ELOVL2 mediated stabilization of AR contributes to enzalutamide resistance in prostate cancer

Jinpeng Cen1, Jiading Guo2, Xianzi Zeng3

  • 1Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou, Guangdong, China.

Abstract

Insights

Targeting ELOVL2 overcomes enzalutamide resistance in castration-resistant prostate cancer (CRPC) by stabilizing androgen receptor (AR) signaling. Inhibiting ELOVL2 restores enzalutamide sensitivity, offering a new therapeutic strategy for CRPC patients.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biochemistry

Background:

  • Enzalutamide resistance is a major challenge in treating castration-resistant prostate cancer (CRPC).
  • Understanding the molecular mechanisms of resistance is crucial for developing effective therapies.

Purpose of the Study:

  • To investigate the molecular mechanisms of enzalutamide resistance in CRPC.
  • To explore therapeutic strategies targeting these mechanisms, specifically focusing on ELOVL2.

Main Methods:

  • Comprehensive bioinformatic analysis of LNCaP/enzalutamide-resistant cells.
  • Functional validation through targeted inhibition of elongation of very-long chain fatty acid protein 2 (ELOVL2).
  • Assessment of cancer cell proliferation, enzalutamide sensitivity, and impact on ubiquitin-proteasome system and AR signaling.

Main Results:

  • Upregulation of ELOVL2 and activation of fatty acid metabolism are key drivers of enzalutamide resistance in prostate cancer (PCa).
  • Targeted inhibition of ELOVL2 suppressed proliferation and restored sensitivity to enzalutamide in resistant cells.
  • ELOVL2 impairs the ubiquitin-proteasome system, leading to AR signaling activation and enzalutamide resistance.

Conclusions:

  • ELOVL2 promotes enzalutamide resistance in CRPC by stabilizing AR via inhibition of its degradation.
  • Targeting ELOVL2 is a promising therapeutic strategy to overcome enzalutamide resistance in CRPC.
  • This approach holds potential for improving clinical outcomes in CRPC patients.

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