Article
作者: Selth, Luke A ; Risbridger, Gail P ; Hassankhani, Ramin ; Lawrence, Mitchell G ; Tilley, Wayne D ; Butler, Lisa M ; Taylor, Renea A ; Kichenadasse, Ganessan ; Hanson, Adrienne R ; Rahman, Razia ; Xie, Jianling ; Conn, Simon J ; Rahaman, Muhammed H ; Balk, Steven P ; Best, Giles ; Islam, Saiful ; Choo, Nicholas ; Centenera, Margaret M ; Wang, Shudong ; Ramm, Susanne ; Townley, Scott L ; Shrestha, Raj ; Simpson, Kaylene J
Background:Cyclin-dependent kinase 9 (CDK9) stimulates oncogenic transcriptional pathways in cancer and CDK9 inhibitors have emerged as promising therapeutic candidates.
Methods:The activity of an orally bioavailable CDK9 inhibitor, CDKI-73, was evaluated in prostate cancer cell lines, a xenograft mouse model, and patient-derived tumor explants and organoids. Expression of CDK9 was evaluated in clinical specimens by mining public datasets and immunohistochemistry. Effects of CDKI-73 on prostate cancer cells were determined by cell-based assays, molecular profiling and transcriptomic/epigenomic approaches.
Results:CDKI-73 inhibited proliferation and enhanced cell death in diverse in vitro and in vivo models of androgen receptor (AR)-driven and AR-independent models. Mechanistically, CDKI-73-mediated inhibition of RNA polymerase II serine 2 phosphorylation resulted in reduced expression of BCL-2 anti-apoptotic factors and transcriptional defects. Transcriptomic and epigenomic approaches revealed that CDKI-73 suppressed signaling pathways regulated by AR, MYC, and BRD4, key drivers of dysregulated transcription in prostate cancer, and reprogrammed cancer-associated super-enhancers. These latter findings prompted the evaluation of CDKI-73 with the BRD4 inhibitor AZD5153, a combination that was synergistic in patient-derived organoids and in vivo.
Conclusion:Our work demonstrates that CDK9 inhibition disrupts multiple oncogenic pathways and positions CDKI-73 as a promising therapeutic agent for prostate cancer, particularly aggressive, therapy-resistant subtypes.