posted on 2025-03-17, 07:22authored byJonathan Welti, Denisa Bogdan, Ines Figueiredo, Ilsa Coleman, Juan Jiménez Vacas, Kate Liodaki, Franziska Weigl, Lorenzo Buroni, Wanting Zeng, Ilona Bernett, Claudia Bertan, Theodoros I. Roumeliotis, Amandeep Bhamra, Jan Rekowski, Bora Gurel, Antje J. Neeb, Jian Ning, Dapei Li, Veronica S. Gil, Ruth Riisnaes, Susana Miranda, Mateus Crespo, Ana Ferreira, Nina Tunariu, Elisa Pasqua, Nicola Chessum, Matthew Cheeseman, Robert te Poele, Marissa Powers, Suzanne Carreira, Jyoti Choudhary, Paul Clarke, Udai Banerji, Amanda Swain, Keith Jones, Wei Yuan, Paul Workman, Peter S. Nelson, Johann S. de Bono, Adam Sharp
<p>NXP800 activates the UPR and inhibits E2F-mediated transcription to drive antitumor activity against the castration-resistant VCaP prostate cancer cell line–derived mouse xenograft. <b>A</b> and <b>B,</b> Castration-resistant emergent VCaP prostate cancer cell line–derived mouse xenografts were treated with vehicle (<i>n</i> = 7, gray) or 35 mg/kg NXP800 (active, <i>n</i> = 8, red) after tumors had established castration-resistant growth with a defined dosing schedule for 38 days. Mean tumor volume (normalized to start; defined as 100%) with SEM is shown. <i>P</i> values were calculated for NXP800 compared with vehicle using the unpaired Student <i>t</i> test at 38 days. <i>P</i> values ≤ 0.05 are shown (*; <b>A</b>). Time to reach 200% starting tumor volume was used as a surrogate endpoint for survival. HR with 95% CI and <i>P</i> value for univariate Cox survival model are shown (<b>B</b>). <b>C–G,</b> Castration-resistant VCaP prostate cancer cell line–derived mouse xenografts were treated with vehicle (<i>n</i> = 4) or 35 mg/kg NXP800 (active, <i>n</i> = 4) daily after tumors had established castration-resistant growth for 5 days with tumor collection 6 hours after final dose for pharmacodynamic studies. RNA-seq was performed on tumor samples. Analysis of RNA-seq with gene set enrichment analysis shows the enrichment and de-enrichment of Hallmark pathways comparing NXP800 (active) and vehicle. NES and FDR are shown as volcano plots. Colored dots denote significantly (FDR 0.05) enriched (red dots) and de-enriched (blue dots) pathways (<b>C</b>). Log<sub>2</sub> fold expression level changes of “activating” <i>E2F</i> (<i>E2F1</i>–<i>3</i>) family members treated with NXP800 (active) were compared with vehicle. <i>P</i> values were calculated by DESeq2 using the Wald test. <i>P</i> values ≤ 0.05 are shown (*; <b>D</b>). PERK, phospho-eIF2α, total-eIF2α, and ATF4 (PERK arm); ATF6 (ATF6 arm); IRE1 (IRE1 arm); and GAPDH (housekeeping) protein expression was determined by Western blot (<b>E</b>). Cleaved caspase 3 (<b>F</b>) and Ki-67 (<b>G</b>) protein expression was determined by IHC on formalin-fixed, paraffin-embedded tumors. Representative micrographs are shown. Scale bar, 50 μm. Mean percentage positive cells with SD are shown. <i>P</i> values were calculated for NXP800 (red) compared with vehicle (white) using the unpaired Student <i>t</i> test. <i>P</i> values ≤ 0.05 are shown (*).</p>
Funding
Prostate Cancer UK (ProstateUK)
Prostate Cancer Foundation (PCF)
Medical Research Council (MRC)
Academy of Medical Sciences (The Academy of Medical Sciences)
Wellcome Trust (WT)
NIHR Biomedical Research Centre, Royal Marsden NHS Foundation Trust/Institute of Cancer Research (BRC)
National Institute of Health Sciences (NIHS)
Cancer Research UK (CRUK)
Chordoma Foundation (CF)
Mark Foundation For Cancer Research (The Mark Foundation for Cancer Research)
Advanced prostate cancer is invariably fatal, with the androgen receptor (AR) being a major therapeutic target. AR signaling inhibitors have improved overall survival for men with advanced prostate cancer, but treatment resistance is inevitable and includes reactivation of AR signaling. Novel therapeutic approaches targeting these mechanisms to block tumor growth is an urgent unmet clinical need. One attractive strategy is to target heat shock proteins (HSP) critical to AR functional activity.
We first did transcriptome analysis on multiple castration-resistant prostate cancer (CRPC) cohorts to correlate the association between the Gene Ontology cellular response to heat gene expression signature and overall survival. Next, we analyzed the impact of targeting the heat shock factor 1 (HSF1) pathway, with an inhibitor in clinical development, namely, NXP800 (formerly CCT361814), in models of treatment-resistant prostate cancer. Finally, we confirmed our mechanistic and phenotypic findings using an NXP800-resistant model and an in vivo model of CRPC.
We report that in multiple CRPC transcriptome cohorts, the Gene Ontology cellular response to heat gene expression signature associates with AR signaling and worse clinical outcome. We demonstrate the effects of targeting the HSF1 pathway, central to cellular stress, with an inhibitor in clinical development, namely, NXP800, in prostate cancer. Targeting the HSF1 pathway with the inhibitor NXP800 decreases HSP72 expression, activates the unfolded protein response, and inhibits AR- and E2F-mediated activity, inhibiting the growth of treatment-resistant prostate cancer models.
Overall, NXP800 has antitumor activity against treatment-resistant prostate cancer models, including molecular subtypes with limited treatment options, supporting its consideration for prostate cancer–specific clinical development.