TAILIEUCHUNG - The opposing action of stromal cell proenkephalin and stem cell transcription factors in prostate cancer differentiation

Loss of prostate cancer differentiation or de-differentiation leads to an untreatable disease. Patient survival would benefit if this can be prevented or reversed. Cancer de-differentiation transforms luminal-like (differentiated) adenocarcinoma into less luminal-like and more stem-like (undifferentiated) small cell carcinoma through a sequential activation of stem cell transcription factors (scTF) POU5F1, LIN28A, SOX2 and NANOG. | Liu BMC Cancer 2021 21 1335 https s12885-021-09090-y RESEARCH Open Access The opposing action of stromal cell proenkephalin and stem cell transcription factors in prostate cancer differentiation Alvin Y. Liu Abstract Background Loss of prostate cancer differentiation or de-differentiation leads to an untreatable disease. Patient survival would benefit if this can be prevented or reversed. Cancer de-differentiation transforms luminal-like differ- entiated adenocarcinoma into less luminal-like and more stem-like undifferentiated small cell carcinoma through a sequential activation of stem cell transcription factors scTF POU5F1 LIN28A SOX2 and NANOG. Like stem cells prostate small cell carcinoma express this quartet of scTF as well as a 10-fold lower level of β2-microglobulin B2M than that of differentiated cell types. In organ development prostate stromal mesenchyme cells mediate epithelial differentiation in part by secreted factors. Methods The identified prostate stromal-specific factor proenkephalin PENK was cloned and transfected into scTF B2Mlo stem-like small cell carcinoma LuCaP reprogrammed luminal-like s cTF B2Mhi LNCaP and luminal- like scTF B2Mhi adenocarcinoma LuCaP 70CR. The expression of scTF B2M and anterior gradient 2 AGR2 was ana- lyzed in the transfected cells. Results PENK caused down-regulation of scTF and up-regulation of B2M to indicate differentiation. When trans- fected into reprogrammed LNCaP PENK reversed the reprogramming by down-regulation of scTF with attendant changes in cell appearance and colony morphology. When transfected into LuCaP 70CR PENK up-regulated the expression of adenocarcinoma antigen AGR2 a marker associated with cancer cell differentiation. Conclusions Prostate cancer cells appear to retain their responsiveness to stromal PENK signaling. PENK can induce differentiation to counter de-differentiation caused by scTF activation. The many mutations and aneuploidy character- istic of cancer cells appear

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