Sprouty2 loss-induced IL6 drives castration-resistant prostate cancer through scavenger receptor B1.

Patel R., Fleming J., Mui E., Loveridge C., Repiscak P., Blomme A., Harle V., Salji M., Ahmad I., Teo K., Hamdy FC., Hedley A., van den Broek N., Mackay G., Edwards J., Sansom OJ., Leung HY.

Metastatic castration-resistant prostate cancer (mCRPC) is a lethal form of treatment-resistant prostate cancer and poses significant therapeutic challenges. Deregulated receptor tyrosine kinase (RTK) signalling mediated by loss of tumour suppressor Sprouty2 (SPRY2) is associated with treatment resistance. Using pre-clinical human and murine mCRPC models, we show that SPRY2 deficiency leads to an androgen self-sufficient form of CRPC Mechanistically, HER2-IL6 signalling axis enhances the expression of androgen biosynthetic enzyme HSD3B1 and increases SRB1-mediated cholesterol uptake in SPRY2-deficient tumours. Systemically, IL6 elevated the levels of circulating cholesterol by inducing host adipose lipolysis and hepatic cholesterol biosynthesis. SPRY2-deficient CRPC is dependent on cholesterol bioavailability and SRB1-mediated tumoral cholesterol uptake for androgen biosynthesis. Importantly, treatment with ITX5061, a clinically safe SRB1 antagonist, decreased treatment resistance. Our results indicate that cholesterol transport blockade may be effective against SPRY2-deficient CRPC.

DOI

10.15252/emmm.201708347

Type

Journal article

Publication Date

2018-04-01T00:00:00+00:00

Volume

10

Keywords

androgen receptor, cholesterol, interleukin 6, prostate cancer, scavenger receptor B1, Animals, Humans, Interleukin-6, Intracellular Signaling Peptides and Proteins, Male, Membrane Proteins, Mice, Nude, Phenylenediamines, Prostatic Neoplasms, Castration-Resistant, Protein Serine-Threonine Kinases, Real-Time Polymerase Chain Reaction, Erb-b2 Receptor Tyrosine Kinases, Receptors, Scavenger, Scavenger Receptors, Class B, Signal Transduction, Sulfonamides

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