Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancer

Although there are molecularly distinct subtypes of prostate cancer, no molecular classification system is used clinically. The ribonucleotide reductase small subunit M2 (RRM2) gene plays an oncogenic role in many cancers. Our previous study elucidated comprehensive molecular mechanisms of RRM2 in p...

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Main Authors: Ying Z. Mazzu, Joshua Armenia, Subhiksha Nandakumar, Goutam Chakraborty, Yuki Yoshikawa, Lina E. Jehane, Gwo‐Shu Mary Lee, Mohammad Atiq, Nabeela Khan, Nikolaus Schultz, Philip W. Kantoff
Format: Article
Language:English
Published: Wiley 2020-08-01
Series:Molecular Oncology
Subjects:
Online Access:https://doi.org/10.1002/1878-0261.12706
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author Ying Z. Mazzu
Joshua Armenia
Subhiksha Nandakumar
Goutam Chakraborty
Yuki Yoshikawa
Lina E. Jehane
Gwo‐Shu Mary Lee
Mohammad Atiq
Nabeela Khan
Nikolaus Schultz
Philip W. Kantoff
author_facet Ying Z. Mazzu
Joshua Armenia
Subhiksha Nandakumar
Goutam Chakraborty
Yuki Yoshikawa
Lina E. Jehane
Gwo‐Shu Mary Lee
Mohammad Atiq
Nabeela Khan
Nikolaus Schultz
Philip W. Kantoff
author_sort Ying Z. Mazzu
collection DOAJ
description Although there are molecularly distinct subtypes of prostate cancer, no molecular classification system is used clinically. The ribonucleotide reductase small subunit M2 (RRM2) gene plays an oncogenic role in many cancers. Our previous study elucidated comprehensive molecular mechanisms of RRM2 in prostate cancer (PC). Given the potent functions of RRM2, we set out to determine whether the RRM2 signature can be used to identify aggressive subtypes of PC. We applied gene ontology and pathway analysis in RNA‐seq datasets from PC cells overexpressing RRM2. We refined the RRM2 signature by integrating it with two molecular classification systems (PCS and PAM50 subtypes) that define aggressive PC subtypes (PCS1 and luminal B) and correlated signatures with clinical outcomes in six published cohorts comprising 4000 cases of PC. Increased expression of genes in the RRM2 signature was significantly correlated with recurrence, high Gleason score, and lethality of PC. Patients with high RRM2 levels showed higher PCS1 score, suggesting the aggressive PC feature. Consistently, RRM2‐regulated genes were highly enriched in the PCS1 signature from multiple PC cohorts. A simplified RRM2 signature (12 genes) was identified by intersecting the RRM2 signature, PCS1 signature, and the PAM50 classifier. Intriguingly, inhibition of RRM2 specifically targets PCS1 and luminal B genes. Furthermore, 11 genes in the RRM2 signature were correlated with enzalutamide resistance by using a single‐cell RNA‐seq dataset from PC circulating tumor cells. Finally, high expression of RRM2 was associated with an immunosuppressive tumor‐immune microenvironment in both primary prostate cancer and metastatic prostate cancer using CIBERSORT analysis and LM22, a validated leukocyte gene signature matrix. These data demonstrate that RRM2 is a driver of aggressive prostate cancer subtypes and contributes to immune escape, suggesting that RRM2 inhibition may be of clinical benefit for patients with PC.
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spelling doaj.art-a67bfa99d1ad45d6a66edcca617740472022-12-21T23:41:25ZengWileyMolecular Oncology1574-78911878-02612020-08-011481881189710.1002/1878-0261.12706Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancerYing Z. Mazzu0Joshua Armenia1Subhiksha Nandakumar2Goutam Chakraborty3Yuki Yoshikawa4Lina E. Jehane5Gwo‐Shu Mary Lee6Mohammad Atiq7Nabeela Khan8Nikolaus Schultz9Philip W. Kantoff10Department of Medicine Memorial Sloan Kettering Cancer Center New York NY USAHuman Oncology and Pathogenesis Program Memorial Sloan Kettering Cancer Center New York NY USAHuman Oncology and Pathogenesis Program Memorial Sloan Kettering Cancer Center New York NY USADepartment of Medicine Memorial Sloan Kettering Cancer Center New York NY USADepartment of Medicine Memorial Sloan Kettering Cancer Center New York NY USADepartment of Medicine Memorial Sloan Kettering Cancer Center New York NY USADepartment of Medical Oncology Dana‐Farber Cancer Institute Boston MA USADepartment of Medicine Memorial Sloan Kettering Cancer Center New York NY USADepartment of Medicine Memorial Sloan Kettering Cancer Center New York NY USAHuman Oncology and Pathogenesis Program Memorial Sloan Kettering Cancer Center New York NY USADepartment of Medicine Memorial Sloan Kettering Cancer Center New York NY USAAlthough there are molecularly distinct subtypes of prostate cancer, no molecular classification system is used clinically. The ribonucleotide reductase small subunit M2 (RRM2) gene plays an oncogenic role in many cancers. Our previous study elucidated comprehensive molecular mechanisms of RRM2 in prostate cancer (PC). Given the potent functions of RRM2, we set out to determine whether the RRM2 signature can be used to identify aggressive subtypes of PC. We applied gene ontology and pathway analysis in RNA‐seq datasets from PC cells overexpressing RRM2. We refined the RRM2 signature by integrating it with two molecular classification systems (PCS and PAM50 subtypes) that define aggressive PC subtypes (PCS1 and luminal B) and correlated signatures with clinical outcomes in six published cohorts comprising 4000 cases of PC. Increased expression of genes in the RRM2 signature was significantly correlated with recurrence, high Gleason score, and lethality of PC. Patients with high RRM2 levels showed higher PCS1 score, suggesting the aggressive PC feature. Consistently, RRM2‐regulated genes were highly enriched in the PCS1 signature from multiple PC cohorts. A simplified RRM2 signature (12 genes) was identified by intersecting the RRM2 signature, PCS1 signature, and the PAM50 classifier. Intriguingly, inhibition of RRM2 specifically targets PCS1 and luminal B genes. Furthermore, 11 genes in the RRM2 signature were correlated with enzalutamide resistance by using a single‐cell RNA‐seq dataset from PC circulating tumor cells. Finally, high expression of RRM2 was associated with an immunosuppressive tumor‐immune microenvironment in both primary prostate cancer and metastatic prostate cancer using CIBERSORT analysis and LM22, a validated leukocyte gene signature matrix. These data demonstrate that RRM2 is a driver of aggressive prostate cancer subtypes and contributes to immune escape, suggesting that RRM2 inhibition may be of clinical benefit for patients with PC.https://doi.org/10.1002/1878-0261.12706molecular subtypingPAM50PCS subtypingprostate cancerRRM2
spellingShingle Ying Z. Mazzu
Joshua Armenia
Subhiksha Nandakumar
Goutam Chakraborty
Yuki Yoshikawa
Lina E. Jehane
Gwo‐Shu Mary Lee
Mohammad Atiq
Nabeela Khan
Nikolaus Schultz
Philip W. Kantoff
Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancer
Molecular Oncology
molecular subtyping
PAM50
PCS subtyping
prostate cancer
RRM2
title Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancer
title_full Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancer
title_fullStr Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancer
title_full_unstemmed Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancer
title_short Ribonucleotide reductase small subunit M2 is a master driver of aggressive prostate cancer
title_sort ribonucleotide reductase small subunit m2 is a master driver of aggressive prostate cancer
topic molecular subtyping
PAM50
PCS subtyping
prostate cancer
RRM2
url https://doi.org/10.1002/1878-0261.12706
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