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Updated: Jul 11, 2025

Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Endosomal recycling inhibitors downregulate the androgen receptor and synergise with enzalutamide
Kelsey A Fletcher1, Mai H Alkurashi1, Andrew J Lindsay2
1Membrane Trafficking and Disease Laboratory, School of Biochemistry & Cell Biology, Biosciences Institute, University College Cork, Cork, T12 YT20, Ireland.
Abstract:
Prostate cancer is the second most frequent cancer diagnosed in men, and accounts for one-fifth of cancer associated deaths worldwide. Despite the availability of effective prostate cancer therapies, if it is not cured by radical local treatment, progression to drug resistant metastatic prostate cancer is inevitable. Therefore, new drugs and treatment regimens are urgently required to overcome resistance. We have recently published research demonstrating that targeting the endosomal recycling pathway, a membrane transport pathway that recycles internalised cell surface proteins back to the plasma membrane, may be a novel means to downregulate clinically relevant cell surface proteins and potentially overcome drug resistance. A reverse phase protein array (RPPA) assay of breast cancer cells treated with an endosomal recycling inhibitor identified the androgen receptor (AR) as one of the top downregulated proteins. We confirmed that endosomal recycling inhibitors also downregulated AR in prostate cancer cells and show that this occurs at the transcriptional level. We also found that endosomal recycling inhibitors synergise with enzalutamide, a standard-of-care therapy for prostate cancer. Our data suggest that combining recycling inhibitors with hormone receptor antagonists may enhance their efficacy and reduce the emergence of drug resistance.
Insights
Targeting endosomal recycling may overcome drug resistance in prostate cancer. Inhibitors downregulate androgen receptor (AR) and synergize with enzalutamide, offering new therapeutic strategies.
Area of Science:
- Oncology
- Molecular Biology
- Cell Biology
Background:
- Prostate cancer is a leading cause of cancer death worldwide.
- Drug-resistant metastatic prostate cancer remains a significant clinical challenge.
- Novel therapeutic strategies are needed to overcome treatment resistance.
Purpose of the Study:
- To investigate targeting the endosomal recycling pathway as a novel therapeutic strategy for prostate cancer.
- To determine the effect of endosomal recycling inhibitors on androgen receptor (AR) expression in prostate cancer cells.
- To evaluate the synergistic effect of endosomal recycling inhibitors with enzalutamide.
Main Methods:
- Utilized reverse phase protein array (RPPA) assays.
- Treated breast and prostate cancer cells with endosomal recycling inhibitors.
- Analyzed androgen receptor (AR) expression at the transcriptional level.
- Assessed the synergy between endosomal recycling inhibitors and enzalutamide.
Main Results:
- Endosomal recycling inhibitors significantly downregulated androgen receptor (AR) in prostate cancer cells.
- AR downregulation by these inhibitors occurs at the transcriptional level.
- Endosomal recycling inhibitors demonstrated synergistic effects when combined with enzalutamide.
Conclusions:
- Targeting the endosomal recycling pathway is a promising strategy to downregulate AR in prostate cancer.
- Combining endosomal recycling inhibitors with enzalutamide may enhance treatment efficacy.
- This approach could potentially reduce the emergence of drug resistance in prostate cancer therapy.
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