ADAMTS9-AS2 Disrupts Docetaxel-Resistance in Castration-Resistant Prostate Cancer via Stemness Suppression and

Ji Liu1,2, Yan Gao3, Yadong Guo1,2

  • 1Department of Urology, School of Medicine, Shanghai Tenth People's Hospital, Tongji University, Shanghai, P. R. China.

Insights

ADAMTS9-AS2 combats chemotherapy resistance in castration-resistant prostate cancer (CRPC) by suppressing prostate tumor stem cells (PCSCs) and promoting ferroptosis. Novel polymeric materials targeting PCSCs further enhance chemotherapy sensitivity, offering a new strategy against CRPC.

Area of Science:

  • Oncology
  • Molecular Biology
  • Biomaterials

Background:

  • Chemotherapy resistance in castration-resistant prostate cancer (CRPC) is a major clinical hurdle.
  • Prostate tumor stem cells (PCSCs) are implicated in CRPC chemotherapy resistance, but mechanisms remain unclear.

Purpose of the Study:

  • To investigate the role of ADAMTS9-AS2 in overcoming docetaxel resistance in CRPC.
  • To elucidate the dual mechanisms by which ADAMTS9-AS2 reduces chemotherapy resistance.
  • To explore the efficacy of novel polymeric materials targeting PCSCs to enhance chemotherapy sensitivity.

Main Methods:

  • Identification of PCSC regulatory molecules using mRNAsi-based multi-center patient cohorts.
  • In vitro and in vivo experiments to assess ADAMTS9-AS2's effect on docetaxel resistance.
  • Development and application of polymeric materials incorporating TGF-β inhibitor, ferroptosis inducer, and miR-182-5p inhibitor.

Main Results:

  • ADAMTS9-AS2 suppresses PCSC stemness via the FOXF2/TGF-β2 axis.
  • ADAMTS9-AS2 promotes ferroptosis by influencing SLC7A11 localization.
  • Polymeric materials targeting PCSCs significantly improved docetaxel sensitivity and inhibited tumor growth in vivo.

Conclusions:

  • ADAMTS9-AS2 mitigates CRPC chemotherapy resistance through PCSC stemness suppression and ferroptosis induction.
  • Targeting PCSCs with specialized polymeric materials presents a promising therapeutic strategy for overcoming CRPC chemoresistance.