Constitutively active androgen receptor splice variants AR-V3, AR-V7 and AR-V9 are co-expressed in castration-resistant prostate cancer metastases
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Updated: Feb 8, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Heini M L Kallio1, Reija Hieta2, Leena Latonen2
1Prostate Cancer Research Center, Faculty of Medicine and Life Sciences and BioMediTech Institute, University of Tampere, Tampere, Finland. heini.kallio@uta.fi.
Background:
A significant subset of prostate cancer (PC) patients with a castration-resistant form of the disease (CRPC) show primary resistance to androgen receptor (AR)-targeting drugs developed against CRPC. As one explanation could be the expression of constitutively active androgen receptor splice variants (AR-Vs), our current objectives were to study AR-Vs and other AR aberrations to better understand the emergence of CRPC.
Methods:
We analysed specimens from different stages of prostate cancer by next-generation sequencing and immunohistochemistry.
Results:
AR mutations and copy number variations were detected only in CRPC specimens. Genomic structural rearrangements of AR were observed in 5/30 metastatic CRPC patients, but they were not associated with expression of previously known AR-Vs. The predominant AR-Vs detected were AR-V3, AR-V7 and AR-V9, with the expression levels being significantly higher in CRPC cases compared to prostatectomy samples. Out of 25 CRPC metastases that expressed any AR variant, 17 cases harboured expression of all three of these AR-Vs. AR-V7 protein expression was highly heterogeneous and higher in CRPC compared to hormone-naïve tumours.
Conclusions:
AR-V3, AR-V7 and AR-V9 are co-expressed in CRPC metastases highlighting the fact that inhibiting AR function via regions common to all AR-Vs is likely to provide additional benefit to patients with CRPC.
Insights
Castration-resistant prostate cancer (CRPC) often resists treatment due to androgen receptor splice variants (AR-Vs). This study found AR-V3, AR-V7, and AR-V9 are co-expressed in CRPC, suggesting therapies targeting common AR regions could benefit patients.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Prostate cancer (PC) patients with castration-resistant prostate cancer (CRPC) often exhibit primary resistance to androgen receptor (AR)-targeting drugs.
- Constitutively active AR splice variants (AR-Vs) are a potential explanation for this drug resistance.
- Understanding AR aberrations is crucial for developing effective CRPC treatments.
Purpose of the Study:
- To investigate the expression of AR splice variants (AR-Vs) and other AR aberrations in CRPC.
- To elucidate the role of AR aberrations in the emergence of castration-resistant prostate cancer.
- To identify potential therapeutic targets for CRPC.
Main Methods:
- Analysis of prostate cancer specimens across different disease stages.
- Utilized next-generation sequencing and immunohistochemistry techniques.
- Detected AR mutations, copy number variations, and genomic structural rearrangements.
Main Results:
- AR mutations and copy number variations were exclusively found in CRPC specimens.
- Genomic structural rearrangements of AR were observed in 5/30 metastatic CRPC patients.
- Predominant AR-Vs (AR-V3, AR-V7, AR-V9) were significantly overexpressed in CRPC compared to prostatectomy samples, with frequent co-expression.
Conclusions:
- AR-V3, AR-V7, and AR-V9 are co-expressed in CRPC metastases.
- Targeting AR regions common to all AR-Vs may offer therapeutic benefits for CRPC patients.
- Further research into AR-V targeted therapies is warranted for CRPC treatment.
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