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Updated: Aug 13, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Androgen-Independent Prostate Cancer Is Sensitive to CDC42-PAK7 Kinase Inhibition
Hyunho Han1, Cheol Keun Park2,3, Young-Deuk Choi1
1Department of Urology, Urological Science Institute, Yonsei University College of Medicine, Seoul 03722, Republic of Korea.
Abstract:
Prostate cancer is a common form of cancer in men, and androgen-deprivation therapy (ADT) is often used as a first-line treatment. However, some patients develop resistance to ADT, and their disease is called castration-resistant prostate cancer (CRPC). Identifying potential therapeutic targets for this aggressive subtype of prostate cancer is crucial. In this study, we show that statins can selectively inhibit the growth of these CRPC tumors that have lost their androgen receptor (AR) and have overexpressed the RNA-binding protein QKI. We found that the repression of microRNA-200 by QKI overexpression promotes the rise of AR-low mesenchymal-like CRPC cells. Using in silico drug/gene perturbation combined screening, we discovered that QKI-overexpressing cancer cells are selectively vulnerable to CDC42-PAK7 inhibition by statins. We also confirmed that PAK7 overexpression is present in prostate cancer that coexists with hyperlipidemia. Our results demonstrate a previously unseen mechanism of action for statins in these QKI-expressing AR-lost CRPCs. This may explain the clinical benefits of the drug and support the development of a biology-driven drug-repurposing clinical trial. This is an important finding that could help improve treatment options for patients with this aggressive form of prostate cancer.
Insights
Statins can inhibit castration-resistant prostate cancer (CRPC) growth by targeting QKI overexpression, a mechanism previously unknown for this aggressive cancer. This discovery may lead to new treatments for patients resistant to androgen-deprivation therapy.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Androgen-deprivation therapy (ADT) is a primary treatment for prostate cancer.
- Castration-resistant prostate cancer (CRPC) develops when cancer progresses despite ADT.
- New therapeutic targets are needed for aggressive CRPC subtypes.
Purpose of the Study:
- To investigate the therapeutic potential of statins in CRPC.
- To identify mechanisms by which statins affect CRPC growth.
- To explore novel treatment strategies for AR-low CRPC.
Main Methods:
- In silico drug/gene perturbation combined screening.
- Analysis of RNA-binding protein QKI and microRNA-200 expression.
- Assessment of statin efficacy in CRPC models.
- Correlation of PAK7 expression with prostate cancer and hyperlipidemia.
Main Results:
- Statins selectively inhibit CRPC tumors with QKI overexpression and low androgen receptor (AR).
- QKI overexpression represses microRNA-200, promoting AR-low mesenchymal-like CRPC cells.
- QKI-overexpressing cells are vulnerable to CDC42-PAK7 inhibition by statins.
- PAK7 overexpression is found in prostate cancer with hyperlipidemia.
Conclusions:
- Statins exhibit a novel mechanism against QKI-expressing, AR-lost CRPC.
- This finding may explain clinical benefits of statins and supports drug repurposing.
- Results suggest potential for improved CRPC treatment strategies.
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