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Publication : Targeting castration-resistant prostate cancer with androgen receptor antisense oligonucleotide therapy.

First Author  De Velasco MA Year  2019
Journal  JCI Insight Volume  4
Issue  17 PubMed ID  31484823
Mgi Jnum  J:308999 Mgi Id  MGI:6754288
Doi  10.1172/jci.insight.122688 Citation  De Velasco MA, et al. (2019) Targeting castration-resistant prostate cancer with androgen receptor antisense oligonucleotide therapy. JCI Insight 4(17)
abstractText  Sustained therapeutic responses from traditional and next-generation antiandrogen therapies remain elusive in clinical practice due to inherent and/or acquired resistance resulting in persistent androgen receptor (AR) activity. Antisense oligonucleotides (ASO) have the ability to block target gene expression and associated protein products and provide an alternate treatment strategy for castration-resistant prostate cancer (CRPC). We demonstrate the efficacy and therapeutic potential of this approach with a Generation-2.5 ASO targeting the mouse AR in genetically engineered models of prostate cancer. Furthermore, reciprocal feedback between AR and PI3K/AKT signaling was circumvented using a combination approach of AR-ASO therapy with the potent pan-AKT inhibitor, AZD5363. This treatment strategy effectively improved treatment responses and prolonged survival in a clinically relevant mouse model of advanced CRPC. Thus, our data provide preclinical evidence to support a combination strategy of next-generation ASOs targeting AR in combination with AKT inhibition as a potentially beneficial treatment approach for CRPC.
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