Linking prostate cancer cell AR heterogeneity to distinct castration and enzalutamide responses.

Linking prostate cancer cell AR heterogeneity to distinct castration and enzalutamide responses.
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将前列腺癌细胞 AR 异质性与不同的去势和恩杂鲁胺反应联系起来。

DOI:
10.1038/s41467-018-06067-7
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发表时间:
2018-09-06
影响因子:
16.6
通讯作者:
Tang DG
Tang DG
中科院分区:
综合性期刊1区
文献类型:
--
作者:
Li Q;Deng Q;Chao HP;Liu X;Lu Y;Lin K;Liu B;Tang GW;Zhang D;Tracz A;Jeter C;Rycaj K;Calhoun-Davis T;Huang J;Rubin MA;Beltran H;Shen J;Chatta G;Puzanov I;Mohler JL;Wang J;Zhao R;Kirk J;Chen X;Tang DG

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雄激素受体(AR)在前列腺癌(PCa)中的表达具有异质性,但AR异质性的功能意义尚不清楚。筛选89例患者的抗去势PCa核心和整装切片,发现AR有3种表达模式:核型(nuc-AR)、核浆混合型(nuc/cyto-AR)和低表达/不表达(AR−/lo)。异种移植模型显示AR+CRPC对苯扎鲁胺敏感,而AR−/lo CRPC耐药。基因组编辑衍生的AR+和AR-基因敲除的LNCaP细胞克隆显示出不同的生物学和致瘤特性,以及对苯扎鲁胺的对比反应。核糖核酸序列和生化分析,再加上实验性的联合治疗,将bcl2确定为关键的治疗靶点,并为AR+/HI和AR−/lo CRPC提供概念验证治疗方案。我们的研究将AR表达的异质性与不同的去势/苯扎鲁胺反应联系起来,这对于理解前列腺癌对AR靶向治疗的细胞基础以及促进针对AR−/Lo PCa细胞/克隆的新疗法的开发具有重要意义。雄激素受体(AR)在前列腺癌中异质性表达的功能意义尚不清楚。在这里,作者表明AR表达的异质性与不同的去势/苯扎鲁胺反应相关,并确认bcl2是去势抵抗前列腺癌的潜在治疗靶点。
Expression of androgen receptor (AR) in prostate cancer (PCa) is heterogeneous but the functional significance of AR heterogeneity remains unclear. Screening ~200 castration-resistant PCa (CRPC) cores and whole-mount sections (from 89 patients) reveals 3 AR expression patterns: nuclear (nuc-AR), mixed nuclear/cytoplasmic (nuc/cyto-AR), and low/no expression (AR−/lo). Xenograft modeling demonstrates that AR+ CRPC is enzalutamide-sensitive but AR−/lo CRPC is resistant. Genome editing-derived AR+ and AR-knockout LNCaP cell clones exhibit distinct biological and tumorigenic properties and contrasting responses to enzalutamide. RNA-Seq and biochemical analyses, coupled with experimental combinatorial therapy, identify BCL-2 as a critical therapeutic target and provide proof-of-concept therapeutic regimens for both AR+/hi and AR−/lo CRPC. Our study links AR expression heterogeneity to distinct castration/enzalutamide responses and has important implications in understanding the cellular basis of prostate tumor responses to AR-targeting therapies and in facilitating development of novel therapeutics to target AR−/lo PCa cells/clones. The functional significance of the observed heterogeneity of androgen receptor (AR) expression in prostate cancer is unknown. Here the authors show AR expression heterogeneity is associated with distinct castration/enzalutamide responses and identify BCL-2 as a potential therapeutic target in castration-resistant prostate cancer.
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