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Updated: May 15, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Opposing effects of androgen deprivation and targeted therapy on prostate cancer prevention
Shidong Jia1, Xueliang Gao, Sang Hyun Lee
1Department of Cancer Biology, Dana-Farber Cancer Institute, Boston, Massachusetts, USA.
Unlabelled:
Prostate cancer is an ideal target for chemoprevention. To date, chemoprevention clinical trials with 5α-reductase inhibitors have yielded encouraging yet ultimately confounding results. Using a preclinical mouse model of high-grade prostatic intraepithelial neoplasia (HG-PIN) induced by PTEN loss, we observed unprecedented deteriorating effects of androgen deprivation, in which surgical castration or MDV3100 treatment accelerated disease progression of the otherwise stable HG-PIN to invasive castration-resistant prostate cancer (CRPC). As an alternative, targeting the phosphoinositide 3-kinase (PI3K) signaling pathway via either genetic ablation of genes encoding PI3K components or pharmacologic inhibition of the PI3K pathway reversed the PTEN loss-induced HG-PIN phenotype. Finally, concurrent inhibition of the PI3K and mitogen-activated protein kinase (MAPK) pathways was effective in blocking the growth of PTEN-null CRPC. Together, these data have revealed the potential adverse effects of antiandrogen chemoprevention in certain genetic contexts (such as PTEN loss) while showing the promise of targeted therapy in the clinical management of this complex and prevalent disease.
Significance:
Chemoprevention with antiandrogen therapies is attractive for prostate cancer, given its prevalence and established hormonally mediated pathogenesis. However, because PTEN loss has been found in 9% to 45% of HG-PIN in the clinic, the current findings suggest that patients with PTEN-deficient prostate tumors might be better treated with PI3K-targeted therapies.
Insights
Androgen deprivation therapy may worsen prostate cancer in PTEN-deficient tumors. Targeting PI3K and MAPK pathways shows promise for treating castration-resistant prostate cancer (CRPC) in these cases.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Prostate cancer chemoprevention is desirable but faces challenges.
- 5α-reductase inhibitors have shown mixed results in clinical trials.
- PTEN loss is a common genetic alteration in high-grade prostatic intraepithelial neoplasia (HG-PIN).
Purpose of the Study:
- To investigate the effects of androgen deprivation on PTEN-deficient prostate cancer.
- To explore alternative therapeutic strategies targeting signaling pathways.
- To evaluate the efficacy of PI3K and MAPK pathway inhibition in CRPC.
Main Methods:
- Utilized a preclinical mouse model of PTEN-loss-induced HG-PIN.
- Administered surgical castration and MDV3100 (antiandrogen therapy).
- Investigated genetic and pharmacologic inhibition of the PI3K pathway.
- Assessed concurrent PI3K and MAPK pathway inhibition.
Main Results:
- Androgen deprivation accelerated HG-PIN progression to castration-resistant prostate cancer (CRPC) in PTEN-null mice.
- PI3K pathway inhibition reversed the HG-PIN phenotype.
- Combined PI3K and MAPK inhibition blocked the growth of PTEN-null CRPC.
Conclusions:
- Antiandrogen chemoprevention may have adverse effects in PTEN-deficient prostate cancer.
- PI3K-targeted therapies are a promising alternative for patients with PTEN-deficient tumors.
- Targeted inhibition of PI3K and MAPK pathways offers a potential treatment strategy for CRPC.
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