RT Journal Article SR Electronic T1 KDM4A promotes NEPC progression through regulation of MYC expression JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.05.14.491739 DO 10.1101/2022.05.14.491739 A1 Celia Sze Ling Mak A1 Ming Zhu A1 Xin Liang A1 Feng Wang A1 Anh G Hoang A1 Xinzhi Song A1 Peter Shepherd A1 Derek Liang A1 Jiwon Park A1 Miao Zhang A1 Eric Metzger A1 Roland Schüle A1 Abhinav K. Jain A1 Min Gyu Lee A1 Paul Corn A1 Christopher J. Logothetis A1 Ana Aparicio A1 Nora Navone A1 Patricia Troncoso A1 Jianhua Zhang A1 Sue-Hwa Lin A1 Guocan Wang YR 2022 UL http://biorxiv.org/content/early/2022/05/14/2022.05.14.491739.abstract AB Despite advancement in treatment, prostate cancer (PCa) remains the second leading cause of death among men. Neuroendocrine prostate cancer (NEPC) represents one of the most lethal forms of PCa and lacks life-prolonging treatment. Here we identified histone lysine demethylase KDM4A as a drive in NEPC progression and an effective therapeutic target. We found that KDM4A mRNA and protein are overexpressed in human and mouse NEPC compared to adenocarcinoma. Also, we showed that knockdown or knockout of KDM4A in NEPC cell lines suppressed cancer cell growth in vitro and in vivo. Importantly, inactivation of Kdm4a in a genetically engineered mouse model of prostate cancer led to reduced tumor burden, reduced incidence of NEPC, and prolonged overall survival. Mechanistically, we found that KDM4A KD led to suppression of MYC signaling through direct transcriptional regulation of MYC. Importantly, MYC signaling is hyper-activated in human and mouse NEPC. Furthermore, a potent pan-KDM4 inhibitor QC6352 significantly reduced NEPC cell growth in vitro and in vivo. Taken together, we demonstrated that KDM4A drives NEPC progression through regulation of MYC and targeting KDM4A can potentially be an effective therapeutic strategy for NEPC.Competing Interest StatementConflict of interest: C. J. Logothetis reports receiving commercial research grants from Bayer, Sanofi, Janssen, Astellas Pharma, Pfizer; and honoraria from Bayer, Janssen, Sanofi, Astellas Pharma. No potential conflicts of interest were disclosed by the other authors.