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Updated: Mar 28, 2026

Generation of Prostate Cancer Cell Models of Resistance to the Anti-mitotic Agent Docetaxel
Published on: September 8, 2017
Role of DNA Methylation in Cabazitaxel Resistance in Prostate Cancer
Kavitha Ramachandran1, Carl Speer2, Lubov Nathanson2
1Sylvester Cancer Center, University of Miami, Miami, FL, U.S.A.
Background/Aim:
Cabazitaxel is an approved second-line treatment for docetaxel-refractory metastatic castration-resistant prostate cancer. However, the median time to progression on cabazitaxel is 2.8 months. We aimed to determine whether DNA methylation plays a role in cabazitaxel resistance.
Materials And Methods:
DU145 cells, resistant to docetaxel and cabaxitaxel (DU145 10DRCR), were generated from cells resistant to 10 nM docetaxel (DU145 10DR). The effect of pre-treatment with 5-azacytidine was determined with regards to cabazitaxel sensitivity. Gene expression profiling was carried-out on DU145 10DR, DU145 10DRCR and DU145 10DRCR treated with 5-azacytidine.
Results:
Pre-treatment of cells with 5-azacytidine resulted in enhanced sensitivity to cabazitaxel. Gene expression profiling identified a subset of genes that may be regulated by DNA methylation.
Conclusion:
Our results indicate that DNA methylation of pro-apoptotic and cell-cycle regulatory genes may contribute to cabazitaxel resistance and pre-treatment with 5-azacytidine may restore sensitivity to cabazitaxel in prostate cancer cells.
Insights
DNA methylation may drive cabazitaxel resistance in prostate cancer. Pre-treating cells with 5-azacytidine restored sensitivity, suggesting a potential therapeutic strategy for metastatic castration-resistant prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Genetics
Background:
- Cabazitaxel is a second-line treatment for metastatic castration-resistant prostate cancer (mCRPC) after docetaxel failure.
- Median time to progression on cabazitaxel is limited (2.8 months), indicating acquired resistance.
- The role of DNA methylation in cabazitaxel resistance remains largely unexplored.
Purpose of the Study:
- To investigate the potential role of DNA methylation in the development of cabazitaxel resistance.
- To determine if modulating DNA methylation can overcome cabazitaxel resistance in prostate cancer cells.
Main Methods:
- Generation of docetaxel- and cabazitaxel-resistant prostate cancer cell lines (DU145 10DRCR).
- Assessment of cabazitaxel sensitivity following pre-treatment with the DNA methyltransferase inhibitor 5-azacytidine.
- Gene expression profiling of resistant cells with and without 5-azacytidine treatment.
Main Results:
- Pre-treatment with 5-azacytidine significantly enhanced sensitivity to cabazitaxel in resistant cells.
- Gene expression profiling identified specific genes potentially regulated by DNA methylation.
- These genes are implicated in pro-apoptotic and cell-cycle regulatory pathways.
Conclusions:
- DNA methylation of key genes likely contributes to cabazitaxel resistance in prostate cancer.
- Reversing DNA methylation with 5-azacytidine can restore sensitivity to cabazitaxel.
- This suggests a potential therapeutic approach for overcoming treatment resistance in mCRPC.
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