Evidence map›Paper›PMID 40838977›Full record

ArticleCancer research2025

Epigenetic Derepression of PROX1 Promotes Neuroendocrine Prostate Cancer Progression.

Varadha Balaji Venkadakrishnan, Adam Presser, Nathaniel C E Voss, James Neiswender, Lisa Brenan, Keira Prenza Sosa, Kenny Weng, Andres M Acosta, Francisca Vazquez, Himisha Beltran

Abstract read
In one paragraph

Article in Cancer research, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

  1. Article
  2. Article
  3. Tumor-Associated Macrophage Exosomal miR-142-5p Drives Prostate Cancer Neuroendocrine Differentiation via RERG/Ras/ERK Axis.FASEB journal : official publication of the Federation of American Societies for Experimental Biology · 2026
    Article
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  5. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Varadha Balaji VenkadakrishnanDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0001-7071-4584
Adam PresserDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0002-0393-9334
Nathaniel C E VossDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0009-0006-2702-803X
James NeiswenderThe Broad Institute of MIT and Harvard, Cambridge, Massachusetts.ORCID 0000-0003-4135-6479
Lisa BrenanThe Broad Institute of MIT and Harvard, Cambridge, Massachusetts.ORCID 0009-0002-6131-062X
Keira Prenza SosaDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0009-0000-9120-9659
Kenny WengDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0009-0000-4813-5308
Andres M AcostaDepartment of Pathology, Indiana University School of Medicine, Indianapolis, Indiana.ORCID 0000-0001-8817-6331
Francisca VazquezThe Broad Institute of MIT and Harvard, Cambridge, Massachusetts.ORCID 0000-0002-2857-4685
Himisha BeltranDepartment of Medical Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts.ORCID 0000-0003-3259-2226

Funding

VectorP30CA006516 · NCI · DANA-FARBER CANCER INSTITUTE · PI JENNIFER W MACK · 1985 to 2026
$330.6M
Tumor and Circulating Markers as Links Between Obesity and Lethal Prostate CanceP50CA090381 · NCI · DANA-FARBER CANCER INSTITUTE · PI KANTOFF, PHILIP W · 2002 to 2017
$36.2M
Molecular Determinants of Response and Resistance to EZH2 and PARP inhibition in Prostate CancerP50CA272390 · NCI · DANA-FARBER CANCER INST · PI Steven P. Balk, Himisha Beltran · 2023 to 2026
$12.0M
Weill Cornell Medicine (WCM) SPORE in Prostate CancerP50CA211024 · NCI · WEILL MEDICAL COLL OF CORNELL UNIV · PI LODA, MASSIMO · 2017 to 2021
$10.9M
Molecular mechanisms underlying lineage plasticity in prostate cancerR37CA241486 · NCI · DANA-FARBER CANCER INST · PI Himisha Beltran · 2020 to 2026
$4.1M
Young Empowered Scientists for ContinUed Research Engagement (YES for CURE)R25CA221738 · NCI · DANA-FARBER CANCER INST · PI DECAPRIO, JAMES A. · 2017 to 2023
$2.1M
National Cancer Center (NCC)National Cancer Institute (NCI) P50 CA211024-01A1National Cancer Institute (NCI) P50 CA272390-01National Cancer Institute (NCI) R25CA221738National Cancer Institute (NCI) R37CA241486-01A1NCI NIH HHS P30 CA006516NCI NIH HHS P50 CA090381NCI NIH HHS P50 CA211024NCI NIH HHS P50 CA272390NCI NIH HHS R25 CA221738NCI NIH HHS R37 CA241486Prostate Cancer Foundation (PCF)Prostate Cancer Foundation (PCF) 23YOUN15U.S. Department of Defense (DOD) W81XWH-17-1-0653U.S. Department of Defense (DOD) W81XWH2210197
6 · The paper itself

Abstract

Histologic transformation of prostate cancer from adenocarcinoma to neuroendocrine prostate cancer (NEPC) is associated with aggressive disease and poor prognosis. This lineage transition is accompanied by polycomb complex 2-mediated epigenetic derepression of cell fate-determining transcription factors, including prospero homeobox 1 (PROX1). In this study, we sought to functionally characterize the role of PROX1 in NEPC. An unbiased CRISPR screen in two NEPC patient-derived organoid models demonstrated high cellular dependency for PROX1. Knockout of PROX1 impeded tumor growth in NEPC models, and overexpression of PROX1 promoted tumor growth and spontaneous metastasis in prostate adenocarcinoma. Transcriptomic and cistromic analyses across castration-resistant adenocarcinoma and neuroendocrine models pointed to PROX1-mediated regulation of neuroendocrine-lineage transcriptional programs. Immunoprecipitation followed by mass spectrometry identified three phosphorylated sites in the DNA-binding domain of PROX1 that are critical for its stability and function. CHEK1 and CDK2 were predicted to be upstream kinases that phosphorylate PROX1, and treatment with a CHEK1 or CDK2 inhibitor reduced NEPC viability. Together, these results substantiate the role of PROX1 in NEPC and identify PROX1 phosphorylation in the DNA-binding domain, which might represent a therapeutic target in NEPC. SIGNIFICANCE: PROX1 mediates lineage reprogramming, tumor growth, and metastasis in neuroendocrine prostate cancer and represents a cellular dependency that can be exploited for targeted treatment strategies.

Indexed as

Carcinoma, NeuroendocrineEpigenesis, GeneticGene Expression Regulation, NeoplasticHomeodomain ProteinsNeuroendocrine TumorsProstatic NeoplasmsTumor Suppressor ProteinsAnimalsCell Line, TumorDisease ProgressionHumansMaleMicePhosphorylationProspero-Related Homeobox 1 ProteinProstatic Neoplasms, Castration-ResistantHomeodomain ProteinsProspero-Related Homeobox 1 ProteinTumor Suppressor Proteins

Identifiers

PMID40838977
PMCPMC12492970

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.