Sintokamide A Is a Novel Antagonist of Androgen Receptor That Uniquely Binds Activation Function-1 in Its

Carmen A Banuelos1, Iran Tavakoli1, Amy H Tien1

  • 1From the Department of Genome Sciences Centre, British Columbia Cancer Agency, 675 West 10th Avenue, Vancouver, British Columbia V5Z 1L3, Canada.

Insights

Sintokamide A (SINT1) inhibits the androgen receptor (AR) N-terminal domain (NTD) activation function-1 (AF-1), blocking prostate cancer cell growth and CRPC xenografts. This novel AR AF-1 inhibitor offers a potential new drug scaffold.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Androgen receptor (AR) is a key target in prostate cancer, but therapies targeting its ligand-binding domain eventually fail due to resistance.
  • Resistance mechanisms include constitutively active AR splice variants lacking the ligand-binding domain.
  • The AR N-terminal domain (NTD), specifically activation function-1 (AF-1), is crucial for AR transcriptional activity and a potential target for overcoming resistance.

Purpose of the Study:

  • To investigate sintokamide A (SINT1) as a novel inhibitor targeting the AR AF-1 region.
  • To evaluate SINT1's efficacy against both full-length AR and AR splice variants in prostate cancer models.
  • To explore SINT1's potential as a therapeutic scaffold for prostate cancer treatment.

Main Methods:

  • Biochemical assays to confirm SINT1 binding to the AR AF-1 region.
  • Cell-based assays measuring AR transcriptional activity of full-length AR and splice variants.
  • In vitro studies assessing the effect of SINT1 on enzalutamide-resistant prostate cancer cell growth.
  • In vivo studies using CRPC xenografts to evaluate SINT1's anti-tumor efficacy and impact on prostate-specific antigen (PSA) expression.
  • Comparative studies of SINT1 and EPI-002, another AR AF-1 inhibitor, to assess binding site and mechanism.

Main Results:

  • Sintokamide A (SINT1) specifically binds to the AR AF-1 region, inhibiting AR NTD transactivation.
  • SINT1 attenuated the transcriptional activity of both full-length AR and AR splice variants.
  • SINT1 inhibited the growth of enzalutamide-resistant prostate cancer cells expressing AR splice variants and caused regression of CRPC xenografts in vivo.
  • SINT1 demonstrated additive effects with EPI-002, suggesting a unique binding site on AF-1, and showed differential effects on AR-STAT3 interaction.

Conclusions:

  • The intrinsically disordered AR NTD is druggable, with SINT1 representing a novel inhibitor targeting AR AF-1.
  • SINT1 effectively inhibits AR activity, including resistance mechanisms mediated by splice variants.
  • SINT1 analogs hold promise as a new class of drugs for treating prostate cancer and other AR-axis-related diseases.

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