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FOXM1 promotes the progression of prostate cancer by regulating PSA gene transcription.

Abstract
Androgen/AR is the primary contributor to prostate cancer (PCa) progression by regulating Prostate Specific Antigen (PSA) gene transcription. The disease inevitably evolves to androgen-independent (AI) status. Other mechanisms by which PSA is regulated and develops to AI have not yet been fully determined. FOXM1 is a cell proliferation-specific transcription factor highly expressed in PCa cells compared to non-malignant prostate epithelial cells, suggesting that the aberrant overexpression of FOXM1 contributes to PCa development. In addition to regulating AR gene transcription and cell cycle-regulatory genes, FOXM1 selectively regulates the gene transcription of KLK2 and PSA, typical androgen responsive genes. Screening the potential FOXM1-binding sites by ChIP-PCR, we found that FOXM1 directly binds to the FHK binding motifs in the PSA promoter/enhancer regions. AI C4-2 cells have more FOXM1 binding sites than androgen dependent LNCaP cells. The depletion of FOXM1 by small molecular inhibitors significantly improves the suppression of PSA gene transcription by the anti-AR agent Cadosax. This is the first report showing that FOXM1 promotes PCa progression by regulating PSA gene transcription, particularly in AI PCa cells. The combination of anti-AR agents and FOXM1 inhibitors has the potential to greatly improve therapy for late-stage PCa patients by suppressing PSA levels.
AuthorsYouhong Liu, Yijun Liu, Bowen Yuan, Linglong Yin, Yuchong Peng, Xiaohui Yu, Weibing Zhou, Zhicheng Gong, Jianye Liu, Leye He, Xiong Li
JournalOncotarget (Oncotarget) Vol. 8 Issue 10 Pg. 17027-17037 (Mar 07 2017) ISSN: 1949-2553 [Electronic] United States
PMID28199985 (Publication Type: Journal Article)
Chemical References
  • FOXM1 protein, human
  • Forkhead Box Protein M1
  • Receptors, Androgen
  • KLK2 protein, human
  • Kallikreins
  • Prostate-Specific Antigen
Topics
  • Base Sequence
  • Binding Sites (genetics)
  • Cell Line
  • Cell Line, Tumor
  • Disease Progression
  • Forkhead Box Protein M1 (genetics, metabolism)
  • Gene Expression Regulation, Neoplastic
  • Humans
  • Kallikreins (genetics, metabolism)
  • Male
  • Promoter Regions, Genetic (genetics)
  • Prostate-Specific Antigen (genetics, metabolism)
  • Prostatic Neoplasms (genetics, metabolism, pathology)
  • Protein Binding
  • RNA Interference
  • Receptors, Androgen (genetics, metabolism)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Transcription, Genetic

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