Loss of an Androgen-Inactivating and Isoform-Specific HSD17B4 Splice Form Enables Emergence of Castration-Resistant Prostate Cancer.

Loss of an Androgen-Inactivating and Isoform-Specific HSD17B4 Splice Form Enables Emergence of Castration-Resistant Prostate Cancer.
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DOI:
10.1016/j.celrep.2017.12.081
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发表时间:
2018-01-16
期刊:
影响因子:
8.8
通讯作者:
Sharifi N
Sharifi N
中科院分区:
生物学1区
文献类型:
--
作者:
Ko HK;Berk M;Chung YM;Willard B;Bareja R;Rubin M;Sboner A;Sharifi N

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去势抵抗性前列腺癌(CRPC)需要肿瘤参与代谢机制,允许持续的睾酮和/或双氢睾酮刺激进展。由HSD17B4编码的17β-羟素脱氢酶4 (17βHSD4)被认为通过将睾酮和双氢睾酮转化为各自的惰性17-酮类类固醇来灭活睾酮和双氢睾酮。与直觉相反,HSD17B4在CRPC中表达增加,预示预后不良。在这里,我们表明,在五种可选择的剪接形式中,只有异构体2编码一种能够使睾酮和双氢睾酮失活的酶。与其他转录物相比,亚型2的功能性表达在患者CRPC的发展中被特异性抑制。基因沉默异构体2使代谢平衡转向17β-OH雄激素(睾酮和双氢睾酮),刺激雄激素受体(AR)和CRPC的发育。我们的研究明确表明HSD17B4亚型2的丢失与致死性前列腺癌有关。去势抵抗性前列腺癌(CRPC)依赖于维持肿瘤雄激素的代谢过程,这通常需要雄激素合成酶。Ko等人的研究表明,在CRPC中丢失了一种单一的雄激素失活酶剪接形式,并编码唯一阻断雄激素作用和致命疾病的酶。
Castration-resistant prostate cancer (CRPC) requires tumors to engage metabolic mechanisms that allow sustained testosterone and/or dihydrotestosterone to stimulate progression. 17β-Hydroxyste-roid dehydrogenase type 4 (17βHSD4), encoded by HSD17B4, is thought to inactivate testosterone and dihydrotestosterone by converting them to their respective inert 17-keto steroids. Counterintuitively, HSD17B4 expression increases in CRPC and predicts poor prognosis. Here, we show that, of five alternative splice forms, only isoform 2 encodes an enzyme capable of testosterone and dihydrotestosterone inactivation. In contrast with other transcripts, functional expression of isoform 2 is specifically suppressed in development of CRPC in patients. Genetically silencing isoform 2 shifts the metabolic balance toward 17β-OH androgens (testosterone and dihydrotestosterone), stimulating androgen receptor (AR) and CRPC development. Our studies specifically implicate HSD17B4 isoform 2 loss in lethal prostate cancer. Castration-resistant prostate cancer (CRPC) is dependent on metabolic processes that enable sustained tumor androgens, which generally require androgen-synthesizing enzymes. Ko et al. show that a single androgen inactivation enzyme splice form is lost in CRPC and encodes the only enzyme that otherwise blocks androgen action and lethal disease.
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