Pomegranate extracts impact the androgen biosynthesis pathways in prostate cancer models in vitro and in vivo

Dong-Sheng Ming1, Steven Pham1, Subrata Deb1

  • 1Vancouver Prostate Centre, Department of Urologic Sciences, University of British Columbia, Vancouver, BC, Canada.

Insights

Pomegranate extracts (POM) reduce key androgen production in prostate cancer cells and mouse models. This suggests POM may be a viable therapeutic strategy for castration-resistant prostate cancer (CRPC) by inhibiting androgen receptor signaling.

Area of Science:

  • Oncology
  • Endocrinology
  • Biochemistry

Background:

  • Castration-resistant prostate cancer (CRPC) progression is driven by androgen receptor (AR) signaling, fueled by residual androgens like testosterone and dihydrotestosterone (DHT).
  • Androgen biosynthesis occurs via multiple pathways, and these androgens remain critical for AR activation and disease advancement in CRPC.

Purpose of the Study:

  • To investigate the efficacy of pomegranate extracts (POM) in inhibiting androgen biosynthesis pathways.
  • To evaluate the impact of POM on prostate cancer cell lines and a preclinical prostate cancer mouse model.

Main Methods:

  • In vitro studies utilized PCa cell lines (22RV1 and LNCaP) treated with POM.
  • Steroid analysis was performed using UPLC/MS/MS after ethyl acetate or solid phase extraction.
  • In vivo efficacy was assessed in a PTEN knockout mouse model treated with POM in drinking water.
  • Western blotting and tPSA analysis were used to measure protein and PSA levels.

Main Results:

  • POM treatment significantly reduced the production of testosterone, DHT, DHEA, androstenedione, androsterone, and pregnenolone in both cell lines.
  • In vivo studies confirmed a reduction in serum steroids after 20 weeks of POM administration.
  • POM treatment led to a significant decrease in prostate-specific antigen (PSA) levels.
  • AKR1C3 and AR levels increased in response to POM, suggesting a potential negative feedback mechanism.

Conclusions:

  • Pomegranate extracts effectively inhibit androgen biosynthesis and reduce PSA levels in preclinical models of prostate cancer.
  • The findings provide mechanistic support for the clinical observation of POM efficacy in CRPC patients.
  • POM represents a potential therapeutic agent targeting AR signaling in CRPC.