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SOX9 drives WNT pathway activation in prostate cancer
Fen Ma, Huihui Ye, Housheng Hansen He, Sean J. Gerrin, Sen Chen, Benjamin A. Tanenbaum, Changmeng Cai, Adam G. Sowalsky, Lingfeng He, Hongyun Wang, Steven P. Balk, Xin Yuan
Fen Ma, Huihui Ye, Housheng Hansen He, Sean J. Gerrin, Sen Chen, Benjamin A. Tanenbaum, Changmeng Cai, Adam G. Sowalsky, Lingfeng He, Hongyun Wang, Steven P. Balk, Xin Yuan
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Research Article Oncology

SOX9 drives WNT pathway activation in prostate cancer

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Abstract

The transcription factor SOX9 is critical for prostate development, and dysregulation of SOX9 is implicated in prostate cancer (PCa). However, the SOX9-dependent genes and pathways involved in both normal and neoplastic prostate epithelium are largely unknown. Here, we performed SOX9 ChIP sequencing analysis and transcriptome profiling of PCa cells and determined that SOX9 positively regulates multiple WNT pathway genes, including those encoding WNT receptors (frizzled [FZD] and lipoprotein receptor-related protein [LRP] family members) and the downstream β-catenin effector TCF4. Analyses of PCa xenografts and clinical samples both revealed an association between the expression of SOX9 and WNT pathway components in PCa. Finally, treatment of SOX9-expressing PCa cells with a WNT synthesis inhibitor (LGK974) reduced WNT pathway signaling in vitro and tumor growth in murine xenograft models. Together, our data indicate that SOX9 expression drives PCa by reactivating the WNT/β−catenin signaling that mediates ductal morphogenesis in fetal prostate and define a subgroup of patients who would benefit from WNT-targeted therapy.

Authors

Fen Ma, Huihui Ye, Housheng Hansen He, Sean J. Gerrin, Sen Chen, Benjamin A. Tanenbaum, Changmeng Cai, Adam G. Sowalsky, Lingfeng He, Hongyun Wang, Steven P. Balk, Xin Yuan

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Figure 8

Inhibition of SOX9-dependent WNT activity reduces tumor growth in vivo.

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Inhibition of SOX9-dependent WNT activity reduces tumor growth in vivo.
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(A) Mice with established subcutaneous VCaP xenografts were treated daily with i.p. injection of carrier (control, n = 16) or of LGK974 (3 mg/kg, n = 16). The tumor volume was followed and fold change was calculated by dividing the tumor volume at each time point by its day 0 volume. Two-way ANOVA with Bonferroni post-tests were used to compare replicate means at each time point. ***P < 0.001, ****P < 0.0001. Error bars represent SEM. (B) Representative images of AXIN2 mRNA ISH in control and LGK974-treated VCaP xenografts. Representative images of BrdU incorporation in control and LGK974-treated VCaP xenografts measured by BrdU IHC. The mean of BrdU incorporation rate was plotted for the control and LGK974-treated groups. Scale bar: 100 mm. Unpaired t test was used. **P < 0.01. Error bars represent SD. (C and D) Mice injected with inducible SOX9-overexpressing LNCaP cells were divided into induced (food and water containing doxycycline) or uninduced (fed with regular food and water) groups. Mice with established subcutaneous xenografts from each group were randomly assigned to the control or LGK974 treatment subgroups, and the tumor volumes were followed at described in A. (C) Tumor growth curve of the control (n = 8) and LGK974-treated (n = 6) mice in the SOX9-induced group. (D) Tumor growth curve of control (n = 4) and LGK974-treated (n = 3) mice in the uninduced group. Two-way ANOVA with Bonferroni post-tests were used. ***P < 0.001, ****P < 0.0001. Error bars represent SEM.

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

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