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Notch signaling suppresses neuroendocrine differentiation and alters the immune microenvironment in advanced prostate cancer
Sheng-Yu Ku, … , David W. Goodrich, Himisha Beltran
Sheng-Yu Ku, … , David W. Goodrich, Himisha Beltran
Published July 18, 2024
Citation Information: J Clin Invest. 2024;134(17):e175217. https://doi.org/10.1172/JCI175217.
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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 7

Deletion of NOTCH2 in 22Rv1 cells in combination with RB1 loss.

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Deletion of NOTCH2 in 22Rv1 cells in combination with RB1 loss.
(A) NOTC...
(A) NOTCH2, NICD1, NICD2 and HES1 expression levels were reduced in 22Rv1-sgNOTCH2 cells. The NE markers INSM1 and CHGA were undetectable in control (C) and NOTCH2-KO cells. (B) The growth of NOTCH2-KO 22Rv1 cells with (22Rv1-sgGFP) and without RB1 (22Rv1-sgRB1) was measured using a hemacytometer. Data are from 4 technical replicates and 2 biological replicates and represent the mean ± SD. ***P < 0.001, by 2-way ANOVA. (C) 22Rv1 cells with or without RB1 and NOTCH2 loss were treated with DMSO (control) or enzalutamide with the indicated concentrations for 6 days. Relative cell growth was measured by CellTiter-Glo on day 6 and normalized to DMSO. The IC50 was determined using GraphPad and is shown on the graph. 22Rv1-sgGFP: 52.1 μM; 22Rv1-sgRB1/sgNOTCH2: 89.8 μM. The data are from 3 biological replicates with multiple technical replicates and represent the mean ± SD. (D) 22Rv1-sgRB1 and 22Rv1-sgRB1/sgNOTCH2 cells were subcutaneously transplanted into host mice. Tumors were stained with H&E, NOTCH2, AR, ASCL1, and SYP to characterize the phenotypes. Scale bars: 100 μm.

Copyright © 2025 American Society for Clinical Investigation
ISSN: 0021-9738 (print), 1558-8238 (online)

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