A mechanism for androgen receptor-mediated prostate cancer recurrence after androgen deprivation therapy

C W Gregory1, B He, R T Johnson

  • 1Laboratory for Reproductive Biology, Department of Pediatrics, Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, NC 27599, USA.

Cancer Research
|June 5, 2001
PubMed

Insights

Recurrent prostate cancers often rely on the androgen receptor (AR) for growth. Overexpressed coactivators enhance AR activity, driving tumor recurrence after androgen deprivation therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Endocrinology

Background:

  • Prostate cancer growth is driven by the androgen receptor (AR) and its ligand, dihydrotestosterone.
  • Androgen deprivation therapy (ADT) initially shrinks tumors but often leads to recurrence.
  • The role of AR in mediating recurrent prostate cancer growth remains a critical question.

Purpose of the Study:

  • To investigate the role of the androgen receptor (AR) in recurrent prostate cancer.
  • To identify molecular mechanisms driving tumor regrowth after ADT.

Main Methods:

  • Analysis of androgen receptor (AR) and coactivator expression in recurrent prostate cancers.
  • Assessing the impact of coactivator overexpression on AR transactivation.
  • Investigating the molecular basis of AR activation by coactivators.

Main Results:

  • A majority of recurrent prostate cancers exhibit high levels of AR.
  • High expression of coactivators, transcriptional intermediary factor 2 (TIF2) and steroid receptor coactivator 1 (SRC1), was observed in recurrent tumors.
  • Coactivator overexpression potentiates AR transactivation at physiological adrenal androgen levels.

Conclusions:

  • The androgen receptor (AR) and specific coactivators play a significant role in recurrent prostate cancer.
  • Overexpression of TIF2 and SRC1 provides a molecular mechanism for AR reactivation in recurrent prostate cancer.
  • These findings suggest a general mechanism for prostate cancer recurrence after ADT.

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