p21 WAF1/CIP1 is a Downstream target of ELK-1 Growth
/ Tumor Suppressor Pathway in Breast and Androgenindependent
Prostate Cancers
Volume 4 - Issue 5
Jingyao Xu1, Zerak Kabir1, Kartik Aysola1, Yuli Chai1, Nina Wyatt1, Shai Waldrip1, Alexis Clark1, Michelle Lee2,
Vaishali Reddy2, Manan Shah2, Eric Chang2, Joel Okoli3, E Shyam P Reddy1 and Veena N Rao1*
- 1Department of Neurology, Foshan Hospital of Traditional Chinese Medicine, China
- 2Department of Biochemistry and Molecular Biology, GMU-GIBH Joint School of Life Sciences, Guangzhou Medical University, China
- 3Department of Neurology, Guangdong Province Hospital of Traditional Chinese Medicine, China
- 4Department of Neurology, the Affiliated Brain Hospital of Guangzhou Medical University, China
Received:June 01, 2021 Published: July 30, 2021
Corresponding author: Veena N Rao, Professor and Co-Director Cancer Biology Program, GCC Distinguished Cancer Scholar,
Department of OB/GYN, Morehouse School of Medicine, RW D-335, 720 Westview Drive, Atlanta, Georgia 30303-3031. Phone 404-
756-5755, Fax 404-756-8828
DOI: 10.32474/OAJOM.2021.04.000197
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Abstract
African American men have the highest risk of developing prostate cancer and have more than twice the mortality rate compared
to Caucasian men in the US. ELK-1 belongs to the ETS family of ternary complex factors that plays a major role in cell proliferation,
tumorigenesis, as well as differentiation. We have previously shown ELK-1 to not only suppress growth but also to augment the
growth suppressive function of BRCA1 proteins in human breast cancer cells. In the current study we have demonstrated for the
first time Elk-1 to inhibit the growth of androgen-independent prostate cancer cells. ELK-1 transfected prostate and breast cancer
cells were slow growing and inhibited in their capacity to form colonies in soft agar. The p21WAF1/CIP1 protein was found to be
expressed at elevated levels both in ELK-1 transfected breast and prostate cancer cells. The p21WAF1/CIP1 promoter activity was
also enhanced in the presence of increasing concentrations of ELK-1 protein. Furthermore, ELK-1 protein by binding to the ETS
binding motif in the p21WAF1/CIP1 promoter induced the expression of the protein in a p53-independent manner. This work
suggests for the first time ELK-1 to function as a growth /tumor suppressor of androgen independent human prostate and breast
cancer cells by activating p21WAF1/CIP1 independent of the presence of p53. These findings can provide a novel mechanism that
can bypass the p53 defect in tumors with endogenous p53 mutations thus developing effective therapy for patients with advancedstage
androgen independent prostate and breast cancers.
Keywords: Elk-1, Breast cancer, Androgen Receptor, Androgen-independent Prostate Cancer, Growth / Tumor Suppressor, p21
WAF1/CIP1
Abbreviations: ELK-1: ETS like gene; AIPC: Androgen-independent prostate cancer; AR: Androgen Receptor; AA: African American;
TCF: ternary complex factors; CRPC: Castration resistant prostate cancers; SRE: serum response element; SRF: Serum response
factor.
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