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2017 ; 8
(5
): 7964-7976
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gab.com Text
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MED15 overexpression in prostate cancer arises during androgen deprivation
therapy via PI3K/mTOR signaling
#MMPMID27974704
Offermann A
; Vlasic I
; Syring I
; Vogel W
; Ruiz C
; Zellweger T
; Rentsch CA
; Hagedorn S
; Behrends J
; Nowak M
; Merseburger A
; Bubendorf L
; Kirfel J
; Duensing S
; Adler D
; Perner S
Oncotarget
2017[Jan]; 8
(5
): 7964-7976
PMID27974704
show ga
Androgen deprivation therapy (ADT) is the main therapeutic option for advanced
prostate cancer (PCa). After initial regression, most tumors develop into
castration-resistant PCa (CRPC). Previously, we found the Mediator complex
subunit MED15 to be overexpressed in CRPC and to correlate with clinical outcome.
Therefore, we investigated whether MED15 is implicated in the signaling changes
taking place during progression to CRPC. Immunohistochemistry (IHC) for MED15 on
matched samples from the same patients before and after ADT reveals significantly
increased MED15 expression after ADT in 72%. A validation cohort comprising
samples before and after therapy confirmed our observations. Protein analysis for
pAKT and pSMAD3 shows that MED15 correlates with PI3K and TGFß activities,
respectively, and that hyper-activation of both pathways simultaneously
correlates with highest levels of MED15. We further show that MED15 protein
expression increases in LNCaP cells under androgen deprivation, and via EGF
mediated PI3K activation. PI3K/mTOR and TGFß-receptor inhibition results in
decreased MED15 expression. MED15 knockdown reduces LNCaP cell viability and
induces apoptosis during androgen deprivation, while cell cycle is not affected.
Collectively, MED15 overexpression arises during ADT via hyper-activation of
PI3K/mTOR signaling, thus MED15 may serve as a predictive marker for response to
PI3K/mTOR inhibitors. Furthermore, MED15 is potentially a therapeutic target for
the treatment of CRPC.