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Reverse Yeast Two-hybrid System to Identify Mammalian Nuclear Receptor Residues that Interact with Ligands and/or Antagonists
Published on: November 15, 2013
Androgen receptor mutations modulate activation by 11-oxygenated androgens and glucocorticoids
Gido Snaterse1, Rosinda Mies1, Wytske M van Weerden2
1Department of Internal Medicine, Section of Endocrinology, Erasmus MC, University Medical Center Rotterdam, Rotterdam, the Netherlands.
Background:
Androgen receptor (AR) ligand-binding domain (LBD) mutations occur in ~20% of all castration-resistant prostate cancer (CRPC) patients. These mutations confer ligand promiscuity, but the affinity for many steroid hormone pathway intermediates is unknown. In this study, we investigated the stimulation of clinically relevant AR-LBD mutants by endogenous and exogenous steroid hormones present in CRPC patients to unravel their potential contribution to AR pathway reactivation.
Methods:
A meta-analysis of studies reporting untargeted analysis of AR mutants was performed to identify clinically relevant AR-LBD mutations. Using luciferase reporter and quantitative fluorescent microscopy, these AR mutants were screened for sensitivity for various endogenous steroids and synthetic glucocorticoids used in the treatment of CRPC.
Results:
The meta-analysis revealed that ARL702H (3.4%), ARH875Y (4.9%), and ART878A (4.4%) were the most prevalent AR-LBD mutations across 1614 CRPC patients from 21 unique studies. Testosterone (EC50: 0.22 nmol/L) and 11-ketotestosterone (11KT, EC50: 0.74 nmol/L) displayed subnanomolar affinity for ARWT. The p.H875Y mutation selectively increased sensitivity of the AR for 11KT (EC50: 0.15 nmol/L, p < 0.05 vs ARWT), whereas p.L702H decreased sensitivity for 11KT by almost 50-fold. While cortisol and prednisolone both stimulate ARL702H, dexamethasone importantly does not.
Conclusion:
Both testosterone and 11KT effectively contribute to ARWT activation, while selective sensitization positions 11KT as a more prominent activator of ARH875Y. Dexamethasone may be a suitable alternative to prednisolone and should be explored in patients bearing the ARL702H.
Insights
Androgen receptor (AR) mutations in castration-resistant prostate cancer (CRPC) can alter hormone sensitivity. This study identifies key mutations and their response to various steroids, offering insights into AR pathway reactivation and potential treatment strategies.
Area of Science:
- Oncology
- Molecular Biology
- Endocrinology
Background:
- Androgen receptor (AR) ligand-binding domain (LBD) mutations are found in approximately 20% of castration-resistant prostate cancer (CRPC) patients.
- These mutations can lead to promiscuous ligand binding, but their affinity for various steroid hormone intermediates remains largely uncharacterized.
- Understanding these interactions is crucial for elucidating AR pathway reactivation mechanisms in CRPC.
Approach:
- A meta-analysis identified prevalent AR-LBD mutations (ARL702H, ARH875Y, ART878A) in CRPC patients.
- Luciferase reporter and quantitative fluorescent microscopy assays were employed to screen AR mutants for sensitivity to endogenous steroids and synthetic glucocorticoids.
- The study investigated the stimulation of wild-type AR (ARWT) and mutant ARs by testosterone, 11-ketotestosterone (11KT), cortisol, prednisolone, and dexamethasone.
Key Points:
- Testosterone and 11KT exhibit subnanomolar affinity for ARWT.
- The ARH875Y mutation significantly enhances sensitivity to 11KT, while ARL702H shows markedly reduced sensitivity to 11KT.
- Cortisol and prednisolone stimulate ARL702H, but dexamethasone does not, suggesting its potential as an alternative therapeutic in specific cases.
Conclusions:
- Testosterone and 11KT are key activators of ARWT, with 11KT being a more potent activator of ARH875Y.
- Dexamethasone may serve as a viable alternative to prednisolone for patients with the ARL702H mutation.
- These findings provide critical insights into AR-mediated signaling in CRPC and inform potential therapeutic strategies.
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