Aryl hydrocarbon receptor is critical for both AR-dependent and AR-indifferent enzalutamide resistance in

Chia-Hui Chen1, Ryan Brown2, Donald J Vander Griend2

  • 1Department of Pharmaceutical Sciences, College of Pharmacy and Pharmaceutical Sciences, Washington State University, Spokane, WA, USA.

Oncogene
|March 24, 2026
PubMed

Insights

Aryl hydrocarbon receptor (AHR) drives resistance to enzalutamide (ENZ) in castration-resistant prostate cancer (CRPC). Targeting AHR offers a potential strategy to overcome therapy resistance in advanced prostate cancer.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Next-generation androgen receptor signaling inhibitors (ARSIs) like enzalutamide (ENZ) have advanced castration-resistant prostate cancer (CRPC) treatment.
  • Acquired resistance to ARSIs is a significant clinical challenge, with underlying mechanisms often unclear.

Purpose of the Study:

  • To identify key molecular drivers of enzalutamide resistance in castration-resistant prostate cancer.
  • To elucidate the mechanisms by which these drivers confer resistance.
  • To explore potential therapeutic targets for overcoming ARSI resistance.

Main Methods:

  • Upregulation of aryl hydrocarbon receptor (AHR) was assessed in ENZ-resistant CRPC cell lines and patient tumors.
  • AHR's role in ENZ-resistant CRPC growth was evaluated using stable knockdown models in vitro and in vivo.
  • Mechanistic studies investigated AHR's transcriptional regulation of androgen receptor (AR)/glucocorticoid receptor (GR) co-target genes and its impact on cellular differentiation.

Main Results:

  • Aryl hydrocarbon receptor (AHR) was found to be upregulated in ENZ-resistant CRPC cell lines and patient tumors.
  • Stable knockdown of AHR significantly inhibited the growth of ENZ-resistant CRPC cells and xenografts.
  • AHR mediated resistance through distinct mechanisms: AR-dependent regulation of AR/GR co-target genes in one cell line and AR-independent promotion of neuroendocrine differentiation in another.

Conclusions:

  • Aryl hydrocarbon receptor (AHR) is a critical mediator of enzalutamide resistance in castration-resistant prostate cancer.
  • AHR confers resistance via context-dependent transcriptional programs, impacting AR signaling and cellular differentiation.
  • Targeting AHR presents a promising therapeutic strategy for patients with advanced prostate cancer who develop resistance to ARSI therapies.

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