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Updated: Nov 27, 2025

Implementation of In Vitro Drug Resistance Assays: Maximizing the Potential for Uncovering Clinically Relevant Resistance Mechanisms
Published on: December 9, 2015
KIF15-Mediated Stabilization of AR and AR-V7 Contributes to Enzalutamide Resistance in Prostate Cancer
Lin Gao1, Wenbo Zhang1, Jing Zhang2
1The Key Laboratory of Experimental Teratology, Ministry of Education and Department of Pathology, School of Basic Medical Sciences, Cheeloo College of Medicine, Shandong University, Jinan, Shandong, China.
Abstract:
The new generation androgen receptor (AR) pathway inhibitor enzalutamide can prolong the survival of patients with metastatic prostate cancer. However, resistance to enzalutamide inevitably develops in these patients, and the underlying mechanisms of this resistance are not fully defined. Here we demonstrate that the kinesin family member 15 (KIF15) contributes to enzalutamide resistance by enhancing the AR signaling in prostate cancer cells. KIF15 directly bound the N-terminus of AR/AR-V7 and prevented AR/AR-V7 proteins from degradation by increasing the protein association of ubiquitin-specific protease 14 (USP14) with AR/AR-V7. In turn, the transcriptionally active AR stimulated KIF15 expression. KIF15 inhibitors alone or in combination with enzalutamide significantly suppressed enzalutamide-resistant prostate cancer cell growth and xenograft progression. These findings highlight a key role of KIF15 in enabling prostate cancer cells to develop therapy resistance to enzalutamide and rationalize KIF15 as a potential therapeutic target. SIGNIFICANCE: These findings demonstrate how reciprocal activation between KIF15 and AR contributes to enzalutamide resistance in prostate cancer and highlights cotargeting KIF15 and AR as a therapeutic strategy for these tumors.
Insights
Kinesin family member 15 (KIF15) drives enzalutamide resistance in prostate cancer by stabilizing androgen receptor (AR) signaling. Inhibiting KIF15 offers a new therapeutic strategy against resistant prostate tumors.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Enzalutamide is a key treatment for metastatic prostate cancer, but resistance limits its efficacy.
- Mechanisms underlying enzalutamide resistance in prostate cancer are not fully understood.
- Androgen receptor (AR) signaling is central to prostate cancer progression and treatment resistance.
Purpose of the Study:
- To investigate the role of kinesin family member 15 (KIF15) in enzalutamide resistance.
- To elucidate the molecular mechanisms by which KIF15 confers resistance.
- To evaluate KIF15 as a potential therapeutic target in enzalutamide-resistant prostate cancer.
Main Methods:
- Investigated KIF15's interaction with androgen receptor (AR) and AR-V7.
- Assessed the effect of KIF15 on AR/AR-V7 protein stability and degradation.
- Utilized KIF15 inhibitors in combination with enzalutamide in cell culture and xenograft models.
Main Results:
- KIF15 directly binds to AR/AR-V7, preventing its degradation via increased association with USP14.
- AR signaling positively regulates KIF15 expression, creating a feedback loop.
- KIF15 inhibition, alone or with enzalutamide, suppressed resistant prostate cancer cell growth and tumor progression.
Conclusions:
- KIF15 is a critical mediator of enzalutamide resistance in prostate cancer.
- Reciprocal activation between KIF15 and AR drives therapeutic resistance.
- Co-targeting KIF15 and AR represents a promising therapeutic strategy for enzalutamide-resistant prostate cancer.
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