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Updated: Mar 3, 2026

Generation of Prostate Cancer Cell Models of Resistance to the Anti-mitotic Agent Docetaxel
Published on: September 8, 2017
Targeting AXL overcomes resistance to docetaxel therapy in advanced prostate cancer
Jian-Zhong Lin1, Zeng-Jun Wang2, Wei De3
1Department of Urology, BenQ Medical Center, Nanjing Medical University, Nanjing, China.
Abstract:
Resistance to docetaxel is a major clinical problem in advanced prostate cancer. The overexpression of AXL receptor tyrosine kinase (AXL) has been correlated with chemotherapeutic drug resistance. However, the role of AXL expression in docetaxel resistance in prostate cancer is yet unclear. In this study, we demonstrate that AXL is overexpressed and activated independent of Gas6 in docetaxel-resistant prostate cancer cells (PC3-DR and DU145-DR). Moreover, we show that forced overexpression of AXL in PC3 and DU145 cells is sufficient to induce resistance to docetaxel in these cell lines. Notably, genetic or pharmacologic inhibition of AXL in the resistant models suppressed cell proliferation, migration, invasion, and tumor growth, and these effects were significantly augmented when AXL inhibition was combined with docetaxel treatment. Mechanistically, we found that AXL inhibition led to reversion of the epithelial-mesenchymal transition (EMT) phenotype and decreased the expression of ATP-binding cassette B1 (ABCB1). Overall, our results identify AXL as an important mediator of docetaxel resistance in prostate cancer. We propose that AXL-targeted therapy, in combination with docetaxel, has the potential to improve the response to docetaxel therapy and reduce resistance induced by prolonged docetaxel therapy in prostate cancer.
Insights
AXL receptor tyrosine kinase (AXL) overexpression drives docetaxel resistance in prostate cancer. Inhibiting AXL with docetaxel may improve treatment response and overcome resistance in advanced prostate cancer patients.
Area of Science:
- Oncology
- Molecular Biology
- Biochemistry
Background:
- Docetaxel resistance is a significant challenge in advanced prostate cancer treatment.
- AXL receptor tyrosine kinase (AXL) overexpression is linked to chemotherapy resistance, but its specific role in docetaxel resistance in prostate cancer remains unclear.
Purpose of the Study:
- To investigate the role of AXL in docetaxel resistance in prostate cancer.
- To evaluate the therapeutic potential of AXL inhibition in combination with docetaxel.
Main Methods:
- Utilized docetaxel-resistant prostate cancer cell lines (PC3-DR, DU145-DR) and parental cell lines (PC3, DU145).
- Assessed AXL expression and activation, and the effects of AXL inhibition (genetic/pharmacologic) on cell proliferation, migration, invasion, and tumor growth.
- Investigated the impact of AXL inhibition on epithelial-mesenchymal transition (EMT) and ATP-binding cassette B1 (ABCB1) expression.
Main Results:
- AXL was overexpressed and activated in docetaxel-resistant prostate cancer cells, independent of Gas6.
- Forced AXL overexpression induced docetaxel resistance in sensitive cell lines.
- AXL inhibition suppressed proliferation, migration, invasion, and tumor growth, with synergistic effects when combined with docetaxel.
- AXL inhibition reversed EMT phenotype and decreased ABCB1 expression.
Conclusions:
- AXL is a key mediator of docetaxel resistance in prostate cancer.
- Targeting AXL in combination with docetaxel offers a promising strategy to enhance treatment efficacy and overcome resistance in advanced prostate cancer.
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