Exploring the molecular link between arecoline exposure and prostate cancer-related alterations: integrative evidence

Xinyao Zhu1,2, Haixia Liu1,2, Zhiqiang Zeng1

  • 1Department of Urology, Santai Hospital Affiliated to North Sichuan Medical College, Mianyang, Sichuan, China.

Insights

Arecoline exposure may link to prostate cancer (PCa) through the androgen receptor (AR). This study identified AR as a key molecular node, with arecoline potentially increasing AR expression in PCa cells.

Area of Science:

  • Oncology
  • Toxicology
  • Bioinformatics

Background:

  • Arecoline, found in areca nut products, is widely consumed but its role in prostate cancer (PCa) development is not well understood.
  • Understanding molecular links between arecoline exposure and PCa is crucial for public health and targeted interventions.

Purpose of the Study:

  • To investigate the molecular mechanisms connecting arecoline exposure to prostate cancer (PCa).
  • To identify key molecular targets and pathways involved in arecoline-induced PCa alterations using an integrated approach.

Main Methods:

  • Integrated network toxicology, machine learning on bulk RNA sequencing, single-cell transcriptomics, molecular simulation, and in vitro validation.
  • Prioritized candidate genes by intersecting arecoline targets with PCa-related genes, followed by pathway and protein-protein interaction analyses.
  • Validated the role of the androgen receptor (AR) through molecular docking, dynamics, RT-qPCR, and Western blotting.

Main Results:

  • Identified 97 overlapping targets enriched in apoptosis, p53, and MAPK pathways.
  • Developed a predictive bulk RNA model for PCa with high external validation (AUC = 0.956).
  • Consensus core gene analysis pinpointed the androgen receptor (AR) as the primary molecular link, with arecoline increasing AR expression and related signaling in prostate cancer cells.

Conclusions:

  • Androgen receptor (AR) is a plausible molecular node connecting arecoline exposure to prostate cancer (PCa) pathogenesis.
  • Findings provide a framework for future mechanistic studies on arecoline's role in PCa and highlight AR as a potential therapeutic target.