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Updated: Dec 23, 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
Loss of a Negative Feedback Loop between IRF8 and AR Promotes Prostate Cancer Growth and Enzalutamide Resistance
Hongxi Wu1, Linjun You1, Yan Li1
1State Key Laboratory of Natural Medicines, China Pharmaceutical University, Nanjing, China.
Abstract:
In incurable castration-resistant prostate cancer (CRPC), resistance to the novel androgen receptor (AR) antagonist enzalutamide is driven mainly by AR overexpression. Here we report that the expression of interferon regulatory factor 8 (IRF8) is increased in primary prostate cancer but decreased in CRPC compared with normal prostate tissue. Decreased expression of IRF8 positively associated with CRPC progression and enzalutamide resistance. IRF8 interacted with AR and promoted its degradation via activation of the ubiquitin/proteasome systems. Epigenetic knockdown of IRF8 promoted AR-mediated prostate cancer progression and enzalutamide resistance in vitro and in vivo. Furthermore, IFNα increased expression of IRF8 and improved the efficacy of enzalutamide in CRPC by targeting the IRF8-AR axis. We also provide preliminary evidence for the efficacy of IFNα with hormonotherapy in a clinical study. Collectively, this study identifies IRF8 both as a tumor suppressor in prostate cancer pathogenesis and a potential alternative therapeutic option to overcome enzalutamide resistance. SIGNIFICANCE: These findings identify IRF8-mediated AR degradation as a mechanism of resistance to AR-targeted therapy, highlighting the therapeutic potential of IFNα in targeting IRF8-AR axis in CRPC. GRAPHICAL ABSTRACT: http://cancerres.aacrjournals.org/content/canres/80/13/2927/F1.large.jpg.
Insights
Interferon regulatory factor 8 (IRF8) acts as a tumor suppressor in prostate cancer. Decreased IRF8 expression drives enzalutamide resistance by increasing androgen receptor (AR) levels, suggesting IRF8 as a therapeutic target.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Castration-resistant prostate cancer (CRPC) often develops resistance to enzalutamide, a novel androgen receptor (AR) antagonist, primarily due to AR overexpression.
- Interferon regulatory factor 8 (IRF8) expression is altered in prostate cancer, decreasing in CRPC compared to normal tissue.
Purpose of the Study:
- To investigate the role of IRF8 in prostate cancer progression and resistance to enzalutamide.
- To elucidate the mechanism by which IRF8 influences AR levels and impacts treatment efficacy.
Main Methods:
- Analysis of IRF8 expression in primary and castration-resistant prostate cancer (CRPC) tissues.
- Investigation of the interaction between IRF8 and AR, including AR degradation pathways.
- In vitro and in vivo studies assessing the impact of IRF8 knockdown on enzalutamide resistance.
- Evaluation of interferon-alpha (IFNα) effects on IRF8 expression and enzalutamide efficacy.
Main Results:
- Decreased IRF8 expression in CRPC correlates with disease progression and resistance to enzalutamide.
- IRF8 interacts with AR and promotes its degradation via the ubiquitin/proteasome system.
- Epigenetic silencing of IRF8 enhances AR-mediated prostate cancer progression and enzalutamide resistance.
- IFNα treatment increases IRF8 expression, thereby overcoming enzalutamide resistance by targeting the IRF8-AR axis.
Conclusions:
- IRF8 functions as a tumor suppressor in prostate cancer pathogenesis.
- Targeting the IRF8-AR axis with agents like IFNα presents a potential therapeutic strategy to overcome enzalutamide resistance in CRPC.
- IRF8-mediated AR degradation is a key mechanism underlying resistance to AR-targeted therapies.
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