Bisphenol A facilitates bypass of androgen ablation therapy in prostate cancer

Yelena B Wetherill1, Janet K Hess-Wilson, Clay E S Comstock

  • 1Department of Cell and Cancer Biology, Vontz Center for Molecular Studies, University of Cincinnati College of Medicine, 3125 Eden Avenue, ML 0521, Cincinnati, OH 45267-0521, USA.

Insights

Bisphenol A (BPA), an endocrine disruptor, can reactivate androgen receptor (AR) in prostate cancer cells. This study shows BPA promotes tumor growth and PSA levels in AR-T877A mutant prostate cancer models.

Area of Science:

  • Oncology
  • Endocrinology
  • Environmental Health

Background:

  • Prostate cancer growth is androgen-dependent, targeted by androgen deprivation therapy (ADT).
  • Recurrent prostate cancers often show reactivated androgen receptor (AR) signaling despite ADT.
  • Mutations in AR ligand-binding domain can restore AR activity, potentially influenced by environmental factors like BPA.

Purpose of the Study:

  • To investigate the effect of Bisphenol A (BPA) on prostate cancer therapeutic response in a xenograft model with a BPA-responsive AR-T877A mutation.
  • To determine if BPA exposure influences tumor growth and androgen receptor activity under conditions of androgen deprivation.

Main Methods:

  • Utilized a xenograft model of prostate cancer harboring the endogenous AR-T877A mutant protein.
  • Administered BPA to animals under androgen deprivation therapy.
  • Monitored tumor proliferation rates, tumor growth, and prostate-specific antigen (PSA) levels.

Main Results:

  • BPA exposure significantly enhanced cellular proliferation rates and tumor growth in the xenograft model.
  • Prostate-specific antigen (PSA) levels increased with accelerated kinetics in BPA-exposed animals, indicating AR activity.
  • These effects occurred at BPA levels relevant to human exposure.

Conclusions:

  • Bisphenol A (BPA) can modulate tumor cell growth and accelerate biochemical recurrence in prostate cancers with the AR-T877A mutation.
  • Environmental exposure to BPA may pose a risk for patients with specific forms of recurrent prostate cancer.
  • Findings highlight the need to consider environmental endocrine disruptors in cancer therapy and recurrence.

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