Low tristetraprolin expression activates phenotypic plasticity and primes transition to lethal prostate cancer in mice
Phenotypic plasticity is a hallmark of cancer and is increasingly realized as a mechanism of resistance to androgen receptor-targeted (AR-targeted) therapy. Now that many prostate cancer (PCa) patients are treated upfront with AR-targeted agents, it is critical to identify actionable mechanisms that drive phenotypic plasticity, to prevent the emergence of resistance. We showed that loss of tristetraprolin (TTP; gene ZFP36) increased NF-κB activation, and was associated with higher rates of aggressive disease and early recurrence in primary PCa. We also examined the clinical and biological impact of ZFP36 loss with co-loss of PTEN, a known driver of PCa. Analysis of multiple independent primary PCa cohorts demonstrated that PTEN and ZFP36 co-loss was associated with increased recurrence risk. Engineering prostate-specific Zfp36 deletion in vivo induced prostatic intraepithelial neoplasia, and, with Pten codeletion, resulted in rapid progression to castration-resistant adenocarcinoma. Zfp36 loss altered the cell state driven by Pten loss, as demonstrated by enrichment of epithelial-mesenchymal transition (EMT), inflammation, TNF-α/NF-κB, and IL-6-JAK/STAT3 gene sets. Additionally, our work revealed that ZFP36 loss also induced enrichment of multiple gene sets involved in mononuclear cell migration, chemotaxis, and proliferation. Use of the NF-κB inhibitor dimethylaminoparthenolide (DMAPT) induced marked therapeutic responses in tumors with PTEN and ZFP36 co-loss and reversed castration resistance.
Authors
- Jasmine Plummer (ORCID: https://orcid.org/0000-0001-7263-350X)
- Christopher J. Sweeney (ORCID: https://orcid.org/0000-0002-0398-6018)
- Shana Y. Trostel (ORCID: https://orcid.org/0000-0002-5929-2576)
- Wilbert Zwart (ORCID: https://orcid.org/0000-0002-9823-7289)
- Beatriz Germán (ORCID: https://orcid.org/0000-0001-8561-5765)
- Xiaofeng A. Su (ORCID: https://orcid.org/0000-0003-4960-6372)
- Scott Wilkinson (ORCID: https://orcid.org/0000-0002-2613-8425)
- Henk G. van der Poel (ORCID: https://orcid.org/0000-0002-8772-1120)
- Anson T. Ku (ORCID: https://orcid.org/0000-0002-6471-5502)
- Andries M. Bergman (ORCID: https://orcid.org/0000-0001-5223-2549)
- Adam G. Sowalsky (ORCID: https://orcid.org/0000-0003-2760-1853)
- Elise M. Bekers (ORCID: https://orcid.org/0000-0001-5159-1697)
- Sungyong You (ORCID: https://orcid.org/0000-0003-3513-1783)
- Simon Linder (ORCID: https://orcid.org/0000-0002-3315-305X)
- Jagpreet S. Nanda (ORCID: https://orcid.org/0000-0002-8096-7654)
- Anis Hamid (ORCID: https://orcid.org/0000-0002-7193-9723)
- Katherine L. Morel (ORCID: https://orcid.org/0000-0002-7968-4032)
- Deborah L. Burkhart (ORCID: https://orcid.org/0000-0002-7457-6032)
- Minhyung Kim (ORCID: https://orcid.org/0000-0002-5628-1062)
- Leigh Ellis
- Jina Kim (ORCID: https://orcid.org/0000-0003-1684-4219)
- Ingrid Hofland
- Duanduan Ma (ORCID: https://orcid.org/0000-0002-4753-0813)
Institutions
- Henry M. Jackson Foundation (US)
- Cedars-Sinai Medical Center (US)
- St. Jude Children's Research Hospital (US)
- Harvard University (US)
- Uniformed Services University of the Health Sciences (US)
- The University of Melbourne (AU)
- Dutch Cancer Society (NL)
- Walter Reed National Military Medical Center (US)
- The Netherlands Cancer Institute (NL)
- Oncode Institute (NL)
- Dana-Farber Cancer Institute (US)
- European Molecular Biology Laboratory (DE)
- Centre for Cancer Biology (AU)
- National Cancer Institute (US)
- Center for Cancer Research (US)
- The University of Adelaide (AU)
- Massachusetts Institute of Technology (US)
Publication Details
- Journal
- Journal of Clinical Investigation
- Published
- 2024-11-19
- DOI
- https://doi.org/10.1172/jci175680
- Citations
- 6
- Primary Topic
- Prostate Cancer Treatment and Research
- Type
- article
- Field-Weighted Citation Impact
- 2.51
Funders
- U.S. Department of Defense
- Eli Lilly and Company
- Pfizer
- Sanofi
- Harvard University
- Exelixis
- Astellas Pharma
- Oncode Institute
- Genentech
- Uniformed Services University of the Health Sciences
- National Cancer Institute