RT Journal Article SR Electronic T1 Loss of NEIL3 activates radiotherapy resistance in the progression of prostate cancer JF Cancer Biology & Medicine JO Cancer Biology & Medicine FD China Anti-Cancer Association SP 20200550 DO 10.20892/j.issn.2095-3941.2020.0550 A1 Qiong Wang A1 Zean Li A1 Jin Yang A1 Shirong Peng A1 Qianghua Zhou A1 Kai Yao A1 Wenli Cai A1 Zhongqiu Xie A1 Fujun Qin A1 Hui Li A1 Xu Chen A1 Kaiwen Li A1 Hai Huang YR 2021 UL http://www.cancerbiomed.org/content/early/2022/07/15/j.issn.2095-3941.2020.0550.abstract AB Objective: To explore the genetic changes in the progression of castration-resistant prostate cancer (CRPC) and neuroendocrine prostate cancer (NEPC) and the reason why these cancers resist existing therapies.Methods: We employed our CRPC cell line microarray and other CRPC or NEPC datasets to screen the target gene NEIL3. Lentiviral transfection and RNA interference were used to construct overexpression and knockdown cell lines. Cell and animal models of radiotherapy were established by using a medical electron linear accelerator. Flow cytometry was used to detect apoptosis or cell cycle progression. Western blot and qPCR were used to detect changes in the protein and RNA levels.Results: TCGA and clinical patient datasets indicated that NEIL3 was downregulated in CRPC and NEPC cell lines, and NEIL3 was correlated with a high Gleason score but a good prognosis. Further functional studies demonstrated that NEIL3 had no effect on the proliferation and migration of PCa cells. However, cell and animal radiotherapy models revealed that NEIL3 could facilitate the radiotherapy sensitivity of PCa cells, while loss of NEIL3 activated radiotherapy resistance. Mechanistically, we found that NEIL3 negatively regulated the expression of ATR, and higher NEIL3 expression repressed the ATR/CHK1 pathway, thus regulating the cell cycle.Conclusions: We demonstrated that NEIL3 may serve as a diagnostic or therapeutic target for therapy-resistant patients.