PMID- 24374838 OWN - NLM STAT- MEDLINE DCOM- 20140602 LR - 20220329 IS - 1097-0215 (Electronic) IS - 0020-7136 (Linking) VI - 135 IP - 1 DP - 2014 Jul 1 TI - MED15, encoding a subunit of the mediator complex, is overexpressed at high frequency in castration-resistant prostate cancer. PG - 19-26 LID - 10.1002/ijc.28647 [doi] AB - The mediator complex is an evolutionary conserved key regulator of transcription of protein-coding genes and an integrative hub for diverse signaling pathways. In this study, we investigated whether the mediator subunit MED15 is implicated in castration-resistant prostate cancer (CRPC). MED15 expression and copy number/rearrangement status were assessed by immunohistochemistry (IHC) and fluorescence in situ hybridization (FISH), respectively on 718 prostate cancer (PCa) specimens and sequenced by Sanger on a subset. Furthermore, SMAD3 phosphorylation, androgen receptor (AR) and proliferation markers were evaluated by IHC. In PCa cells, siRNA/shRNA knockdown of MED15 was followed by proliferation assays with/without dihydrotestosterone (DHT), and treatments with recombinant TGF-beta3. Our results show that MED15 is overexpressed in 76% of distant metastatic CRPC (CRPC(MET) ) and 70% of local-recurrent CRPC (CRPC(LOC) ), in contrast to low frequencies in androgen-sensitive PCa, and no expression in benign prostatic tissue. Furthermore, MED15 overexpression correlates with worse clinical outcome thus defining a highly lethal phenotype. Moreover, TGF-beta signaling activation associates with MED15 overexpression in PCa tissues, and leads to increased expression of MED15 in PCa cells. MED15 knockdown effects phosphorylation and shuttling of p-SMAD3 to the nucleus as well as TGF-beta-enhanced proliferation. In PCa tissues, MED15 overexpression associates with AR overexpression/amplification and correlates with high proliferative activity. MED15 knockdown decreases both androgen-dependent and -independent proliferation in PCa cells. Taken together, these findings implicate MED15 in CRPC, and as MED15 is evolutionary conserved, it is likely to emerge as a lethal phenotype in other therapeutic-resistant diseases, and not restricted to our disease model. CI - (c) 2013 UICC. FAU - Adler, David AU - Adler D AD - Department of Prostate Cancer Research, University Hospital of Bonn, Bonn, Germany; Institute of Pathology, University Hospital of Bonn, Bonn, Germany. FAU - Menon, Roopika AU - Menon R FAU - Braun, Martin AU - Braun M FAU - Offermann, Anne AU - Offermann A FAU - Queisser, Angela AU - Queisser A FAU - Boehm, Diana AU - Boehm D FAU - Vogel, Wenzel AU - Vogel W FAU - Ruenauver, Kerstin AU - Ruenauver K FAU - Ruiz, Christian AU - Ruiz C FAU - Zellweger, Tobias AU - Zellweger T FAU - Svensson, Maria AU - Svensson M FAU - Andren, Ove AU - Andren O FAU - Kristiansen, Glen AU - Kristiansen G FAU - Wernert, Nicolas AU - Wernert N FAU - Bubendorf, Lukas AU - Bubendorf L FAU - Kirfel, Jutta AU - Kirfel J FAU - Biskup, Saskia AU - Biskup S FAU - Perner, Sven AU - Perner S LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20131209 PL - United States TA - Int J Cancer JT - International journal of cancer JID - 0042124 RN - 0 (AR protein, human) RN - 0 (Androgens) RN - 0 (Mediator Complex) RN - 0 (Pyrroles) RN - 0 (Receptors, Androgen) RN - 104076-16-6 (ST 679) RN - TE7660XO1C (Glycine) SB - IM MH - Aged MH - Androgens/*genetics/metabolism MH - Cell Line, Tumor MH - Cell Proliferation MH - Gene Expression Regulation, Neoplastic MH - Glycine/*analogs & derivatives/biosynthesis/genetics MH - Humans MH - In Situ Hybridization, Fluorescence MH - Male MH - Mediator Complex/genetics/metabolism MH - Middle Aged MH - Prostatic Neoplasms, Castration-Resistant/*genetics/pathology MH - Pyrroles MH - Receptors, Androgen/genetics/metabolism MH - Signal Transduction/*genetics OTO - NOTNLM OT - MED15 OT - TGF-beta OT - castration-resistant OT - prostate cancer EDAT- 2014/01/01 06:00 MHDA- 2014/06/03 06:00 CRDT- 2013/12/31 06:00 PHST- 2013/06/18 00:00 [received] PHST- 2013/11/13 00:00 [revised] PHST- 2013/11/18 00:00 [accepted] PHST- 2013/12/31 06:00 [entrez] PHST- 2014/01/01 06:00 [pubmed] PHST- 2014/06/03 06:00 [medline] AID - 10.1002/ijc.28647 [doi] PST - ppublish SO - Int J Cancer. 2014 Jul 1;135(1):19-26. doi: 10.1002/ijc.28647. Epub 2013 Dec 9.