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Updated: Jul 5, 2026

Prostate Organoid Cultures as Tools to Translate Genotypes and Mutational Profiles to Pharmacological Responses
Published on: October 24, 2019
AKT regulates androgen receptor-dependent growth and PSA expression in prostate cancer
Margarita Mikhailova1, Yu Wang, Roble Bedolla
1Research Services, VA Northern California HCS, Mather, CA, USA.
Abstract:
Recurrent prostate cancer (PC) is usually treated with androgen deprivation therapy, which, despite initial success, eventually fails due to the development of androgen-independent PC. Androgen deprivation stimulates a significant increase in the phosphorylation (activation) of Akt, a serine/threonine kinase, which regulates cell growth and survival. Hence, we asked whether the increase in Akt phosphorylation contributes to the development of androgen independence. Akt regulates transcriptional activity of the androgen receptor (AR), and our data show that Akt-stimulated AR transcriptional activity is dependent on androgen-binding to the AR. PC proliferation has both androgen-sensitive and insensitive components. The androgen sensitive component is Akt-dependent, while the androgen-insensitive is not. However, Akt-induced cell survival is largely AR independent, suggesting that the cell stimulates Akt phosphorylation when subjected to androgen deprivation as an alternate pathway to maintain survival.
Insights
Androgen deprivation therapy failure in recurrent prostate cancer (PC) may involve increased Akt activation. Akt promotes cell survival independently of the androgen receptor (AR), suggesting an alternative pathway for PC to resist treatment.
Area of Science:
- Oncology
- Molecular Biology
- Cellular Signaling
Background:
- Recurrent prostate cancer (PC) is often treated with androgen deprivation therapy (ADT).
- ADT initially succeeds but frequently fails due to the emergence of androgen-independent PC.
- Akt signaling, a key regulator of cell growth and survival, is activated by ADT.
Purpose of the Study:
- To investigate if increased Akt phosphorylation contributes to the development of androgen independence in PC.
- To elucidate the role of Akt in regulating androgen receptor (AR) transcriptional activity.
- To differentiate the roles of Akt in androgen-sensitive versus androgen-insensitive PC proliferation and survival.
Main Methods:
- Analysis of Akt phosphorylation levels under androgen deprivation.
- Assessment of Akt's influence on androgen receptor (AR) transcriptional activity.
- Evaluation of Akt's role in prostate cancer cell proliferation and survival under varying androgen conditions.
Main Results:
- Androgen deprivation significantly increases Akt phosphorylation (activation).
- Akt-stimulated AR transcriptional activity requires androgen binding.
- While the androgen-sensitive proliferation is Akt-dependent, the androgen-insensitive component is not.
- Akt-induced cell survival is largely independent of the AR.
Conclusions:
- Increased Akt phosphorylation is implicated in the development of androgen independence in prostate cancer.
- Prostate cancer cells may utilize Akt activation as an alternative survival pathway during androgen deprivation.
- Targeting Akt signaling could be a potential strategy to overcome ADT resistance in recurrent PC.
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