一种诱导雄激素受体降解并选择性靶向前列腺癌细胞的分子。

A molecule inducing androgen receptor degradation and selectively targeting prostate cancer cells.

机构信息

Ipsen Innovation, Les Ulis, France.

Department of Molecular Biology and Genetics, Center for Life Sciences and Technologies, Bogazici University, Istanbul, Turkey.

出版信息

Life Sci Alliance. 2019 Aug 20;2(4). doi: 10.26508/lsa.201800213. Print 2019 Aug.

Abstract

Aberrant androgen signaling drives prostate cancer and is targeted by drugs that diminish androgen production or impede androgen-androgen receptor (AR) interaction. Clinical resistance arises from AR overexpression or ligand-independent constitutive activation, suggesting that complete AR elimination could be a novel therapeutic strategy in prostate cancers. IRC117539 is a new molecule that targets AR for proteasomal degradation. Exposure to IRC117539 promotes AR sumoylation and ubiquitination, reminiscent of therapy-induced PML/RARA degradation in acute promyelocytic leukemia. Critically, ex vivo, IRC117539-mediated AR degradation induces prostate cancer cell viability loss by inhibiting AR signaling, even in androgen-insensitive cells. This approach may be beneficial for castration-resistant prostate cancer, which remains a clinical issue. In xenograft models, IRC117539 is as potent as enzalutamide in impeding growth, albeit less efficient than expected from ex vivo studies. Unexpectedly, IRC117539 also behaves as a weak proteasome inhibitor, likely explaining its suboptimal efficacy in vivo. Our studies highlight the feasibility of AR targeting for degradation and off-target effects' importance in modulating drug activity in vivo.

摘要

异常的雄激素信号驱动前列腺癌,并且可以通过减少雄激素产生或阻碍雄激素-雄激素受体 (AR) 相互作用的药物来靶向治疗。临床耐药性源于 AR 过表达或配体非依赖性组成性激活,这表明完全消除 AR 可能是前列腺癌的一种新的治疗策略。IRC117539 是一种针对 AR 进行蛋白酶体降解的新型分子。IRC117539 的暴露会促进 AR 的 SUMO 化和泛素化,这让人联想到急性早幼粒细胞白血病中治疗诱导的 PML/RARA 降解。至关重要的是,在体外,IRC117539 介导的 AR 降解通过抑制 AR 信号通路诱导前列腺癌细胞活力丧失,即使在雄激素不敏感的细胞中也是如此。这种方法可能对去势抵抗性前列腺癌有益,这仍然是一个临床问题。在异种移植模型中,IRC117539 在阻碍生长方面与恩扎鲁胺一样有效,尽管其效率低于体外研究预期。出乎意料的是,IRC117539 也表现出较弱的蛋白酶体抑制剂活性,这可能解释了其在体内疗效不佳的原因。我们的研究强调了针对 AR 进行靶向降解的可行性,以及体内调节药物活性的脱靶效应的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/94c0/6703138/e078e76f6560/LSA-2018-00213_Fig1.jpg

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