- Kaushik, Akash;
- Shojaie, Ali;
- Panzitt, Katrin;
- Sonavane, Rajni;
- Venghatakrishnan, Harene;
- Manikkam, Mohan;
- Zaslavsky, Alexander;
- Putluri, Vasanta;
- Vasu, Vihas;
- Zhang, Yiqing;
- Khan, Ayesha;
- Lloyd, Stacy;
- Szafran, Adam;
- Dasgupta, Subhamoy;
- Bader, David;
- Stossi, Fabio;
- Li, Hangwen;
- Samanta, Susmita;
- Cao, Xuhong;
- Tsouko, Efrosini;
- Huang, Shixia;
- Frigo, Daniel;
- Chan, Lawrence;
- Edwards, Dean;
- Kaipparettu, Benny;
- Mitsiades, Nicholas;
- Weigel, Nancy;
- Mancini, Michael;
- McGuire, Sean;
- Mehra, Rohit;
- Ittmann, Michael;
- Chinnaiyan, Arul;
- Putluri, Nagireddy;
- Palapattu, Ganesh;
- Michailidis, George;
- Sreekumar, Arun
The precise molecular alterations driving castration-resistant prostate cancer (CRPC) are not clearly understood. Using a novel network-based integrative approach, here, we show distinct alterations in the hexosamine biosynthetic pathway (HBP) to be critical for CRPC. Expression of HBP enzyme glucosamine-phosphate N-acetyltransferase 1 (GNPNAT1) is found to be significantly decreased in CRPC compared with localized prostate cancer (PCa). Genetic loss-of-function of GNPNAT1 in CRPC-like cells increases proliferation and aggressiveness, in vitro and in vivo. This is mediated by either activation of the PI3K-AKT pathway in cells expressing full-length androgen receptor (AR) or by specific protein 1 (SP1)-regulated expression of carbohydrate response element-binding protein (ChREBP) in cells containing AR-V7 variant. Strikingly, addition of the HBP metabolite UDP-N-acetylglucosamine (UDP-GlcNAc) to CRPC-like cells significantly decreases cell proliferation, both in-vitro and in animal studies, while also demonstrates additive efficacy when combined with enzalutamide in-vitro. These observations demonstrate the therapeutic value of targeting HBP in CRPC.