Targeting androgen receptor and the variants by an orally bioavailable Proteolysis Targeting Chimeras compound in

Chiu-Lien Hung1, Hao-Hsuan Liu1, Chih-Wei Fu1

  • 1Department of Preclinical Drug Discovery Technology, Biomedical Technology and Devices Research Labs, Industrial Technology Research Institute, Hsinchu 31040, Taiwan.

Ebiomedicine
|March 9, 2023
PubMed
Abstract

Insights

New PROTACs degrade both full-length androgen receptor (AR) and AR variants, overcoming resistance in advanced prostate cancer. This targeted protein degradation offers a promising strategy against anti-androgen drug resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Drug Discovery

Background:

  • Advanced prostate cancer treatments face limited durability due to drug resistance.
  • Resistance is often driven by truncated Androgen Receptor variants (AR-V(ΔLBD)) that sustain signaling.
  • Targeting both full-length AR (AR-FL) and AR variants is crucial for overcoming resistance.

Purpose of the Study:

  • To develop and evaluate Proteolysis Targeting Chimeras (PROTACs) for induced degradation of AR-FL and AR-V(ΔLBD).
  • To assess the efficacy of these PROTACs in preclinical models of anti-androgen resistant prostate cancer.

Main Methods:

  • Designed ITRI-PROTAC compounds targeting the Androgen Receptor N-terminal domain (NTD).
  • Utilized von-Hippel-Lindau (VHL) or Cereblon (CRBN) E3 ligase recruitment via PROTAC linker.
  • Evaluated compound efficacy in vitro (cell proliferation, apoptosis) and in vivo (xenograft model).

Main Results:

  • ITRI-PROTACs effectively degraded AR-FL and AR-V(ΔLBD) proteins through the ubiquitin-proteasome system.
  • Compounds inhibited AR transactivation, cell proliferation, and induced apoptosis in vitro.
  • ITRI-90 demonstrated significant antitumor efficacy and favorable pharmacokinetics in an enzalutamide-resistant xenograft model.

Conclusions:

  • Targeting the AR NTD, which controls all active AR variants, is a viable strategy.
  • PROTAC-mediated induced degradation of AR via NTD represents an effective approach to overcome anti-androgen resistance in prostate cancer.
  • This strategy offers a promising therapeutic alternative for castration-resistant prostate cancer (CRPC).