title: Dual blockade of PKA and NF-κB inhibits H2 relaxin-mediated castrate-resistant growth of prostate cancer sublines and induces apoptosis.
abstract: We previously demonstrated that H2 relaxin (RLN2) facilitates castrate-resistant (CR) growth of prostate cancer (CaP) cells through PI3K/Akt/β-catenin-mediated activation of the androgen receptor (AR) pathway. As inhibition of this pathway caused only ~50% reduction in CR growth, the goal of the current study was to identify additional RLN2-activated pathways that contribute to CR growth. Next-generation sequencing-based transcriptome and gene ontology analyses comparing LNCaP stably transfected with RLN2 versus LNCaP-vector identified differential expression of genes associated with cell proliferation (12.7% of differentially expressed genes), including genes associated with the cyclic adenosine monophosphate/protein kinase A (cAMP/PKA) and nuclear factor-kappaB (NF-κB) pathways. Subsequent molecular analyses confirmed that the cAMP/PKA and NF-κB pathways play a role in facilitating H2 relaxin-mediated CR growth of CaP cells. Inhibition of PKA-attenuated RLN2-mediated AR activity inhibited proliferation and caused a small but significant increase in apoptosis. Combined inhibition of the PKA and NF-κB signaling pathways via inhibition of PKA and Akt induced significant apoptosis and dramatically reduced clonogenic potential, outperforming docetaxel, the standard of care treatment for CR CaP. Immunohistochemical analysis of tissue microarrays in combination with multispectral quantitative imaging comparing RLN2 levels in patients with benign prostatic hyperplasia (BPH), prostatic intraepithelial neoplasia, and CaP determined that RLN2 is significantly upregulated in CaP vs BPH (p = 0.002). The combined data indicate RLN2 overexpression is frequent in CaP patients and provides a growth advantage to CaP cells. A near-complete inhibition of RLN2-induced CR growth can be achieved by simultaneous blockade of both pathways.
authors.affiliation: Department of Urology, University of California, Davis, School of Medicine and Cancer Center, 4860 Y Street, Suite 3500, Sacramento, CA 95817, USA.
authors.forename: Ruth L
authors.initials: RL
authors.lastname: Vinall
authors.forename: Christopher M
authors.initials: CM
authors.lastname: Mahaffey
authors.forename: Ryan R
authors.initials: RR
authors.lastname: Davis
authors.forename: Zunping
authors.initials: Z
authors.lastname: Luo
authors.forename: Regina
authors.initials: R
authors.lastname: Gandour-Edwards
authors.forename: Paramita M
authors.initials: PM
authors.lastname: Ghosh
authors.forename: Clifford G
authors.initials: CG
authors.lastname: Tepper
authors.forename: Ralph W
authors.initials: RW
authors.lastname: de Vere White
mesh_terms: D017209:Apoptosis / Q000502:physiology; D002369:Castration; D045744:Cell Line, Tumor; D049109:Cell Proliferation; D002469:Cell Separation; D017868:Cyclic AMP-Dependent Protein Kinases / Q000378:metabolism*; D019008:Drug Resistance, Neoplasm / Q000502:physiology; D004797:Enzyme-Linked Immunosorbent Assay; D005434:Flow Cytometry; D006801:Humans; D015151:Immunoblotting; D007150:Immunohistochemistry; D008297:Male; D016328:NF-kappa B / Q000378:metabolism*; D011471:Prostatic Neoplasms / Q000378:metabolism*; D034741:RNA, Small Interfering; D012065:Relaxin / Q000378:metabolism*; D015398:Signal Transduction / Q000502:physiology*; D046888:Tissue Array Analysis; D014162:Transfection
chemical_list: D016328:NF-kappa B; C095068:RLN2 protein, human; D034741:RNA, Small Interfering; D012065:Relaxin; D017868:Cyclic AMP-Dependent Protein Kinases