Urolithins: Emerging natural compound targeting castration-resistant prostate cancer (CRPC)

Ajit Kumar Navin1, Chalikkaran Thilakan Rejani2, Balaji Chandrasekaran1

  • 1Department of Pharmacology, College of Pharmacy, Texas A&M University, College Station, TX 77845, USA.

Insights

Urolithins show promise in treating castration-resistant prostate cancer (CRPC) by inhibiting androgen receptor signaling and reducing oxidative stress. These compounds may offer new therapeutic strategies, potentially combined with existing treatments.

Area of Science:

  • Oncology
  • Pharmacology
  • Natural Products Chemistry

Background:

  • Castration-resistant prostate cancer (CRPC) is a major clinical challenge due to therapy resistance.
  • Androgen receptor (AR) signaling drives CRPC progression.
  • Oxidative stress contributes to CRPC aggressiveness.

Purpose of the Study:

  • To review the therapeutic potential of urolithins for CRPC.
  • To elucidate the mechanisms of urolithin action in CRPC.
  • To explore combination therapies involving urolithins.

Main Methods:

  • Literature review of preclinical and clinical studies on urolithins and CRPC.
  • Analysis of AR-dependent and AR-independent signaling pathways.
  • Evaluation of antioxidant and pro-apoptotic effects of urolithins.

Main Results:

  • Urolithins inhibit AR signaling and exhibit antioxidant properties.
  • Urolithins induce apoptosis and suppress pro-survival pathways in CRPC cells.
  • Urolithins demonstrate tumor inhibitory effects.

Conclusions:

  • Urolithins represent a promising therapeutic class for CRPC.
  • Their mechanisms involve both AR-dependent and independent pathways.
  • Combination therapy with androgen ablation warrants further investigation.