Cai Qiliang, Chen Yegang, Zhang Dingnrong, Pan Jiancheng, Xie Zunke, Ma Shenze, Liu Chuanfeng, Zuo Jiquan, Zhou Xiaodong, Quan Changyi, Xin Zhongcheng, Niu Yuanjie
Department of Urology, the Second Hospital of Tianjin Medical University, Tianjin Institute of Urology, Tianjin 300211, China.
Department of Urology, ZiBo Central Hospital, ZiBo 255000, China.
Transl Androl Urol. 2020 Jun;9(3):1013-1027. doi: 10.21037/tau.2020.03.02.
Previous study has reported that loss of epithelial androgen receptor (AR) may promote tumor progression and cause TRAMP mouse model die earlier. The detail mechanisms, however, remain unclear.
Immunohistochemistry assay, Western blot and real-time PCR were used to detect the expression of epithelial and mesenchymal markers. RNA extraction, RT-PCR, quantitative RT-PCR, BrdU incorporation assays, flow cytometry and other experimental technics were also used in present work.
Decreased expression of epithelial markers (Cytokeratin 8, NKX3.1 and E-cadherin) and increased expression of mesenchymal markers (α-SMA, Vimentin, and N-cadherin) in were found in AR knockout TRAMP tumors. Further investigation indicated that AR signal deprivation is associated with cell morphology transition, high cell mobility, high cell invasion rate and resistance to anoikis in TRAMP prostate tumor cells. Together, these findings implied knockout AR in TRAMP prostate tumor may lead to EMT, which may result in earlier metastasis, and then cause TRAMP mice die earlier. TGF-β1 is responsible for EMT in AR knockout TRAMP tumor cells.
In conclusion, ADT therapy induced hormone refractory prostate cancer may gain the ability of metastasis through cell's EMT which is a phase of poor differentiation. Anti-EMT drugs should be developed to battle the tumor metastasis induced by ADT therapy.
先前的研究报道,上皮雄激素受体(AR)缺失可能促进肿瘤进展,并导致TRAMP小鼠模型过早死亡。然而,具体机制仍不清楚。
采用免疫组织化学分析、蛋白质免疫印迹法和实时荧光定量PCR检测上皮和间充质标志物的表达。本研究还使用了RNA提取、逆转录PCR、定量逆转录PCR、BrdU掺入试验、流式细胞术等实验技术。
在AR基因敲除的TRAMP肿瘤中,发现上皮标志物(细胞角蛋白8、NKX3.1和E-钙黏蛋白)表达降低,间充质标志物(α-平滑肌肌动蛋白、波形蛋白和N-钙黏蛋白)表达增加。进一步研究表明,AR信号缺失与TRAMP前列腺肿瘤细胞的细胞形态转变、高细胞迁移率、高细胞侵袭率和对失巢凋亡的抗性有关。这些发现共同表明,TRAMP前列腺肿瘤中的AR基因敲除可能导致上皮-间质转化(EMT),这可能导致早期转移,进而导致TRAMP小鼠过早死亡。转化生长因子-β1(TGF-β1)是AR基因敲除的TRAMP肿瘤细胞中EMT的原因。
总之,雄激素剥夺治疗诱导的激素难治性前列腺癌可能通过细胞的EMT获得转移能力,而EMT是一个低分化阶段。应开发抗EMT药物来对抗雄激素剥夺治疗诱导的肿瘤转移。