A co-clinical approach identifies mechanisms and potential therapies for androgen deprivation resistance in prostate cancer

Pier Paolo Pandolfi and colleagues report that compound loss of Pten with Zbtb7a or Trp53 leads to de novo resistance to androgen deprivation therapy in prostate cancer. Integrative analysis of mouse and human data in a co-clinical approach identified XIAP and SRD5A1 inhibitors as potential therapie...

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Veröffentlicht in:Nature genetics 2013-07, Vol.45 (7), p.747-755
Hauptverfasser: Lunardi, Andrea, Ala, Ugo, Epping, Mirjam T, Salmena, Leonardo, Clohessy, John G, Webster, Kaitlyn A, Wang, Guocan, Mazzucchelli, Roberta, Bianconi, Maristella, Stack, Edward C, Lis, Rosina, Patnaik, Akash, Cantley, Lewis C, Bubley, Glenn, Cordon-Cardo, Carlos, Gerald, William L, Montironi, Rodolfo, Signoretti, Sabina, Loda, Massimo, Nardella, Caterina, Pandolfi, Pier Paolo
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container_end_page 755
container_issue 7
container_start_page 747
container_title Nature genetics
container_volume 45
creator Lunardi, Andrea
Ala, Ugo
Epping, Mirjam T
Salmena, Leonardo
Clohessy, John G
Webster, Kaitlyn A
Wang, Guocan
Mazzucchelli, Roberta
Bianconi, Maristella
Stack, Edward C
Lis, Rosina
Patnaik, Akash
Cantley, Lewis C
Bubley, Glenn
Cordon-Cardo, Carlos
Gerald, William L
Montironi, Rodolfo
Signoretti, Sabina
Loda, Massimo
Nardella, Caterina
Pandolfi, Pier Paolo
description Pier Paolo Pandolfi and colleagues report that compound loss of Pten with Zbtb7a or Trp53 leads to de novo resistance to androgen deprivation therapy in prostate cancer. Integrative analysis of mouse and human data in a co-clinical approach identified XIAP and SRD5A1 inhibitors as potential therapies for castration-resistant prostate cancer. Here we report an integrated analysis that leverages data from treatment of genetic mouse models of prostate cancer along with clinical data from patients to elucidate new mechanisms of castration resistance. We show that castration counteracts tumor progression in a Pten loss–driven mouse model of prostate cancer through the induction of apoptosis and proliferation block. Conversely, this response is bypassed with deletion of either Trp53 or Zbtb7a together with Pten , leading to the development of castration-resistant prostate cancer (CRPC). Mechanistically, the integrated acquisition of data from mouse models and patients identifies the expression patterns of XAF1, XIAP and SRD5A1 as a predictive and actionable signature for CRPC. Notably, we show that combined inhibition of XIAP, SRD5A1 and AR pathways overcomes castration resistance. Thus, our co-clinical approach facilitates the stratification of patients and the development of tailored and innovative therapeutic treatments.
doi_str_mv 10.1038/ng.2650
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Integrative analysis of mouse and human data in a co-clinical approach identified XIAP and SRD5A1 inhibitors as potential therapies for castration-resistant prostate cancer. Here we report an integrated analysis that leverages data from treatment of genetic mouse models of prostate cancer along with clinical data from patients to elucidate new mechanisms of castration resistance. We show that castration counteracts tumor progression in a Pten loss–driven mouse model of prostate cancer through the induction of apoptosis and proliferation block. Conversely, this response is bypassed with deletion of either Trp53 or Zbtb7a together with Pten , leading to the development of castration-resistant prostate cancer (CRPC). Mechanistically, the integrated acquisition of data from mouse models and patients identifies the expression patterns of XAF1, XIAP and SRD5A1 as a predictive and actionable signature for CRPC. 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Integrative analysis of mouse and human data in a co-clinical approach identified XIAP and SRD5A1 inhibitors as potential therapies for castration-resistant prostate cancer. Here we report an integrated analysis that leverages data from treatment of genetic mouse models of prostate cancer along with clinical data from patients to elucidate new mechanisms of castration resistance. We show that castration counteracts tumor progression in a Pten loss–driven mouse model of prostate cancer through the induction of apoptosis and proliferation block. Conversely, this response is bypassed with deletion of either Trp53 or Zbtb7a together with Pten , leading to the development of castration-resistant prostate cancer (CRPC). Mechanistically, the integrated acquisition of data from mouse models and patients identifies the expression patterns of XAF1, XIAP and SRD5A1 as a predictive and actionable signature for CRPC. Notably, we show that combined inhibition of XIAP, SRD5A1 and AR pathways overcomes castration resistance. Thus, our co-clinical approach facilitates the stratification of patients and the development of tailored and innovative therapeutic treatments.</abstract><cop>New York</cop><pub>Nature Publishing Group US</pub><pmid>23727860</pmid><doi>10.1038/ng.2650</doi><tpages>9</tpages><oa>free_for_read</oa></addata></record>
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subjects 631/208/2489
Agriculture
Androgen Antagonists - therapeutic use
Androgen suppression therapy
Androgens
Androgens - metabolism
Animal Genetics and Genomics
Animals
Antineoplastic Agents - therapeutic use
Apoptosis
Biomarkers
Biomedicine
Cancer Research
Cancer therapies
Cancer treatment
Care and treatment
Cell Line, Tumor
Development and progression
Drug Evaluation, Preclinical
Gene Function
Genetic aspects
Health aspects
Human Genetics
Humans
Hypotheses
Integrated approach
Male
Medical research
Medical schools
Mice
Mice, Transgenic
Models, Biological
NMR
Nuclear magnetic resonance
Orchiectomy
Pathology
Phenylthiohydantoin - analogs & derivatives
Phenylthiohydantoin - therapeutic use
Prostate cancer
Prostatic Neoplasms - genetics
Prostatic Neoplasms - pathology
Prostatic Neoplasms - therapy
PTEN Phosphohydrolase - genetics
Rodents
Signal Transduction - drug effects
Signal Transduction - genetics
Therapies, Investigational
Translational Medical Research - methods
Treatment Failure
Tumors
title A co-clinical approach identifies mechanisms and potential therapies for androgen deprivation resistance in prostate cancer
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