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Androgen receptor functions as transcriptional repressor of cancer-associated fibroblast activation
Andrea Clocchiatti, … , Berna C. Özdemir, G. Paolo Dotto
Andrea Clocchiatti, … , Berna C. Özdemir, G. Paolo Dotto
Published November 5, 2018
Citation Information: J Clin Invest. 2018;128(12):5531-5548. https://doi.org/10.1172/JCI99159.
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Research Article Dermatology Oncology

Androgen receptor functions as transcriptional repressor of cancer-associated fibroblast activation

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Abstract

The aging-associated increase of cancer risk is linked with stromal fibroblast senescence and concomitant cancer-associated fibroblast (CAF) activation. Surprisingly little is known about the role of androgen receptor (AR) signaling in this context. We have found downmodulated AR expression in dermal fibroblasts underlying premalignant skin cancer lesions (actinic keratoses and dysplastic nevi) as well as in CAFs from the 3 major skin cancer types, squamous cell carcinomas (SCCs), basal cell carcinomas, and melanomas. Functionally, decreased AR expression in primary human dermal fibroblasts (HDFs) from multiple individuals induced early steps of CAF activation, and in an orthotopic skin cancer model, AR loss in HDFs enhanced tumorigenicity of SCC and melanoma cells. Forming a complex, AR converged with CSL/RBP-Jκ in transcriptional repression of key CAF effector genes. AR and CSL were positive determinants of each other’s expression, with BET inhibitors, which counteract the effects of decreased CSL, restoring AR expression and activity in CAFs. Increased AR expression in these cells overcame the consequences of CSL loss and was by itself sufficient to block the growth and tumor-enhancing effects of CAFs on neighboring cancer cells. As such, the findings establish AR as a target for stroma-focused cancer chemoprevention and treatment.

Authors

Andrea Clocchiatti, Soumitra Ghosh, Maria-Giuseppina Procopio, Luigi Mazzeo, Pino Bordignon, Paola Ostano, Sandro Goruppi, Giulia Bottoni, Atul Katarkar, Mitchell Levesque, Peter Kölblinger, Reinhard Dummer, Victor Neel, Berna C. Özdemir, G. Paolo Dotto

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Figure 9

AR and CSL converge on negative control of CAF effector genes.

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AR and CSL converge on negative control of CAF effector genes.
(A) Top: ...
(A) Top: Map of predicted AR and CSL binding sites (gray and red arrowheads, respectively) on the selected regions of the IL6 gene encompassing the promoter and a distant enhancer. Areas enriched for the H3K4Me3 (dark green) and H3K4Me1 (light green) histone marks (obtained from ENCODE tracks for HDFs) are also indicated. s1–s5 indicate the sites selected for analysis. Bottom: ChIP assay at the indicated sites of the IL6 gene, as shown in the previous panel, together with a region 11 kb upstream from the transcription start site devoid of AR recognition sequence as negative control (ct), using 3 different HDF strains cultured in charcoal-stripped medium (to remove serum-bound testosterone) with or without treatment with DHT (10 nM, 24 hours). Data are expressed as relative fold enrichment over IgGs, and values for each strain are indicated as dots with mean ± SD. Statistical significance of differences in AR enrichment with versus without DHT treatment at the indicated sites was calculated. n(HDF strains) = 3; *P < 0.05, ***P < 0.005, 2-tailed unpaired t test. (B) Map of predicted AR and CSL binding sites on the POSTN promoter regulatory region and determination of AR binding by ChIP in the absence or presence of the AR agonist DHT (10 nM, 24 hours) as in A. n(HDF strains) = 3; *P < 0.05, **P < 0.01, ***P < 0.005, 2-tailed unpaired t test. (C) Determination of CSL and CSL-AR binding on the indicated sites of the IL6 and POSTN genes, by ChIP and re-ChIP assays based on immunoprecipitation with anti-CSL antibodies alone or sequentially with anti-AR antibodies (white and gray bars, respectively). Data are expressed as relative fold enrichment over IgGs. Additional ChIP data are available in Supplemental Figures 7–9.

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