Despite the development of effective targeted
therapies and a significant understanding of
carcinogenesis and
cancer progression, treatment resistance is a major obstacle in achieving durable long-term control in many types of
cancers. Emerging evidence supports that nongenetic mechanisms could play an underappreciated role in
therapy resistance. These mechanisms include phenotypic plasticity, which is recognized as a hallmark of
cancer and translates to epigenetic and transcriptional control of gene expression. Alterations in the expression and activity of the epigenetic modifier
enhancer of zeste homolog 2 (EZH2) support
prostate cancer lineage plasticity and progression. EZH2 expression and activity is elevated in
castration-resistant
prostate cancer treated with
androgen receptor pathway inhibitors and in treatment-resistant
prostate cancer. Moreover, 17 known residues of EZH2 are phosphorylated on by multiple
kinases that modulate its activity, localization, stability, and polycomb repressive complex (PRC2) assembly. In this review, we explore the contribution of EZH2 phosphorylation in regulating canonical PRC2 in a methylation-dependent manner as an epigenetic repressor and in a noncanonical manner independent of PRC2 as a transcription activator. Apart from the contribution of EZH2 phosphorylation at
serine 21,
threonine 350, and
threonine 311 in
prostate cancer progression and treatment resistance, we discuss how other EZH2 phosphorylated residues with unknown functions could contribute to
prostate cancer based on their upstream regulators and potential therapeutic utility.