RARg (RARG) expression is commonly reduced in prostate cancer (PCa). Modulating RARg levels, not retinoid ligand, had the biggest impact on prostate cell proliferation and gene expression. Genomic binding of the non-liganded, apo, RARg was significantly enriched at active enhancers, associated with AR, and RARg knockdown governed the AR capacity to regulate cell differentiation and gene-regulation. Altered RARg target genes expression in TCGA significantly associated with more aggressive PCa. RARg downregulation was explained by a stark and common increase in miR-96 in PCa cell and animal models, and human PCa.Biochemical approaches confirmed that miR-96 directly regulates RARG expression and function. Capture of the miR-96 targetome by biotin-miRNA pulldown identified a RARg-centric network significantly associated with more aggressive PCa and worse disease free survival (hazard ratio 2.23, 95% CI 1.58 to 2.88, p=0.015). In summary, miR-96 targets an RARg network to govern AR signaling and its disruption is a cancer-driver.
STATEMENT OF SIGNIFICANCE.We identified that miR-96 targets a RARg-network, which in turn regulates AR, PCa progression and disease outcome. These findings occur independently of retinoid ligand and reveal how miRNA govern nuclear receptor functions, and can be exploited to identify aggressive prostate cancer at an early stage.