A double-negative prostate cancer subtype is vulnerable to SWI/SNF-targeting degrader molecules

  • bioRxiv. 2025 Sep 3:2024.03.24.586276. doi: 10.1101/2024.03.24.586276.
Phillip Thienger  1 Irene Paassen  1 Xiaosai Yao  2  3 Philip D Rubin  1 Marika Lehner  1 Nicholas Lillis  4 Andrej Benjak  1 Sagar R Shah  5 Alden King-Yung Leung  5 Simone de Brot  6 Alina Naveed  1 Bence Daniel  7 Minyi Shi  7 Julien Tremblay  3 Joanna Triscott  1 Giada Andrea Cassanmagnago  8  9  10 Marco Bolis  8  9  10 Lia Mela  1 Himisha Beltran  11 Yu Chen  12  13  14 Salvatore Piscuoglio  15  16 Haiyuan Yu  5 Charlotte K Y Ng  17  18 David A Quigley  4  19  20 Robert L Yauch  2 Mark A Rubin  1  18  21
Affiliations
  • 1. Department for Biomedical Research, University of Bern, Bern, 3008, Switzerland.
  • 2. Department of Molecular Oncology, Genentech, South San Francisco, CA, USA.
  • 3. Department of Computational Sciences, Genentech, South San Francisco, CA, USA.
  • 4. Department of Urology, University of California, San Francisco, CA, USA.
  • 5. Department of Molecular Biology and Genetics, Cornell University, Ithaca, NY, USA.
  • 6. COMPATH, Institute of Animal Pathology, University of Bern, Bern, Switzerland.
  • 7. Department of Proteomics and Genomic Technologies, Genentech, South San Francisco, CA 94080.
  • 8. Computational Oncology Unit, Department of Oncology, Istituto di Ricerche Farmacologiche 'Mario Negri' IRCCS, Via Mario Negri 2, 20156 Milano, Italy.
  • 9. Institute of Oncology Research, Bioinformatics Core Unit, Bellinzona, TI 6500, Switzerland.
  • 10. Università Della Svizzera Italiana (USI), Faculty of Biomedical Sciences, Bellinzona, Switzerland.
  • 11. Department of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.
  • 12. Human Oncology and Pathogenesis Program, Memorial Sloan Kettering Cancer Center, New York, NY, USA.
  • 13. Weill Cornell Graduate School of Medical Sciences, Weill Cornell Medicine, New York, NY, 10065, USA.
  • 14. Department of Medicine, Memorial Sloan Kettering Cancer Center, New York, NY 10065, USA.
  • 15. IRCCS Humanitas Research Hospital, 20089 Rozzano, Milan, Italy.
  • 16. Department of Biomedicine, University Hospital Basel, University of Basel, 4001 Basel, Switzerland.
  • 17. SIB Swiss Institute of Bioinformatics, Lausanne, Switzerland.
  • 18. Bern Center for Precision Medicine, 3008, Bern, Switzerland.
  • 19. Department of Epidemiology & Biostatistics, University of California, San Francisco, CA, USA.
  • 20. Helen Diller Family Comprehensive Cancer Center, UCSF.
  • 21. Inselspital, 3010, Bern, Switzerland.
Abstract

Proteolysis targeting chimera (PROTAC) therapies degrading SWI/SNF ATPases offer a novel approach to interfere with Androgen Receptor (AR) signaling in AR-dependent castration-resistant prostate Cancer (CRPC-AR). To explore the utility of SWI/SNF therapy beyond AR-sensitive CRPC, we investigated SWI/SNF-targeting agents in AR-negative CRPC. SWI/SNF targeting PROTAC treatment of cell lines and Organoid models reduced the viability of not only CRPC-AR but also WNT-signaling dependent AR-negative CRPC (CRPC-WNT). The CRPC-WNT subgroup represents 11% of around 400,000 cases of CRPC worldwide who die yearly of CRPC. We discovered that SWI/SNF ATPase SMARCA4 depletion interfered with the master transcriptional regulator TCF7L2 (TCF4) in CRPC-WNT. Functionally, TCF7L2 maintains proliferation via the MAPK signaling axis in this subtype of CRPC. These data suggest a mechanistic rationale for interventions that perturb the DNA binding of the pro-proliferative TCF7L2 transcription factor (TF) and/or direct MAPK signaling inhibition in the CRPC-WNT subclass of advanced prostate Cancer.

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