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雄激素受体核定位在去势抵抗性前列腺癌中的调控和靶向作用。

Regulation and targeting of androgen receptor nuclear localization in castration-resistant prostate cancer.

机构信息

Department of Urology, Nanfang Hospital, Southern Medical University, and.

National Key Discipline of Human Anatomy, School of Basic Medical Sciences, Southern Medical University, Guangzhou, Guangdong, China.

出版信息

J Clin Invest. 2021 Feb 15;131(4). doi: 10.1172/JCI141335.

Abstract

Nuclear localization of the androgen receptor (AR) is necessary for its activation as a transcription factor. Defining the mechanisms regulating AR nuclear localization in androgen-sensitive cells and how these mechanisms are dysregulated in castration-resistant prostate cancer (CRPC) cells is fundamentally important and clinically relevant. According to the classical model of AR intracellular trafficking, androgens induce AR nuclear import and androgen withdrawal causes AR nuclear export. The present study has led to an updated model that AR could be imported in the absence of androgens, ubiquitinated, and degraded in the nucleus. Androgen withdrawal caused nuclear AR degradation, but not export. In comparison with their parental androgen-sensitive LNCaP prostate cancer cells, castration-resistant C4-2 cells exhibited reduced nuclear AR polyubiquitination and increased nuclear AR level. We previously identified 3-(4-chlorophenyl)-6,7-dihydro-5H-pyrrolo[1,2-a]imidazole (CPPI) in a high-throughput screen for its inhibition of androgen-independent AR nuclear localization in CRPC cells. The current study shows that CPPI is a competitive AR antagonist capable of enhancing AR interaction with its E3 ligase MDM2 and degradation of AR in the nuclei of CRPC cells. Also, CPPI blocked androgen-independent AR nuclear import. Overall, these findings suggest the feasibility of targeting androgen-independent AR nuclear import and stabilization, two necessary steps leading to AR nuclear localization and activation in CRPC cells, with small molecule inhibitors.

摘要

雄激素受体 (AR) 的核定位对于其作为转录因子的激活是必要的。定义调节雄激素敏感细胞中 AR 核定位的机制,以及这些机制在去势抵抗性前列腺癌 (CRPC) 细胞中如何失调,具有根本的重要性和临床相关性。根据 AR 细胞内转运的经典模型,雄激素诱导 AR 核输入,雄激素剥夺导致 AR 核输出。本研究提出了一个更新的模型,即 AR 可以在没有雄激素的情况下被输入,然后被泛素化并在核内降解。雄激素剥夺导致核 AR 降解,但不导致核输出。与亲本雄激素敏感的 LNCaP 前列腺癌细胞相比,去势抵抗的 C4-2 细胞表现出核 AR 多泛素化减少和核 AR 水平增加。我们之前在高通量筛选中发现了 3-(4-氯苯基)-6,7-二氢-5H-吡咯并[1,2-a]咪唑 (CPPI),其可抑制 CRPC 细胞中雄激素非依赖性 AR 核定位。本研究表明,CPPI 是一种竞争性 AR 拮抗剂,能够增强 AR 与其 E3 连接酶 MDM2 的相互作用,并在 CRPC 细胞的核内降解 AR。此外,CPPI 阻断了雄激素非依赖性 AR 核输入。总之,这些发现表明,用小分子抑制剂靶向雄激素非依赖性 AR 核输入和稳定,这是导致 CRPC 细胞中 AR 核定位和激活的两个必要步骤,是可行的。

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