RT Journal Article SR Electronic T1 The CDK7 inhibitor CT7001 (Samuraciclib) targets proliferation pathways to inhibit advanced prostate cancer JF bioRxiv FD Cold Spring Harbor Laboratory SP 2022.06.29.497030 DO 10.1101/2022.06.29.497030 A1 Theodora A. Constantin A1 Anabel Varela-Carver A1 Kyle K. Greenland A1 Gilberto Serrano de Almeida A1 Lucy Penfold A1 Simon Ang A1 Alice Ormrod A1 Edward K. Ainscow A1 Ash K. Bahl A1 David Carling A1 Matthew J. Fuchter A1 Simak Ali A1 Charlotte L. Bevan YR 2022 UL http://biorxiv.org/content/early/2022/06/29/2022.06.29.497030.abstract AB Background Current strategies to inhibit the androgen receptor (AR) are circumvented in castration-resistant prostate cancer (CRPC). Cyclin-dependent kinase 7 (CDK7) promotes AR signalling, in addition to established roles in cell cycle and global transcription regulation, together, providing a rationale for its therapeutic targeting in CRPC.Methods The antitumour activity of CT7001, an orally bioavailable CDK7 inhibitor, was investigated across CRPC models in vitro and in xenograft models in vivo. Cell-based assays and transcriptomic analyses of treated xenografts were employed to investigate the mechanism driving activity of CT7001, alone and in combination with the antiandrogen enzalutamide.Results CT7001 selectively engages with CDK7 in prostate cancer cells, causing inhibition of proliferation and cell cycle arrest. Activation of p53, induction of apoptosis, and suppression of transcription mediated by full-length and constitutively active AR splice variants contribute to antitumour efficacy in vitro. Oral administration of CT7001 represses growth of CRPC xenografts and significantly augments growth inhibition achieved by enzalutamide. Transcriptome analyses of treated xenografts indicate cell cycle and AR inhibition as the mode of action of CT7001 in vivo.Conclusions This study supports CDK7 inhibition as a strategy to target deregulated cell proliferation and demonstrates CT7001 is a promising CRPC therapeutic, alone or in combination with AR-targeting compounds.Competing Interest StatementG.S.A. has previously been supported by a research grant from Carrick Therapeutics Ltd to C.L.B. S. Ali is a named inventor on CDK7 inhibitor patents that have been licensed to Carrick Therapeutics Ltd, has received royalty payments, shares, and research funding from Carrick Therapeutics. M.J.F. is a named inventor on CDK7 inhibitor patents that have been licensed to Carrick Therapeutics Ltd and has received royalty payments from Carrick Therapeutics. A.K.B. and E.C. are/were at the time of this study employees of Carrick Therapeutics. The following authors declare that they have no competing interests: T.A.C., A.V.C., K.K.G., L.P., S. Ang, A.O., D.C..ARandrogen receptorAR-Vandrogen receptor variantASTaspartate aminotransferaseCAKCDK-activating kinaseCDKcyclin-dependent kinaseCeTSAcellular thermal shift assayCRPCcastration-resistant prostate cancerCTDC-terminal domainDMSOdimethylsulfoxideFCSfoetal calf serumFDRfalse discovery rateFL-ARfull-length androgen receptorGRgrowth-rateGSEAgene set enrichment analysisLBDligand-binding domainPadjadjusted p-valuePBSphosphate buffered salinePCAprincipal component analysisPolIIRNA polymerase IIPSAprostate-specific antigenP-TEFbpositive transcription elongation factor bRbretinoblastomaRT-qPCRquantitative reverse transcription PCRSRBsulforhodamine B