PMID- 33905554 OWN - NLM STAT- MEDLINE DCOM- 20211228 LR - 20211228 IS - 1097-0045 (Electronic) IS - 0270-4137 (Linking) VI - 81 IP - 9 DP - 2021 Jun TI - Proteomic analysis of extracellular vesicles identified PI3K pathway as a potential therapeutic target for cabazitaxel-resistant prostate cancer. PG - 592-602 LID - 10.1002/pros.24138 [doi] AB - BACKGROUND: Cabazitaxel (CBZ) is now widely used for prostate cancer (PC) patients resistant to docetaxel (DOC), however, most patients eventually acquire resistance. It will, therefore, be of great benefit to discover novel therapeutic target for the resistance. We aimed to identify candidate therapeutic targets for CBZ-resistance by proteomic analysis of extracellular vesicles (EVs) isolated from serum of DOC-resistant PC patients who later developed CBZ-resistance as well as those harvested from culture medium of DOC- and CBZ-resistant PC cell lines. METHODS: Using T-cell immunoglobulin domain and mucin domain-containing protein 4 (Tim4) conjugated to magnetic beads, EVs were purified from serum of PC patients with DOC-resistance that was collected before and after acquiring CBZ-resistance and conditioned medium of DOC-resistant (22Rv1DR) and CBZ-resistant (22Rv1CR) PC cell lines. Protein analysis of EVs was performed by nanoLC-MS/MS, followed by a comparative analysis of protein expression and network analysis. The cytotoxic effect of a phosphatidylinositol-3-kinase (PI3K) inhibitor, ZSTK474, was evaluated by WST-1 assay. The expression and phosphorylation of PI3K and PTEN were examined by western blot analysis. RESULTS: Among differentially regulated proteins, 77 and 61 proteins were significantly increased in EVs from CBZ-resistant PC cell line and patients, respectively. A comparison between the two datasets revealed that six proteins, fructose-bisphosphate aldolase, cytosolic nonspecific dipeptidase, CD63, CD151, myosin light chain 9, and peroxiredoxin-6 were elevated in EVs from both cell line and patients. Network analysis of the increased EV proteins identified pathways associated with CBZ-resistance including PI3K signaling pathway. ZSTK474 significantly inhibited growth of 22Rv1CR cells and improved their sensitivity to CBZ. In 22Rv1CR cells, PI3K was activated and PTEN that inhibits PI3K was deactivated. CONCLUSIONS: Proteomic analysis of serum EVs was successfully accomplished by using Tim-4 as a tool to isolate highly purified EVs. Our results suggest that the combination use of CBZ and PI3K inhibitor could be a promising treatment option for CBZ-resistant PC patients. CI - (c) 2021 Wiley Periodicals LLC. FAU - Hishida, Seiji AU - Hishida S AD - Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Kawakami, Kyojiro AU - Kawakami K AD - Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan. FAU - Fujita, Yasunori AU - Fujita Y AD - Research Team for Functional Biogerontology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan. FAU - Kato, Taku AU - Kato T AD - Department of Urology, Asahi University Hospital, Gifu, Japan. FAU - Takai, Manabu AU - Takai M AD - Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Iinuma, Koji AU - Iinuma K AD - Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Nakane, Keita AU - Nakane K AD - Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Tsuchiya, Tomohiro AU - Tsuchiya T AD - Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Koie, Takuya AU - Koie T AD - Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan. FAU - Miura, Yuri AU - Miura Y AD - Research Team for Mechanism of Aging, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan. FAU - Ito, Masafumi AU - Ito M AD - Research Team for Functional Biogerontology, Tokyo Metropolitan Institute of Gerontology, Tokyo, Japan. FAU - Mizutani, Kosuke AU - Mizutani K AUID- ORCID: 0000-0001-5767-5314 AD - Department of Urology, Gifu University Graduate School of Medicine, Gifu, Japan. LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20210427 PL - United States TA - Prostate JT - The Prostate JID - 8101368 RN - 0 (Antineoplastic Agents) RN - 0 (Phosphoinositide-3 Kinase Inhibitors) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) RN - 51F690397J (cabazitaxel) SB - IM MH - Antineoplastic Agents/pharmacology MH - Cell Line, Tumor MH - Docetaxel/*pharmacology MH - Drug Discovery/methods MH - Drug Resistance, Neoplasm/*drug effects MH - Extracellular Vesicles/*metabolism MH - Humans MH - Male MH - Phosphatidylinositol 3-Kinases/*metabolism MH - Phosphoinositide-3 Kinase Inhibitors/*pharmacology MH - *Prostatic Neoplasms/drug therapy/metabolism/pathology MH - Proteomics/methods MH - Signal Transduction/drug effects MH - Taxoids/*pharmacology OTO - NOTNLM OT - cabazitaxel OT - docetaxel OT - extracellular vesicles OT - phosphatidylinositol-3-kinase OT - prostate cancer OT - proteomic analysis EDAT- 2021/04/28 06:00 MHDA- 2021/12/29 06:00 CRDT- 2021/04/27 17:23 PHST- 2021/03/07 00:00 [revised] PHST- 2020/12/10 00:00 [received] PHST- 2021/04/11 00:00 [accepted] PHST- 2021/04/28 06:00 [pubmed] PHST- 2021/12/29 06:00 [medline] PHST- 2021/04/27 17:23 [entrez] AID - 10.1002/pros.24138 [doi] PST - ppublish SO - Prostate. 2021 Jun;81(9):592-602. doi: 10.1002/pros.24138. Epub 2021 Apr 27.