Androgen Receptor Variants Confer Castration Resistance in Prostate Cancer by Counteracting Antiandrogen-Induced

Rui Sun1,2,3, Binyuan Yan3,4, Hao Li3

  • 1Department of Urology, Fudan University Shanghai Cancer Center, Shanghai, China.

Cancer Research
|August 1, 2023
PubMed

Insights

Androgen receptor (AR) inhibition resistance in prostate cancer involves the SLC7A11 gene. Androgen receptor variants upregulate SLC7A11, promoting resistance to anti-cancer therapies like enzalutamide by inhibiting ferroptosis.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Advanced prostate cancer treatment relies on androgen deprivation and antiandrogens, but resistance is common.
  • Understanding resistance mechanisms is crucial for improving patient outcomes in prostate cancer therapy.

Approach:

  • Investigated the effect of enzalutamide (ENZ) on prostate cancer cells, assessing glutathione production, lipid peroxidation, and ferroptosis.
  • Performed a meta-analysis of transcriptomic data to link the androgen-AR axis with lipid metabolism.
  • Examined the role of the cystine transporter gene SLC7A11 as a direct target of full-length AR (AR-FL) and AR variants (AR-Vs).

Key Points:

  • Enzalutamide treatment decreased glutathione, increased lipid peroxidation, and induced ferroptosis in prostate cancer cells.
  • AR-FL and AR-Vs directly regulate SLC7A11 transcription, impacting ferroptosis.
  • AR-V-mediated SLC7A11 upregulation confers resistance to enzalutamide-induced ferroptosis.

Conclusions:

  • Ferroptosis induction is an anticancer mechanism of antiandrogens.
  • SLC7A11 is a direct target gene of both AR-FL and AR-Vs.
  • AR-V-driven SLC7A11 expression is a key mechanism linking ferroptosis resistance to prostate cancer progression and castration resistance.

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