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Generation of Prostate Cancer Cell Models of Resistance to the Anti-mitotic Agent Docetaxel
Published on: September 8, 2017
Antiandrogens Inhibit ABCB1 Efflux and ATPase Activity and Reverse Docetaxel Resistance in Advanced Prostate Cancer
Yezi Zhu1, Chengfei Liu2, Cameron Armstrong2
1Department of Urology, University of California at Davis, Sacramento, California. Graduate Program in Pharmacology and Toxicology, University of California at Davis, Sacramento, California.
Purpose:
Previous studies show that inhibition of ABCB1 expression overcomes acquired docetaxel resistance in C4-2B-TaxR cells. In this study, we examined whether antiandrogens, such as bicalutamide and enzalutamide, could inhibit ABCB1 activity and overcome resistance to docetaxel.
Experimental Design:
ABCB1 efflux activity was determined using a rhodamine efflux assay. ABCB1 ATPase activity was determined by Pgp-Glo assay systems. The effects of the antiandrogens bicalutamide and enzalutamide on docetaxel sensitivity were determined by cell growth assays and tumor growth in vivo.
Results:
We found that bicalutamide and enzalutamide inhibit ABCB1 ATP-binding cassette transporter activity through blocking ABCB1 efflux activity. Bicalutamide inhibited ABCB1 efflux activity by 40%, whereas enzalutamide inhibited ABCB1 efflux activity by approximately 60%. Both bicalutamide and enzalutamide inhibit ABCB1 ATPase activity. In addition, bicalutamide and enzalutamide inhibit ABCB1 efflux activity and desensitize docetaxel-resistant and androgen receptor (AR)-negative DU145 cells. Combination of bicalutamide with docetaxel had a significant antitumor effect in both AR-positive and AR-negative docetaxel-resistant xenograft models, suggesting that bicalutamide desensitizes docetaxel-resistant cells to docetaxel treatment independent of AR status.
Conclusions:
We identified a novel mechanism of action for antiandrogens such as bicalutamide and enzalutamide as inhibitors of ABCB1 efflux and ATPase activity. Bicalutamide and enzalutamide desensitize docetaxel-resistant prostate cancer cells to docetaxel treatment independent of AR status. These studies may lead to the development of combinational therapies with bicalutamide/enzalutamide and docetaxel as effective regimens to treat advanced prostate cancer independent of AR status, and possibly other types of cancer.
Insights
Antiandrogens bicalutamide and enzalutamide inhibit ABCB1 transporter activity, overcoming docetaxel resistance in prostate cancer cells. This finding supports new combination therapies for advanced prostate cancer, regardless of androgen receptor status.
Area of Science:
- Oncology
- Pharmacology
- Molecular Biology
Background:
- Acquired resistance to docetaxel is a major challenge in advanced prostate cancer treatment.
- ABCB1 (P-glycoprotein) is a key efflux pump contributing to multidrug resistance.
- Inhibiting ABCB1 is a strategy to overcome docetaxel resistance.
Purpose of the Study:
- To investigate if antiandrogens bicalutamide and enzalutamide can inhibit ABCB1 activity.
- To determine if these antiandrogens can overcome docetaxel resistance in prostate cancer cells.
- To explore the potential for combination therapy with docetaxel.
Main Methods:
- Assessed ABCB1 efflux activity using rhodamine efflux assays.
- Measured ABCB1 ATPase activity with Pgp-Glo assay systems.
- Evaluated antiandrogen effects on docetaxel sensitivity via cell growth and in vivo tumor growth assays.
Main Results:
- Bicalutamide and enzalutamide inhibited ABCB1 efflux activity (40% and 60%, respectively) and ATPase activity.
- These antiandrogens desensitized docetaxel-resistant, androgen receptor (AR)-negative DU145 cells.
- Combination therapy with bicalutamide and docetaxel showed significant antitumor effects in both AR-positive and AR-negative xenografts.
Conclusions:
- Bicalutamide and enzalutamide act as novel inhibitors of ABCB1 efflux and ATPase activity.
- These antiandrogens resensitize docetaxel-resistant prostate cancer cells to docetaxel, independent of AR status.
- Combination therapies with bicalutamide/enzalutamide and docetaxel show promise for treating advanced prostate cancer, irrespective of AR status.
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