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Notch signaling suppresses neuroendocrine differentiation and alters the immune microenvironment in advanced prostate cancer
Sheng-Yu Ku, Yanqing Wang, Maria Mica Garcia, Yasutaka Yamada, Kei Mizuno, Mark D. Long, Spencer Rosario, Meenalakshmi Chinnam, Majd Al Assaad, Loredana Puca, Min Jin Kim, Martin K. Bakht, Varadha Balaji Venkadakrishnan, Brian D. Robinson, Andrés M. Acosta, Kristine M. Wadosky, Juan Miguel Mosquera, David W. Goodrich, Himisha Beltran
Sheng-Yu Ku, Yanqing Wang, Maria Mica Garcia, Yasutaka Yamada, Kei Mizuno, Mark D. Long, Spencer Rosario, Meenalakshmi Chinnam, Majd Al Assaad, Loredana Puca, Min Jin Kim, Martin K. Bakht, Varadha Balaji Venkadakrishnan, Brian D. Robinson, Andrés M. Acosta, Kristine M. Wadosky, Juan Miguel Mosquera, David W. Goodrich, Himisha Beltran
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Research Article Oncology

Notch signaling suppresses neuroendocrine differentiation and alters the immune microenvironment in advanced prostate cancer

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Abstract

Notch signaling can have either an oncogenic or tumor-suppressive function in cancer depending on the cancer type and cellular context. While Notch can be oncogenic in early prostate cancer, we identified significant downregulation of the Notch pathway during prostate cancer progression from adenocarcinoma to neuroendocrine (NE) prostate cancer, where it functions as a tumor suppressor. Activation of Notch in NE and Rb1/Trp53-deficient prostate cancer models led to phenotypic conversion toward a more indolent, non-NE state with glandular features and expression of luminal lineage markers. This was accompanied by upregulation of MHC and type I IFN and immune cell infiltration. Overall, these data support Notch signaling as a suppressor of NE differentiation in advanced prostate cancer and provide insights into how Notch signaling influences lineage plasticity and the tumor microenvironment (TME).

Authors

Sheng-Yu Ku, Yanqing Wang, Maria Mica Garcia, Yasutaka Yamada, Kei Mizuno, Mark D. Long, Spencer Rosario, Meenalakshmi Chinnam, Majd Al Assaad, Loredana Puca, Min Jin Kim, Martin K. Bakht, Varadha Balaji Venkadakrishnan, Brian D. Robinson, Andrés M. Acosta, Kristine M. Wadosky, Juan Miguel Mosquera, David W. Goodrich, Himisha Beltran

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Figure 6

Deletion of ASCL1 in the WCM154 model.

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Deletion of ASCL1 in the WCM154 model.
(A) Relative mRNA levels of ASCL1...
(A) Relative mRNA levels of ASCL1, DLL3, and NOTCH2 in WCM154-sgGFP, -sgASCL1-#1, and -sgASCL1-#2 organoids are shown. Standard deviations were measured from 3 independent replicates. (B) Growth of WCM154-sgGFP (control) and WCM154-sgASCL1 organoids was measured by CellTiter-Glo at the indicated time points and normalized to day 1. The data are from 3 biological replicates and represent the mean ± SD. ****P < 0.0001, by 2-way ANOVA. (C) Expression levels of Notch signaling markers (NOTCH2, HES1) and NE markers (INSM1, FOXA2, SYP) in ASCL1-KO organoids. (D) Histology of sgGFP and sgASCL1 organoid–derived xenografts. Tumor sections were stained with the Notch negative regulators ASCL1 and DLL3 and the positive regulators NOTCH2 and HES1 to indicate upregulated Notch signaling in the WCM154-sgASCL1 tumor. Scale bars: 100 μm. (E) Differential gene expression in sgASCL1 versus sgGFP tumors. Several NE transcription factors, such as INSM1 and PEG10, were downregulated in the sgASCL1 tumors. (F) GO analysis reveals enriched biological processes after ASCL1 KO.

Copyright © 2026 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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