Dexamethasone inhibits androgen receptor-negative prostate cancer cell proliferation via the GR-FOXO3a-GAS5 axis

Jieping Hu1, Yanyan Hong2, Xun Xie1

  • 1Department of Urology, The First Affiliated Hospital, Jiangxi Medical College, Nanchang University, China.

Heliyon
|March 18, 2024
PubMed
Abstract

Insights

Glucocorticoid receptor (GR) acts as a tumor suppressor in prostate cancer by inhibiting cell proliferation via the FOXO3a-GAS5 pathway. This suggests classifying patients by androgen receptor (AR) and GR expression for tailored treatment plans.

Area of Science:

  • Oncology
  • Molecular Biology
  • Genetics

Background:

  • Glucocorticoid receptor (GR) exhibits variable effects on prostate cancer cell proliferation.
  • Dexamethasone demonstrates inhibitory effects on androgen receptor-negative prostate cancer cells, necessitating mechanistic elucidation.

Purpose of the Study:

  • To investigate the role of GR in prostate cancer, particularly in androgen receptor-negative cells.
  • To identify downstream targets of GR and elucidate the underlying mechanisms of its anti-proliferative effects.

Main Methods:

  • TCGA dataset analysis for GR expression and prognostic value.
  • Bioinformatic identification of GR downstream targets, including FOXO3a.
  • In vitro assays (CCK-8, migration) to assess cell proliferation and migration after FOXO3a overexpression in PC-3 cells.
  • Analysis of FOXO3a regulation on GAS5 expression using JASPAR and PCR.

Main Results:

  • Low GR expression in prostate cancer correlates with poor prognosis.
  • FOXO3a identified as a downstream mediator of GR, inhibiting prostate cancer cell proliferation.
  • FOXO3a directly induces GAS5 expression, establishing the GR-FOXO3a-GAS5 signaling pathway.

Conclusions:

  • GR functions as a tumor suppressor in androgen receptor-negative prostate cancer via the GR-FOXO3a-GAS5 axis.
  • Prostate cancer patient stratification based on AR and GR expression is recommended for personalized treatment strategies.