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Updated: May 8, 2026

Assessment of Global DNA Double-Strand End Resection using BrdU-DNA Labeling coupled with Cell Cycle Discrimination Imaging
Published on: April 28, 2021
Androgen receptor signaling regulates DNA repair in prostate cancers
William R Polkinghorn1, Joel S Parker, Man X Lee
11Human Oncology Pathogenesis Program, 2Developmental Biology Program, and 3Immunology Program; Departments of 4Radiation Oncology, 5Medicine, 6Surgery, and 7Pathology; 8Molecular Cytology Core Facility, Memorial Sloan-Kettering Cancer Center; 9Department of Genetics, Albert Einstein College of Medicine, New York, New York; 10Department of Genetics; and 11Lineberger Comprehensive Cancer Center, University of North Carolina, Chapel Hill, North Carolina.
Unlabelled:
We demonstrate that the androgen receptor (AR) regulates a transcriptional program of DNA repair genes that promotes prostate cancer radioresistance, providing a potential mechanism by which androgen deprivation therapy synergizes with ionizing radiation. Using a model of castration-resistant prostate cancer, we show that second-generation antiandrogen therapy results in downregulation of DNA repair genes. Next, we demonstrate that primary prostate cancers display a significant spectrum of AR transcriptional output, which correlates with expression of a set of DNA repair genes. Using RNA-seq and ChIP-seq, we define which of these DNA repair genes are both induced by androgen and represent direct AR targets. We establish that prostate cancer cells treated with ionizing radiation plus androgen demonstrate enhanced DNA repair and decreased DNA damage and furthermore that antiandrogen treatment causes increased DNA damage and decreased clonogenic survival. Finally, we demonstrate that antiandrogen treatment results in decreased classical nonhomologous end-joining.
Significance:
We demonstrate that the AR regulates a network of DNA repair genes, providing a potential mechanism by which androgen deprivation synergizes with radiotherapy for prostate cancer.
Insights
Androgen receptor (AR) controls DNA repair genes, impacting prostate cancer radioresistance. Androgen deprivation therapy may enhance radiotherapy by downregulating these AR-regulated DNA repair genes.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Prostate cancer treatment often involves androgen deprivation therapy (ADT) and radiotherapy.
- The role of the androgen receptor (AR) in regulating DNA repair and its impact on treatment resistance is not fully understood.
Purpose of the Study:
- To investigate the role of the AR in regulating DNA repair genes in prostate cancer.
- To elucidate the mechanism by which ADT might synergize with ionizing radiation.
Main Methods:
- Utilized a castration-resistant prostate cancer model.
- Employed RNA-sequencing (RNA-seq) and ChIP-sequencing (ChIP-seq).
- Assessed DNA repair capacity, DNA damage, and clonogenic survival following various treatments.
Main Results:
- AR regulates a transcriptional program of DNA repair genes that promotes prostate cancer radioresistance.
- Second-generation antiandrogen therapy downregulated DNA repair genes in a castration-resistant prostate cancer model.
- Prostate cancers exhibit AR transcriptional output correlating with DNA repair gene expression.
- Antiandrogen treatment led to increased DNA damage and decreased clonogenic survival.
- Antiandrogen treatment resulted in decreased classical nonhomologous end-joining.
Conclusions:
- The AR regulates a network of DNA repair genes.
- This provides a potential mechanism for the synergy between androgen deprivation and radiotherapy in prostate cancer treatment.
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