Recent progress in the development of protein-protein interaction inhibitors targeting androgen receptor-coactivator
1Faculty of Pharmacy and Centre de recherche en endocrinologie moléculaire et oncologique et génomique humaine, Université Laval, Canada; Laboratory of Medicinal Chemistry, CHU de Québec Research Centre, G1 V 4G2, Québec, QC, Canada.
Abstract:
The androgen receptor (AR) is a key regulator for the growth, differentiation and survival of prostate cancer cells. Identified as a primary target for the treatment of prostate cancer, many therapeutic strategies have been developed to attenuate AR signaling in prostate cancer cells. While frontline androgen-deprivation therapies targeting either the production or action of androgens usually yield favorable responses in prostate cancer patients, a significant number acquire treatment resistance. Known as the castration-resistant prostate cancer (CRPC), the treatment options are limited for this advanced stage. It has been shown that AR signaling is restored in CRPC due to many aberrant mechanisms such as AR mutations, amplification or expression of constitutively active splice-variants. Coregulator recruitment is a crucial regulatory step in AR signaling and the direct blockade of coactivator binding to AR offers the opportunity to develop therapeutic agents that would remain effective in prostate cancer cells resistant to conventional endocrine therapies. Structural analyses of the AR have identified key surfaces involved in protein-protein interaction with coregulators that have been recently used to design and develop promising AR-coactivator binding inhibitors. In this review we will discuss the design and development of small-molecule inhibitors targeting the AR-coactivator interactions for the treatment of prostate cancer.
Insights
Targeting androgen receptor (AR) coactivator interactions offers a new strategy for treating castration-resistant prostate cancer (CRPC). Small-molecule inhibitors are being developed to block these interactions, overcoming resistance to current therapies.
Area of Science:
- Molecular Biology
- Oncology
- Drug Discovery
Background:
- The androgen receptor (AR) is crucial for prostate cancer cell growth and survival.
- Current androgen-deprivation therapies are effective but often lead to treatment resistance, resulting in castration-resistant prostate cancer (CRPC).
- AR signaling is reactivated in CRPC through various mechanisms, including mutations and splice variants.
Purpose of the Study:
- To review the design and development of small-molecule inhibitors targeting AR-coactivator interactions.
- To explore therapeutic strategies effective against AR signaling in treatment-resistant prostate cancer.
Main Methods:
- Review of structural analyses of the AR to identify protein-protein interaction surfaces.
- Discussion of the design principles for small-molecule inhibitors targeting AR-coactivator binding.
- Analysis of therapeutic potential for AR-coactivator binding inhibitors in prostate cancer treatment.
Main Results:
- Structural insights have enabled the development of promising inhibitors that block AR-coactivator interactions.
- Targeting coactivator recruitment presents a viable strategy to overcome resistance to conventional endocrine therapies.
Conclusions:
- Small-molecule inhibitors targeting AR-coactivator interactions represent a promising therapeutic avenue for advanced prostate cancer.
- This approach offers a potential solution for patients with castration-resistant prostate cancer who have exhausted current treatment options.
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