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Updated: May 30, 2025

Intra-Cardiac Injection of Human Prostate Cancer Cells to Create a Bone Metastasis Xenograft Mouse Model
Published on: November 4, 2022
Targeting AXL Inhibits the Growth and Metastasis of Prostate Cancer in Bone
Chun-Lung Chiu1, Dalin Zhang1, Hongjuan Zhao1
1Department of Urology, Stanford University School of Medicine, Stanford, California.
Purpose:
After failing primary and secondary hormonal therapy, castration-resistant and neuroendocrine prostate cancer metastatic to the bone is invariably lethal, although treatment with docetaxel and carboplatin can modestly improve survival. Therefore, agents targeting biologically relevant pathways in prostate cancer and potentially synergizing with docetaxel and carboplatin in inhibiting bone metastasis growth are urgently needed.
Experimental Design:
Phosphorylated (activated) AXL expression in human prostate cancer bone metastases was assessed by IHC staining. We evaluated the effects of a novel soluble AXL signaling inhibitor, sAXL (batiraxcept or AVB-S6-500), on tumor growth and lung metastases in prostate cancer patient-derived xenograft models that were implanted intratibially. After injection of LuCaP cells into the tibiae, tumors were treated with batiraxcept and docetaxel or carboplatin alone or in combination, and tumor growth was monitored by serum prostate-specific antigen or bioluminescence. Tumor burden was quantified by human-specific Ku70 staining, and metastasis to the lungs was determined using qPCR. Transcriptomic profiling, Western blotting, and immunohistochemistry were performed to identify treatment-regulated gene and protein profile changes.
Results:
High AXL phosphorylation in human prostate cancer bone metastases correlated with shortened survival. Batiraxcept alone or in combination with docetaxel or carboplatin significantly suppressed intratibial tumor growth and suppressed metastasis to the lungs through multiple mechanisms, including repression of cancer stemness genes (CD44, ALDH1A1, TACSTD2, and ATXN1) and the PI3K, JAK, MAPK, and E2F1/NUSAP1 signaling pathways.
Conclusions:
Our study provides a robust preclinical rationale and mechanisms of action for using batiraxcept as a single agent or in combination with docetaxel or carboplatin to treat lethal metastatic prostate cancer.
Insights
A novel soluble AXL inhibitor, batiraxcept, effectively reduced prostate cancer bone metastasis growth and spread. This agent shows promise alone or combined with docetaxel or carboplatin for treating lethal metastatic prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Therapeutics
Background:
- Castration-resistant and neuroendocrine prostate cancer with bone metastasis is lethal, with limited treatment options beyond docetaxel and carboplatin.
- There is an urgent need for novel agents that target key pathways in prostate cancer and can synergize with existing therapies to inhibit bone metastasis.
Purpose of the Study:
- To assess the expression of phosphorylated AXL in human prostate cancer bone metastases.
- To evaluate the efficacy of a novel soluble AXL signaling inhibitor, batiraxcept, in combination with docetaxel or carboplatin against prostate cancer bone metastasis and lung metastasis.
Main Methods:
- Immunohistochemistry (IHC) was used to assess phosphorylated AXL expression.
- Patient-derived xenograft models of prostate cancer bone metastasis were treated with batiraxcept, docetaxel, or carboplatin, alone or in combination.
- Tumor growth, burden, and lung metastasis were quantified using serum PSA, bioluminescence, Ku70 staining, and qPCR. Transcriptomic and proteomic analyses were performed.
Main Results:
- High AXL phosphorylation in bone metastases correlated with poorer survival.
- Batiraxcept, alone or with docetaxel/carboplatin, significantly inhibited tumor growth and lung metastasis.
- Mechanisms included repression of cancer stemness genes and key signaling pathways (PI3K, JAK, MAPK, E2F1/NUSAP1).
Conclusions:
- Batiraxcept demonstrates significant preclinical efficacy against prostate cancer bone metastasis.
- The study provides a strong rationale for batiraxcept's use as a single agent or in combination therapy for lethal metastatic prostate cancer.
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