika, P.; Xu, M.; Li, P.; Carceles-Cordon, M.; Soni, R. K.; Li, Z.; Hendrickson, R. C.; Schiewer, M. J.; Kelly, W. K.; Sternberg, C. N.; Luo, J.; Lujambio, A.; Cordon-Cardo, C.; Alvarez-Fernandez, M.; Malumbres, M.; Huang, H.; Ertel, A.; Domingo-Domenech, J.; Rodriguez-Bravo, V.
Article Title: Harnessing transcriptionally driven chromosomal instability adaptation to target therapy-refractory lethal prostate cancer
Abstract: Metastatic prostate cancer (PCa) inevitably acquires resistance to standard therapy preceding lethality. Here, we unveil a chromosomal instability (CIN) tolerance mechanism as a therapeutic vulnerability of therapy-refractory lethal PCa. Through genomic and transcriptomic analysis of patient datasets, we find that castration and chemotherapy-resistant tumors display the highest CIN and mitotic kinase levels. Functional genomics screening coupled with quantitative phosphoproteomics identify MASTL kinase as a survival vulnerability specific of chemotherapy-resistant PCa cells. Mechanistically, MASTL upregulation is driven by transcriptional rewiring mechanisms involving the non-canonical transcription factors androgen receptor splice variant 7 and E2F7 in a circuitry that restrains deleterious CIN and prevents cell death selectively in metastatic therapy-resistant PCa cells. Notably, MASTL pharmacological inhibition re-sensitizes tumors to standard therapy and improves survival of pre-clinical models. These results uncover a targetable mechanism promoting high CIN adaptation and survival of lethal PCa. © 2023 The Author(s)
Keywords: therapy resistance; e2f7; ar-v7; mastl; chromosomal instability (cin); lethal prostate cancer
Journal Title: Cell Reports Medicine
Volume: 4
Issue: 2
ISSN: 2666-3791
Publisher: Cell Press  
Date Published: 2023-02-21
Start Page: 100937
Language: English
DOI: 10.1016/j.xcrm.2023.100937
PUBMED: 36787737
PROVIDER: scopus
PMCID: PMC9975292
DOI/URL:
Notes: Article -- MSK Cancer Center Support Grant (P30 CA008748) acknowledged in PDF -- Export Date: 1 March 2023 -- Source: Scopus
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  1. Rajesh Kumar Soni
    18 Soni
  2. Zhuoning Li
    18 Li