Exisulind and related compounds inhibit expression and function of the androgen receptor in human prostate cancer

Jin T E Lim1, Gary A Piazza, Rifat Pamukcu

  • 1Herbert Irving Comprehensive Cancer Center, Columbia University College of Physicians and Surgeons, New York, New York 10021, USA.

Insights

Sulindac sulfide and related compounds inhibit prostate cancer cell growth by targeting the androgen receptor (AR) signaling pathway. This mechanism reduces prostate-specific antigen (PSA) levels, offering a novel therapeutic approach.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Prostate cancer cell lines exhibit growth inhibition and apoptosis when treated with sulindac sulfide (SS), exisulind, CP248, and CP461.
  • These effects are independent of cyclooxygenase expression, p53 mutations, or bcl-2 overexpression.
  • Exisulind demonstrated efficacy in inhibiting the growth of androgen-dependent LNCaP human prostate cancer xenografts in nude mice.

Purpose of the Study:

  • To investigate the impact of SS, exisulind, CP248, and CP461 on prostate-specific antigen (PSA) secretion and cellular levels.
  • To elucidate the role of the androgen receptor (AR) signaling pathway in mediating the effects of these compounds.
  • To compare the efficacy of SS and exisulind against CP248 and CP461 in inhibiting AR signaling and PSA expression.

Main Methods:

  • Treatment of human prostate cancer cell lines and LNCaP xenografts with SS, exisulind, CP248, and CP461.
  • Measurement of PSA secretion and cellular levels.
  • Assessment of AR protein and mRNA levels.
  • Transient transfection assays to evaluate AR promoter activity using a luciferase reporter.

Main Results:

  • Compounds induced decreased PSA secretion and cellular PSA levels in LNCaP cells.
  • Treated cells showed reduced AR protein and mRNA levels, indicating AR signaling pathway inhibition.
  • SS and exisulind were more potent in inhibiting PSA and AR expression compared to CP248 and CP461.
  • Differential effects on transcription factors may explain the varying efficacy of the compounds.

Conclusions:

  • Growth inhibition and apoptosis in prostate cancer cells by these compounds are partly mediated by AR signaling pathway inhibition.
  • These compounds represent a potential novel strategy for prostate cancer prevention and treatment.
  • Targeting AR signaling offers a promising avenue for therapeutic intervention in prostate cancer.

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