Androgen receptor monomers and dimers regulate opposing biological processes in prostate cancer cells

Rachid Safi1, Suzanne E Wardell1, Paige Watkinson1

  • 1Department of Pharmacology and Cancer Biology, Duke University School of Medicine, Durham, NC, USA.

Nature Communications
|September 3, 2024
PubMed

Insights

Low androgen levels activate mTOR signaling and proliferation via androgen receptor (AR) monomers in prostate cancer. High androgen doses suppress proliferation by forming AR dimers/oligomers, revealing new therapeutic strategies for prostate cancer and androgenopathies.

Area of Science:

  • Oncology
  • Molecular Biology
  • Endocrinology

Background:

  • Prostate cancer (PCa) growth is typically driven by the androgen receptor (AR) signaling axis.
  • Current therapies aim to inhibit AR signaling, but paradoxically, high-dose androgens can be effective in late-stage PCa.
  • The dual role of androgens in PCa necessitates a deeper understanding of AR signaling dynamics.

Purpose of the Study:

  • To investigate the distinct mechanisms by which low and high doses of androgens affect prostate cancer cell proliferation.
  • To elucidate the role of androgen receptor (AR) monomer versus dimer/oligomer formation in mediating these effects.
  • To identify novel therapeutic targets and strategies for prostate cancer and other androgen-related disorders.

Main Methods:

  • Analysis of androgen receptor (AR) signaling pathways under varying androgen concentrations.
  • Investigation of non-genomic and genomic activation pathways.
  • Assessment of cell proliferation, gene expression (e.g., c-MYC), and AR conformational states (monomer vs. dimer/oligomer).

Main Results:

  • Low androgen levels promote PCa proliferation through AR monomer-mediated, non-genomic activation of the mTOR pathway.
  • High androgen doses induce AR dimer/oligomer formation, leading to c-MYC suppression, proliferation inhibition, and a differentiated transcriptional program.
  • These findings reveal distinct AR signaling outcomes dependent on androgen dose and AR conformation.

Conclusions:

  • Current therapeutic strategies targeting AR inhibition may have inherent limitations due to the complex, dose-dependent actions of androgens.
  • Understanding AR monomer and dimer/oligomer functions offers new avenues for developing targeted therapies for prostate cancer.
  • This research provides critical insights into androgenopathies and informs the development of novel treatment modalities.

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