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Targeting the MLL complex in castration-resistant prostate cancer.

Authors
  • Malik, Rohit1
  • Khan, Amjad P1
  • Asangani, Irfan A1
  • Cieślik, Marcin1
  • Prensner, John R1
  • Wang, Xiaoju1
  • Iyer, Matthew K1
  • Jiang, Xia1
  • Borkin, Dmitry2
  • Escara-Wilke, June1
  • Stender, Rachell1
  • Wu, Yi-Mi1
  • Niknafs, Yashar S3
  • Jing, Xiaojun1
  • Qiao, Yuanyuan1
  • Palanisamy, Nallasivam4
  • Kunju, Lakshmi P5
  • Krishnamurthy, Pranathi M3
  • Yocum, Anastasia K3
  • Mellacheruvu, Dattatreya6
  • And 7 more
Type
Published Article
Journal
Nature medicine
Publication Date
March 2015
Volume
21
Issue
4
Pages
344–352
Identifiers
DOI: 10.1038/nm.3830
PMID: 25822367
Source
Medline
License
Unknown

Abstract

Resistance to androgen deprivation therapies and increased androgen receptor (AR) activity are major drivers of castration-resistant prostate cancer (CRPC). Although prior work has focused on targeting AR directly, co-activators of AR signaling, which may represent new therapeutic targets, are relatively underexplored. Here we demonstrate that the mixed-lineage leukemia protein (MLL) complex, a well-known driver of MLL fusion-positive leukemia, acts as a co-activator of AR signaling. AR directly interacts with the MLL complex via the menin-MLL subunit. Menin expression is higher in CRPC than in both hormone-naive prostate cancer and benign prostate tissue, and high menin expression correlates with poor overall survival of individuals diagnosed with prostate cancer. Treatment with a small-molecule inhibitor of menin-MLL interaction blocks AR signaling and inhibits the growth of castration-resistant tumors in vivo in mice. Taken together, this work identifies the MLL complex as a crucial co-activator of AR and a potential therapeutic target in advanced prostate cancer.

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