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Temporal Evolution Reveals Bifurcated Lineages in Aggressive Neuroendocrine Small Cell Prostate Cancer Trans-differentiation

Abstract

Trans-differentiation from an adenocarcinoma to a small cell neuroendocrine state is associated with therapy resistance in multiple cancer types. To gain insight into the underlying molecular events of the trans-differentiation, we perform a multi-omics time course analysis of a pan-small cell neuroendocrine cancer model (termed PARCB), a forward genetic transformation using human prostate basal cells and identify a shared developmental, arc-like, and entropy-high trajectory among all transformation model replicates. Further mapping with single cell resolution reveals two distinct lineages defined by mutually exclusive expression of ASCL1 or ASCL2. Temporal regulation by groups of transcription factors across developmental stages reveals that cellular reprogramming precedes the induction of neuronal programs. TFAP4 and ASCL1/2 feedback are identified as potential regulators of ASCL1 and ASCL2 expression. Our study provides temporal transcriptional patterns and uncovers pan-tissue parallels between prostate and lung cancers, as well as connections to normal neuroendocrine cell states.

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References
1.
Kinoshita M, Li M, Barber M, Mansfield W, Dietmann S, Smith A . Disabling de novo DNA methylation in embryonic stem cells allows an illegitimate fate trajectory. Proc Natl Acad Sci U S A. 2021; 118(38). PMC: 8463881. DOI: 10.1073/pnas.2109475118. View

2.
Gay C, Stewart C, Park E, Diao L, Groves S, Heeke S . Patterns of transcription factor programs and immune pathway activation define four major subtypes of SCLC with distinct therapeutic vulnerabilities. Cancer Cell. 2021; 39(3):346-360.e7. PMC: 8143037. DOI: 10.1016/j.ccell.2020.12.014. View

3.
Beltran H, Hruszkewycz A, Scher H, Hildesheim J, Isaacs J, Yu E . The Role of Lineage Plasticity in Prostate Cancer Therapy Resistance. Clin Cancer Res. 2019; 25(23):6916-6924. PMC: 6891154. DOI: 10.1158/1078-0432.CCR-19-1423. View

4.
Kassambara A, Reme T, Jourdan M, Fest T, Hose D, Tarte K . GenomicScape: an easy-to-use web tool for gene expression data analysis. Application to investigate the molecular events in the differentiation of B cells into plasma cells. PLoS Comput Biol. 2015; 11(1):e1004077. PMC: 4310610. DOI: 10.1371/journal.pcbi.1004077. View

5.
Garcia-Bellido A, Santamaria P . Developmental Analysis of the Achaete-Scute System of DROSOPHILA MELANOGASTER. Genetics. 1978; 88(3):469-86. PMC: 1224594. DOI: 10.1093/genetics/88.3.469. View