Evidence map›Paper›PMID 40691407›Full record

ArticleNature genetics2025

NKX2-1 drives neuroendocrine transdifferentiation of prostate cancer via epigenetic and 3D chromatin remodeling.

Xiaodong Lu, Viriya Keo, Irina Cheng, Wanqing Xie, Galina Gritsina, Juan Wang, Lina Lu, Cheng-Kai Shiau, Yueying He, Qiushi Jin and 7 more

Abstract read
In one paragraph

Article in Nature genetics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed.

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  10. Game of clones: decipher lineage plasticity in hormone-driven cancers.Cellular and molecular life sciences : CMLS · 2026
    Review
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  20. Organoids glimpse: the nexus for diverse tumor heterogeneity.Frontiers in cell and developmental biology · 2026
    Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors.

Xiaodong Lu *Department of Urology, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0003-4731-0762
Viriya Keo *Department of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Irina ChengDivision of Hematology and Oncology, Department of Medicine, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0009-0005-4977-1310
Wanqing XieDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Galina GritsinaDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0002-3404-7961
Juan WangDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Lina LuDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Cheng-Kai ShiauDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0003-0883-8660
Yueying HeDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Qiushi JinDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.
Peng JinDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.ORCID http://orcid.org/0000-0001-6137-6659
Martin G SandaDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA.
Victor G CorcesDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA.
Nicolas AltemoseDepartment of Genetics, Stanford University, Stanford, CA, USA.
Ruli GaoDepartment of Biochemistry and Molecular Genetics, Northwestern University Feinberg School of Medicine, Chicago, IL, USA.ORCID http://orcid.org/0000-0002-1137-4564
Jonathan C ZhaoDepartment of Human Genetics, Emory University School of Medicine, Atlanta, GA, USA. changsheng.zhao@emory.edu.ORCID http://orcid.org/0000-0002-3163-380X
Jindan YuDepartment of Urology, Emory University School of Medicine, Atlanta, GA, USA. jindan.yu@emory.edu.ORCID http://orcid.org/0000-0002-2326-0409

Funding

TRANSCRIPTOME AND PROTEOME STRATIFICATION OF PROSTATE ADENOCARCINOMA PHENOTYPESP50CA097186 · NCI · FRED HUTCHINSON CANCER RESEARCH CENTER · PI PETER S NELSON · 2002 to 2026
$58.1M
Steroid Metabolism in Castration-Resistant Prostate CancerP01CA163227 · NCI · BETH ISRAEL DEACONESS MEDICAL CENTER · PI PETER S NELSON · 2013 to 2026
$25.0M
Targeting FOXA1-downstream pathways: a novel therapeutic strategy for castration-resistant prostate cancerP50CA180995 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ABDULKADIR, SARKI A., HUSSAIN, MAHA H · 2015 to 2025
$19.9M
Prostate Cancer Biomarker and Imaging Validation Alliance: Emory University, University of Alabama Birmingham, and University of Texas SouthwesternU01CA113913 · NCI · EMORY UNIVERSITY · PI Martin G. Sanda · 2005 to 2026
$16.4M
CARCINOGENESIS TRAINING PROGRAMT32CA009560 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI Kathleen Janee Green · 1986 to 2026
$8.4M
Molecular Mechanisms Underlying Luminal- Neuroendocrine TransdifferentiationR01CA286147 · NCI · EMORY UNIVERSITY · PI Jindan Yu, Changsheng Zhao · 2024 to 2026
$2.7M
Comprehensive Analyses of HOXB13-regulated Transcriptional programs critical for Prostate Cancer ProgressionR01CA257446 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI YU, JINDAN · 2021 to 2025
$2.4M
Single Cell Mosaic Mutation Atlas of Human OrganR35GM142539 · NIGMS · NORTHWESTERN UNIVERSITY AT CHICAGO · PI GAO, RULI · 2021 to 2025
$2.0M
Genomics and bioinformatics analysis to understand castration-resistant prostate cancerR50CA211271 · NCI · NORTHWESTERN UNIVERSITY AT CHICAGO · PI ZHAO, CHANGSHENG · 2016 to 2020
$701k
NCI NIH HHS P01 CA163227NCI NIH HHS P50 CA097186NCI NIH HHS P50 CA180995NCI NIH HHS R01 CA257446NCI NIH HHS R01 CA286147NCI NIH HHS R50 CA211271NCI NIH HHS T32 CA009560NCI NIH HHS U01 CA113913NIGMS NIH HHS R35 GM142539Prostate Cancer Foundation (PCF) 2017CHAL2008U.S. Department of Defense (United States Department of Defense) PC210266U.S. Department of Defense (United States Department of Defense) PC220151U.S. Department of Defense (United States Department of Defense) PC220158U.S. Department of Health & Human Services | NIH | Center for Scientific Review (NIH Center for Scientific Review) R35GM142539U.S. Department of Health & Human Services | NIH | Center for Scientific Review (NIH Center for Scientific Review) U01CA113913U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) 1R01CA286147U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) P50CA180995U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R01CA257446U.S. Department of Health & Human Services | NIH | National Cancer Institute (NCI) R50CA211271
6 · The paper itself

Abstract

A substantial amount of castration-resistant prostate cancer (CRPC) progresses into a neuroendocrine (NE) subtype, known as NEPC, which is associated with poor clinical outcomes. Here we report distinct three-dimensional chromatin architectures between NEPC and CRPC tumors, which were recapitulated by isogenic cell lines undergoing NE transformation (NET). Mechanistically, pioneer factors such as FOXA2 initiate binding at NE enhancers to mediate regional DNA demethylation and induce neural transcription factor (TF) NKX2-1 expression. NKX2-1 preferentially binds gene promoters and interacts with enhancer-bound FOXA2 through chromatin looping. NKX2-1 is highly expressed in NEPC and indispensable for NET of prostate cancer. NKX2-1/FOXA2 further recruits p300/CBP to activate NE enhancers, and pharmacological inhibition of p300/CBP effectively blunts NE gene expression and abolishes NEPC tumor growth. Taken together, our study reports a hierarchical network of TFs governed by NKX2-1 in critically regulating chromatin remodeling and driving luminal-to-NE transformation and suggests promising therapeutic approaches to mitigate NEPC.

Indexed as

Cell TransdifferentiationChromatin Assembly and DisassemblyEpigenesis, GeneticNeuroendocrine TumorsProstatic NeoplasmsProstatic Neoplasms, Castration-ResistantThyroid Nuclear Factor 1AnimalsCell Line, TumorChromatinGene Expression Regulation, NeoplasticHepatocyte Nuclear Factor 3-betaHumansMaleMicePromoter Regions, GeneticChromatinFOXA2 protein, humanHepatocyte Nuclear Factor 3-betaNKX2-1 protein, humanThyroid Nuclear Factor 1Transcription Factors

Identifiers

PMID40691407
PMCPMC12339387

What Socratic holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.