Sympathetic β2-adrenergic receptor blockade overcomes docetaxel resistance in prostate cancer

Mi Zhang1, Fangfang Chen1, Xueqing Sun2

  • 1Institution of Life Science, Chongqing Medical University, Chongqing, China.

Abstract

Insights

Targeting the beta-2 adrenergic receptor (β2-AR) enhances docetaxel effectiveness in resistant prostate cancer by promoting apoptosis and autophagy. This suggests β2-AR inhibitors could improve chemotherapy outcomes.

Area of Science:

  • Oncology
  • Molecular Biology
  • Pharmacology

Background:

  • Docetaxel resistance in prostate cancer is a major clinical challenge with limited therapeutic options.
  • The role of the beta-2 adrenergic receptor (β2-AR) in chemotherapy resistance, particularly docetaxel resistance, remains poorly understood.

Purpose of the Study:

  • To investigate the role of β2-AR in docetaxel-resistant prostate cancer.
  • To elucidate the molecular mechanisms by which β2-AR influences docetaxel sensitivity, focusing on apoptosis and autophagy.

Main Methods:

  • Analyzed β2-AR expression in prostate tissues using GEO database.
  • Developed docetaxel-resistant prostate cancer cell lines via dose-escalation.
  • Investigated the impact of β2-AR on docetaxel sensitivity using flow cytometry, western blot, and immunoprecipitation assays.
  • Examined the interplay between apoptosis and autophagy pathways.

Main Results:

  • Restraining β2-AR activity sensitized prostate cancer cells to docetaxel, reducing resistance.
  • β2-AR regulates docetaxel response through apoptosis (caspase signaling) and autophagy (Atg5/AMPK/mTOR pathway).
  • β2-AR influences the crosstalk between apoptosis and autophagy via p38 MAPK and JNK/c-Jun/FOXO3a signaling.

Conclusions:

  • Inhibiting β2-AR induces autophagy and apoptosis, enhancing docetaxel efficacy in castration-resistant prostate cancer.
  • Combination therapy with β2-AR inhibitors and autophagy inhibitors presents a potential strategy to overcome docetaxel resistance.

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