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Updated: Dec 25, 2025

Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Differential modulation of the androgen receptor for prostate cancer therapy depends on the DNA response element
Steven Kregel1,2, Pia Bagamasbad3, Shihan He3
1Michigan Center for Translational Pathology, University of Michigan, Ann Arbor, MI 48109, USA.
Abstract:
Androgen receptor (AR) action is a hallmark of prostate cancer (PCa) with androgen deprivation being standard therapy. Yet, resistance arises and aberrant AR signaling promotes disease. We sought compounds that inhibited genes driving cancer but not normal growth and hypothesized that genes with consensus androgen response elements (cAREs) drive proliferation but genes with selective elements (sAREs) promote differentiation. In a high-throughput promoter-dependent drug screen, doxorubicin (dox) exhibited this ability, acting on DNA rather than AR. This dox effect was observed at low doses for multiple AR target genes in multiple PCa cell lines and also occurred in vivo. Transcriptomic analyses revealed that low dox downregulated cell cycle genes while high dox upregulated DNA damage response genes. In chromatin immunoprecipitation (ChIP) assays with low dox, AR binding to sARE-containing enhancers increased, whereas AR was lost from cAREs. Further, ChIP-seq analysis revealed a subset of genes for which AR binding in low dox increased at pre-existing sites that included sites for prostate-specific factors such as FOXA1. AR dependence on cofactors at sAREs may be the basis for differential modulation by dox that preserves expression of genes for survival but not cancer progression. Repurposing of dox may provide unique opportunities for PCa treatment.
Insights
Doxorubicin at low doses selectively targets genes driving prostate cancer (PCa) proliferation by altering androgen receptor (AR) binding. This repurposing of doxorubicin may offer new treatment strategies for PCa by inhibiting cancer growth while sparing normal cells.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Androgen receptor (AR) signaling is crucial in prostate cancer (PCa) pathogenesis.
- Therapeutic resistance and aberrant AR signaling drive PCa progression.
- Identifying compounds that selectively inhibit cancer-driving genes is a therapeutic goal.
Purpose of the Study:
- To discover compounds that inhibit genes driving PCa but not normal growth.
- To investigate the differential effects of doxorubicin (dox) on AR target genes.
- To explore the potential repurposing of doxorubicin for PCa treatment.
Main Methods:
- High-throughput promoter-dependent drug screening.
- Transcriptomic analysis (RNA-seq) to assess gene expression changes.
- Chromatin immunoprecipitation (ChIP) and ChIP-sequencing (ChIP-seq) to evaluate AR binding dynamics.
Main Results:
- Low-dose doxorubicin selectively downregulated cell cycle genes in PCa cells.
- Doxorubicin altered AR binding patterns, increasing binding at selective androgen response elements (sAREs) and decreasing it at consensus AREs (cAREs).
- Doxorubicin's effects were observed in multiple PCa cell lines and in vivo.
Conclusions:
- Doxorubicin exhibits differential modulation of AR signaling at low doses, potentially by interacting with cofactors at sAREs.
- This selective inhibition of cancer-promoting genes offers a novel therapeutic strategy for PCa.
- Repurposing doxorubicin may provide unique opportunities for treating advanced prostate cancer.
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