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Inhibition of Serum Response Factor Improves Response to Enzalutamide in Prostate Cancer
R William Watson1, Haleema Azam2,3, Claudia Aura2,3
1Conway Institute of Biomolecular and Biomedical Research, UCD School of Medicine, University College Dublin, Belfield, D4, Dublin, Ireland.
Abstract:
Castrate-resistant prostate cancer (CRPC) is challenging to treat with the androgen receptor (AR), the main target and key focus of resistance. Understanding the mechanisms of AR interaction with co-regulators will identify new therapeutic targets to overcome AR resistance mechanisms. We previously identified the serum response factor (SRF) as a lead target in an in vitro model of CRPC and showed that SRF expression in tissues of CRPC patients was associated with shorter survival. Here, we tested SRF inhibition in vitro and in vivo to assess SRF as a potential target in CRPC. Inhibition of SRF with the small-molecule inhibitor CCG1423 resulted in enhanced response to enzalutamide in vitro and reduced tumour volume of LuCaP 35CR, a CRPC patient-derived xenograft model. Nuclear localisation of AR post-CCG1423 was significantly decreased and was associated with decreased α-tubulin acetylation in vitro and decreased prostate specific antigen (PSA) levels in vivo. SRF immunoreactivity was tested in metastatic tissues from CRPC patients to investigate its role in enzalutamide response. Kaplan-Meier curves showed that high SRF expression was associated with shorter response to enzalutamide. Our study supports the use of SRF inhibitors to improve response to enzalutamide.
Insights
Targeting serum response factor (SRF) with inhibitors like CCG1423 can improve treatment outcomes for castrate-resistant prostate cancer (CRPC). SRF inhibition enhances enzalutamide response and reduces tumor growth by affecting androgen receptor localization.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Castrate-resistant prostate cancer (CRPC) poses treatment challenges due to androgen receptor (AR) mediated resistance.
- Understanding AR co-regulator interactions is crucial for developing novel therapeutic strategies against CRPC.
- Serum response factor (SRF) was previously identified as a potential therapeutic target in CRPC, with high expression linked to poorer patient survival.
Purpose of the Study:
- To evaluate the efficacy of serum response factor (SRF) inhibition as a therapeutic strategy in castrate-resistant prostate cancer (CRPC).
- To assess the combined effect of SRF inhibition and enzalutamide treatment in preclinical models of CRPC.
- To investigate the association between SRF expression and response to enzalutamide therapy in CRPC patients.
Main Methods:
- In vitro and in vivo experiments using CRPC models.
- Treatment with the SRF inhibitor CCG1423, alone and in combination with enzalutamide.
- Assessment of AR nuclear localization, alpha-tubulin acetylation, prostate-specific antigen (PSA) levels, and tumor volume.
- Immunohistochemical analysis of SRF expression in metastatic CRPC patient tissues.
Main Results:
- SRF inhibition with CCG1423 enhanced enzalutamide efficacy in vitro.
- CCG1423 treatment reduced tumor volume in a CRPC patient-derived xenograft model.
- SRF inhibition decreased AR nuclear localization and alpha-tubulin acetylation in vitro, and reduced PSA levels in vivo.
- High SRF expression in metastatic CRPC tissues correlated with a shorter response duration to enzalutamide.
Conclusions:
- Serum response factor (SRF) is a viable therapeutic target for overcoming enzalutamide resistance in CRPC.
- SRF inhibitors, such as CCG1423, show promise in combination therapy to improve treatment outcomes for CRPC patients.
- Targeting SRF may represent a novel approach to enhance the effectiveness of current therapies for advanced prostate cancer.
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