Department of Urology, Roswell Park Cancer Institute, Buffalo, New York, United States of America.
PLoS One. 2012;7(1):e30192. doi: 10.1371/journal.pone.0030192. Epub 2012 Jan 17.
BACKGROUND: Prostate cancer (CaP) is the second leading cause of cancer death in American men. Androgen deprivation therapy is initially effective in CaP treatment, but CaP recurs despite castrate levels of circulating androgen. Continued expression of the androgen receptor (AR) and its ligands has been linked to castration-recurrent CaP growth. PRINCIPAL FINDING: In this report, the ligand-dependent dominant-negative ARΔ142-337 (ARΔTR) was expressed in castration-recurrent CWR-R1 cell and tumor models to elucidate the role of AR signaling. Expression of ARΔTR decreased CWR-R1 tumor growth in the presence and absence of exogenous testosterone (T) and improved survival in the presence of exogenous T. There was evidence for negative selection of ARΔTR transgene in T-treated mice. Mass spectrometry revealed castration-recurrent CaP dihydrotestosterone (DHT) levels sufficient to activate AR and ARΔTR. In the absence of exogenous testosterone, CWR-R1-ARΔTR and control cells exhibited altered androgen profiles that implicated epithelial CaP cells as a source of intratumoral AR ligands. CONCLUSION: The study provides in vivo evidence that activation of AR signaling by intratumoral AR ligands is required for castration-recurrent CaP growth and that epithelial CaP cells produce sufficient active androgens for CaP recurrence during androgen deprivation therapy. Targeting intracrine T and DHT synthesis should provide a mechanism to inhibit AR and growth of castration-recurrent CaP.
背景:前列腺癌(CaP)是美国男性癌症死亡的第二大主要原因。去势治疗最初对 CaP 治疗有效,但尽管循环雄激素处于去势水平,CaP 仍会复发。雄激素受体(AR)及其配体的持续表达与去势后 CaP 的生长有关。
主要发现:在本报告中,在去势复发的 CWR-R1 细胞和肿瘤模型中表达了配体依赖性显性负 ARΔ142-337(ARΔTR),以阐明 AR 信号的作用。在存在和不存在外源性睾酮(T)的情况下,ARΔTR 的表达降低了 CWR-R1 肿瘤的生长,并在存在外源性 T 的情况下提高了存活率。在 T 处理的小鼠中,有 ARΔTR 转基因负选择的证据。质谱分析显示去势复发的 CaP 二氢睾酮(DHT)水平足以激活 AR 和 ARΔTR。在不存在外源性睾酮的情况下,CWR-R1-ARΔTR 和对照细胞表现出改变的雄激素谱,这表明上皮性 CaP 细胞是肿瘤内 AR 配体的来源。
结论:该研究提供了体内证据,表明肿瘤内 AR 配体激活 AR 信号是去势复发 CaP 生长所必需的,并且上皮性 CaP 细胞在去势治疗期间产生足够的活性雄激素以导致 CaP 复发。靶向内源性 T 和 DHT 合成应提供一种抑制 AR 和去势复发 CaP 生长的机制。
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