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Publication : Linking prostate cancer cell AR heterogeneity to distinct castration and enzalutamide responses.

First Author  Li Q Year  2018
Journal  Nat Commun Volume  9
Issue  1 Pages  3600
PubMed ID  30190514 Mgi Jnum  J:268707
Mgi Id  MGI:6268004 Doi  10.1038/s41467-018-06067-7
Citation  Li Q, et al. (2018) Linking prostate cancer cell AR heterogeneity to distinct castration and enzalutamide responses. Nat Commun 9(1):3600
abstractText  Expression of androgen receptor (AR) in prostate cancer (PCa) is heterogeneous but the functional significance of AR heterogeneity remains unclear. Screening ~200 castration-resistant PCa (CRPC) cores and whole-mount sections (from 89 patients) reveals 3 AR expression patterns: nuclear (nuc-AR), mixed nuclear/cytoplasmic (nuc/cyto-AR), and low/no expression (AR(-/lo)). Xenograft modeling demonstrates that AR(+) CRPC is enzalutamide-sensitive but AR(-/lo) CRPC is resistant. Genome editing-derived AR(+) and AR-knockout LNCaP cell clones exhibit distinct biological and tumorigenic properties and contrasting responses to enzalutamide. RNA-Seq and biochemical analyses, coupled with experimental combinatorial therapy, identify BCL-2 as a critical therapeutic target and provide proof-of-concept therapeutic regimens for both AR(+/hi) and AR(-/lo) CRPC. Our study links AR expression heterogeneity to distinct castration/enzalutamide responses and has important implications in understanding the cellular basis of prostate tumor responses to AR-targeting therapies and in facilitating development of novel therapeutics to target AR(-/lo) PCa cells/clones.
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