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Cell Plasticity-Related Phenotypes and Taxanes Resistance in Castration-Resistant Prostate Cancer
Ist Teil von
Frontiers in oncology, 2020-11, Vol.10, p.594023-594023
Ort / Verlag
Frontiers Research Foundation
Erscheinungsjahr
2020
Link zum Volltext
Quelle
Free E-Journal (出版社公開部分のみ)
Beschreibungen/Notizen
The prostatic tumor cells plasticity is involved in resistance to hormone-therapy, allowing these cells to survive despite androgen receptor inhibition. However, its role in taxanes resistance has not been fully established. Gene expression of plasticity-related phenotypes such as epithelial-mesenchymal transition (EMT), stem cell-like and neuroendocrine (NE) phenotypes was studied
in vitro
,
in silico
, in circulating tumor cells (CTCs) (
N
=22) and in tumor samples (
N
=117) from taxanes-treated metastatic castration-resistant prostate cancer (mCRPC) patients. Docetaxel (D)-resistant cells presented a more pronounced EMT phenotype than cabazitaxel (CZ)-resistant cells.
In silico
analysis revealed
ESRP1
down-regulation in taxane-exposed mCRPC samples. Cell plasticity-related changes occurred in CTCs after taxanes treatment. Tumor EMT phenotype was associated with lower PSA progression-free survival (PFS) to D (
P
<0.001), and better to CZ (
P
=0.002). High
ESRP1
expression was independently associated with longer PSA-PFS (
P
<0.001) and radiologic-PFS (
P
=0.001) in D and shorter PSA-PFS in the CZ cohort (
P
=0.041). High
SYP
expression was independently associated with lower PSA-PFS in D (
P
=0.003) and overall survival (OS) in CZ (
P
=0.002), and high
EZH2
expression was associated with adverse OS in D-treated patients (
P
=0.013). In conclusion, EMT profile in primary tumor is differentially associated with D or CZ benefit and NE dedifferentiation correlates with adverse taxanes clinical outcome.