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Publication : Macrophages promote anti-androgen resistance in prostate cancer bone disease.

First Author  Li XF Year  2023
Journal  J Exp Med Volume  220
Issue  4 PubMed ID  36749798
Mgi Jnum  J:333481 Mgi Id  MGI:7439014
Doi  10.1084/jem.20221007 Citation  Li XF, et al. (2023) Macrophages promote anti-androgen resistance in prostate cancer bone disease. J Exp Med 220(4)
abstractText  Metastatic castration-resistant prostate cancer (PC) is the final stage of PC that acquires resistance to androgen deprivation therapies (ADT). Despite progresses in understanding of disease mechanisms, the specific contribution of the metastatic microenvironment to ADT resistance remains largely unknown. The current study identified that the macrophage is the major microenvironmental component of bone-metastatic PC in patients. Using a novel in vivo model, we demonstrated that macrophages were critical for enzalutamide resistance through induction of a wound-healing-like response of ECM-receptor gene expression. Mechanistically, macrophages drove resistance through cytokine activin A that induced fibronectin (FN1)-integrin alpha 5 (ITGA5)-tyrosine kinase Src (SRC) signaling cascade in PC cells. This novel mechanism was strongly supported by bioinformatics analysis of patient transcriptomics datasets. Furthermore, macrophage depletion or SRC inhibition using a novel specific inhibitor significantly inhibited resistant growth. Together, our findings elucidated a novel mechanism of macrophage-induced anti-androgen resistance of metastatic PC and a promising therapeutic approach to treat this deadly disease.
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