Decreased tumorigenesis and mortality from bladder cancer in mice lacking urothelial androgen receptor

Jong-Wei Hsu1, Iawen Hsu, Defeng Xu

  • 1George H. Whipple Lab for Cancer Research, the Departments of Pathology, Urology, and Radiation Oncology, and the Wilmot Cancer Center, University of Rochester Medical Center, Rochester, NY 14642, USA.

Insights

Mice lacking the androgen receptor (AR) specifically in the urothelium show reduced bladder cancer (BCa) development. Targeting AR with ASC-J9 may offer a new strategy for BCa prevention.

Area of Science:

  • Urology
  • Oncology
  • Molecular Biology

Background:

  • The role of urothelial androgen receptor (Uro-AR) in bladder cancer (BCa) development is not fully understood.
  • Previous studies suggest a link between systemic androgen receptor (AR) and BCa incidence.

Purpose of the Study:

  • To investigate the specific role of Uro-AR in promoting BCa initiation and progression.
  • To explore potential therapeutic strategies targeting Uro-AR for BCa prevention.

Main Methods:

  • Generated urothelial AR-deficient (Uro-AR(-/y)) mice and wild-type (WT) littermates.
  • Induced BCa using the carcinogen N-butyl-N-(4-hydroxybutyl)-nitrosamine (BBN).
  • Utilized immunohistochemistry (IHC) and in vitro assays to assess BCa development, DNA damage, and signaling pathways (p53-PCNA).
  • Administered AR degradation enhancer ASC-J9 to evaluate its therapeutic potential.

Main Results:

  • Uro-AR(-/y) mice exhibited significantly lower BCa incidence and higher survival rates compared to WT mice.
  • In vitro studies confirmed that Uro-AR promotes neoplastic transformation of urothelial cells.
  • Uro-AR deficiency led to reduced DNA damage and altered p53-PCNA signaling.
  • ASC-J9 treatment suppressed BCa development in the BBN-induced mouse model with minimal adverse effects.

Conclusions:

  • Urothelial AR plays a crucial role in promoting bladder tumorigenesis and BCa progression.
  • Targeting AR with ASC-J9 presents a promising novel therapeutic approach for BCa prevention and treatment.