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A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
ErbB2 Signaling Increases Androgen Receptor Expression in Abiraterone-Resistant Prostate Cancer
Shuai Gao1, Huihui Ye2, Sean Gerrin2
1Center for Personalized Cancer Therapy, University of Massachusetts Boston, Boston, Massachusetts. Hematology-Oncology Division, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, Massachusetts.
Purpose:
ErbB2 signaling appears to be increased and may enhance androgen receptor (AR) activity in a subset of patients with castration-resistant prostate cancer (CRPC), but agents targeting ErbB2 have not been effective. This study was undertaken to assess ErbB2 activity in abiraterone-resistant prostate cancer and to determine whether it may contribute to AR signaling in these tumors.
Experimental Design:
AR activity and ErbB2 signaling were examined in the radical prostatectomy specimens from a neoadjuvant clinical trial of leuprolide plus abiraterone and in the specimens from abiraterone-resistant CRPC xenograft models. The effect of ErbB2 signaling on AR activity was determined in two CRPC cell lines. Moreover, the effect of combination treatment with abiraterone and an ErbB2 inhibitor was assessed in a CRPC xenograft model.
Results:
We found that ErbB2 signaling was elevated in residual tumor following abiraterone treatment in a subset of patients and was associated with higher nuclear AR expression. In xenograft models, we similarly demonstrated that ErbB2 signaling was increased and associated with AR reactivation in abiraterone-resistant tumors. Mechanistically, we show that ErbB2 signaling and subsequent activation of the PI3K/AKT signaling stabilizes AR protein. Furthermore, concomitantly treating CRPC cells with abiraterone and an ErbB2 inhibitor, lapatinib, blocked AR reactivation and suppressed tumor progression.
Conclusions:
ErbB2 signaling is elevated in a subset of patients with abiraterone-resistant prostate cancer and stabilizes AR protein. Combination therapy with abiraterone and ErbB2 antagonists may be effective for treating the subset of CRPC with elevated ErbB2 activity. Clin Cancer Res; 22(14); 3672-82. ©2016 AACR.
Insights
Elevated ErbB2 signaling in castration-resistant prostate cancer (CRPC) reactivates androgen receptor (AR) signaling. Combination therapy targeting both ErbB2 and AR may improve treatment outcomes for patients with abiraterone-resistant CRPC.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Castration-resistant prostate cancer (CRPC) remains a significant clinical challenge.
- Androgen receptor (AR) signaling is a key driver in prostate cancer progression.
- ErbB2 signaling is implicated in some CRPC cases, but its role in abiraterone resistance is not fully understood.
Purpose of the Study:
- To investigate the role of ErbB2 signaling in abiraterone-resistant prostate cancer.
- To determine if ErbB2 signaling contributes to AR activity in these resistant tumors.
- To evaluate the efficacy of combination therapy targeting ErbB2 and AR.
Main Methods:
- Analysis of ErbB2 signaling and AR activity in patient samples from a neoadjuvant clinical trial.
- Examination of abiraterone-resistant CRPC xenograft models.
- In vitro studies using CRPC cell lines to assess the effect of ErbB2 on AR activity.
- In vivo assessment of combination therapy with abiraterone and an ErbB2 inhibitor (lapatinib).
Main Results:
- ErbB2 signaling was elevated in residual tumors after abiraterone treatment and correlated with increased nuclear AR expression.
- ErbB2 signaling and AR reactivation were observed in abiraterone-resistant xenograft models.
- ErbB2 signaling, via PI3K/AKT pathway activation, was found to stabilize AR protein.
- Combination treatment with abiraterone and lapatinib inhibited AR reactivation and suppressed tumor progression in CRPC models.
Conclusions:
- Elevated ErbB2 signaling is a feature of a subset of abiraterone-resistant prostate cancers.
- ErbB2 signaling contributes to AR protein stabilization in these tumors.
- Combination therapy with abiraterone and ErbB2 inhibitors presents a potential therapeutic strategy for a specific CRPC patient group.
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