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Updated: Apr 19, 2026

A New Technique for Treating Low-risk Prostate Cancer—Super Active Surveillance
Published on: November 7, 2025
[Novel treatment for prostate cancer targeting prostaglandins]
Abstract:
PGE2 is highly expressed in the prostate, associating with prostate cancer progression. Targeting downstream signaling pathways of PGE2 may represent an attractive new strategy for the treatment of prostate cancer. We have established a novel prostate cancer xenograft model, KUCaP-2. The expression of EP4, one of PGE2 receptors, was significantly up-regulated during the development of castration resistance. A specific EP4 antagonist, ONO-AE3-208, decelerated castration-resistant growth of KUCaP-2 tumors in vivo. Moreover, ONO-AE3-208 could in vitro inhibit the cell invasion and in vivo suppress the bone metastasis of prostate cancer cells. These results indicated that EP4 is a novel target for the treatment of metastatic castration resistant prostate cancer.
Insights
Prostaglandin E2 (PGE2) signaling promotes prostate cancer. Targeting the EP4 receptor with ONO-AE3-208 effectively inhibited tumor growth and metastasis in a novel prostate cancer model.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Context:
- Prostaglandin E2 (PGE2) is implicated in prostate cancer progression.
- Castration-resistant prostate cancer (CRPC) remains a significant clinical challenge.
- The role of PGE2 receptors in CRPC development requires further elucidation.
Purpose:
- To investigate the role of the PGE2 receptor EP4 in prostate cancer.
- To evaluate the therapeutic potential of an EP4 antagonist in a novel prostate cancer xenograft model.
Summary:
- Established the KUCaP-2 xenograft model for prostate cancer research.
- Observed significant upregulation of EP4 expression during castration resistance development.
- Demonstrated that the EP4 antagonist ONO-AE3-208 inhibited KUCaP-2 tumor growth in vivo.
- Showed ONO-AE3-208 suppressed prostate cancer cell invasion in vitro and bone metastasis in vivo.
Impact:
- Identifies EP4 as a potential therapeutic target for metastatic castration-resistant prostate cancer.
- Provides preclinical evidence for the efficacy of EP4 antagonism in CRPC.
- Highlights the utility of the KUCaP-2 model for studying CRPC and evaluating novel therapies.
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