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Table 1 Summary of factors involved in t-NEPC development

From: Aggressive variants of prostate cancer: underlying mechanisms of neuroendocrine transdifferentiation

Gene (Protein, if not identical)

Aberration in t-NEPC

Effects

Experimental Setting/ Source

Reference

Genetic aberrations

 PTEN

Deletion

Survival and cell cycle progression

Patient tissue biopsies

[27, 28]

 TP53

Mutation

Lineage plasticity

Patient tissue biopsies

[28]

 RB1

Deletion

Patient tissue biopsies

[28]

 AURKA

Amplification

N-MYC stabilization, cell cycle progression

Patient tissue biopsies

[29]

 MYCN

Amplification

Attenuation of AR signaling, NE differentiation, DDR activation

Patient tissue biopsies

[29,30,31]

Transcription factors

 ASCL1

Induced expression

NE/pro-neural differentiation

Patient tissue biopsies

[32]

 FOXA1

Reduced expression

Loss of Epithelial differentiation

Patient tissue biopsies

[33]

 FOXA2

Upregulated expression

Pioneering transcription factor, promotion of NE differentiation

Patient tissue biopsies

[34]

 FOXB2

Upregulated expression

Activation of WNT-signaling, NE marker expression

Patient tissue biopsies

[35]

 NKX2-1 (TTF-1)

Upregulated expression

unknown

Patient tissue biopsies

[36]

 NKX3-1

Reduced expression

Loss of Epithelial differentiation

Patient tissue biopsies

[37]

 REST

Reduced expression, alternative splicing

De-repression of neuronal genes, NE differentiation

Patient tissue biopsies

[32]

 ONECUT2

Upregulated expression

Attenuation of AR signaling, survival

Patient tissue biopsies

[38]

 POU3F2 (BRN2)

Upregulated expression

NE differentiation, lineage plasticity

Patient tissue biopsies

[39]

 POU3F4 (BRN4)

Upregulated expression

NE differentiation

Patient tissue biopsies, PDX

[40]

 SOX2

Upregulated expression

Lineage plasticity

Patient tissue biopsies

[32]

 ZBTB46

Upregulated expression

NE differentiation, EMT, inflammatory signaling

Patient tissue biopsies

[41]

Epigenetic factors

 EZH2

Upregulated expression

Angiogenesis, NE differentiation

Patient tissue biopsies

[19]

 PHF8

Upregulated expression

NE differentiation

Patient tissue biopsies, PDX

[42]

 KDM1A (LSD1)

Alternative splicing

Cancer progression, therapy resistance, immune signaling

Patient tissue biopsies, PDX

[43]

 MEAF6

Alternative splicing

Proliferation, anchorage-independent cell growth

Patient tissue biopsies, PDX

[44]

 SMARCA4

Upregulated expression

Cell cycle progression, aggressiveness

Patient tissue biopsies

[45]

 CBX5 (HP-1a)

Upregulated expression

Repression of luminal differentiation

Patient tissue biopsies, PDX

[46]

DNA repair pathways

 PARP1

Upregulated expression

DDR

Patient tissue biopsies, PDX

[30]

 SLFN11

Reduced expression

Cell cycle progression

Patient tissue biopsies

[47]

Other nuclear factors

 CCND1

Upregulated expression

survival

Cell model

[48]

Reduced expression

unknown

Patient tissue biopsies

[49]

 LIN28B

Upregulated expression

Stemness and pluripotency/lineage plasticity

Patient tissue biopsies

[21]

 PEG10

Upregulated expression

Cell cycle progression, EMT

Patient tissue biopsies

[32]

 SRRM4

Upregulated expression

NE differentiation

Patient tissue biopsies

[50]

 GIT1

Alternative splicing, GIT1-A upregulation

Neural differentiation, cell adhesion

Patient tissue biopsies, PDX

[51]

 BIF1

Alternative splicing, BIF1b/c upregulation

Survival

Patient tissue biopsies, PDX

[52]

 BHC80

Alternative splicing, BHC80-2 upregulation

Cell growth and invasion

Patient tissue biopsies, PDX

[53]

Signaling pathways

 mTOR

Increased activity

NE differentiation, reduced growth, increased one-carbon pathway

NEPC cell model

[54]

 PRKCI

Reduced expression

Cell proliferation, increased one-carbon pathway

Patient tissue biopsies

[55]

 STAT3

Increased activity

NE differentiation, proliferation

Cell model

[23]

 LIFR

Upregulated expression

NE differentiation, cell proliferation

Patient tissue biopsies

[56]

 WNT7B

Upregulated expression

Tumor growth, stemness, drug resistance

Patient tissue biopsies

[35]

 WNT11

Upregulated expression

Promotion of NE differentiation, survival migration

AR- independent Cell model and xenografts

[57, 58]

 WLS

Upregulated expression

Promotion of Wnt signaling, proliferation, NE differentiation

Patient tissue biopsies

[59]

 PCDH-PC

Upregulated expression

Wnt activation, NE differentiation

Patient tissue biopsies

[60, 61]

 CREB1

Increased activation

NE differentiation, angiogenesis, epigenetic reprogramming

Cell model

[62]

 RET

Upregulated expression

Tumor growth

Patient tissue biopsies

[63]

Tumor microenvironment

 cAMP

Increased concentration

NE differentiation, angiogenesis, epigenetic reprogramming

Cell model

[64]

 Glutamine

Increased concentration

ATP production, proliferation, NE differentiation

Cell model

[65]

 IL-6

Increased concentration

NE differentiation, angiogenesis

Cell model

[64]

 IL-8

Upregulated expression

Survival, proliferation

Cell model

[66]

 GRPR/bombesin

Upregulated expression

Angiogenesis

Cell model

[67]

 BIRC5 (Survivin)

Upregulated expression

Survival

Patient tissue biopsies

[68]

 NTS (Neurotensin)

Upregulated expression

NE differentiation

Cell model and xenograft

[69]

 PTHrH

Upregulated expression

Cell proliferation, treatment-resistance

Cell model

[70]

 CALCA (Calcitonin)

Upregulated expression

Invasion

Cell model

[71]

 QRFP (Neuropeptide 26RFa)

Upregulated expression

NE differentiation, migration

Patient tissue biopsies

[72]

 ADM (Adrenomedullin)

Upregulated expression

NE differentiation

Cell model

[73]

 ADCYAP1 (Pituitary adenylate cyclase activating polypeptide)

Upregulated expression

Cell proliferation, NE differentiation

Cell model

[74]

 GABA

Upregulated expression

GRP release

Cell model

[75]

  1. For genes and proteins presented in this review key information regarding their aberration in t-NEPC and the cellular effects of these aberrations are summed up. The experimental setting refers to the most reliable type of data in which the respective aberration has been found (Patient tissue biopsies > PDX > xenografts > cell model)