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  • Androgen Receptor Pathway-I...
    Bluemn, Eric G.; Coleman, Ilsa M.; Lucas, Jared M.; Coleman, Roger T.; Hernandez-Lopez, Susana; Tharakan, Robin; Bianchi-Frias, Daniella; Dumpit, Ruth F.; Kaipainen, Arja; Corella, Alexandra N.; Yang, Yu Chi; Nyquist, Michael D.; Mostaghel, Elahe; Hsieh, Andrew C.; Zhang, Xiaotun; Corey, Eva; Brown, Lisha G.; Nguyen, Holly M.; Pienta, Kenneth; Ittmann, Michael; Schweizer, Michael; True, Lawrence D.; Wise, David; Rennie, Paul S.; Vessella, Robert L.; Morrissey, Colm; Nelson, Peter S.

    Cancer cell, 10/2017, Letnik: 32, Številka: 4
    Journal Article

    Androgen receptor (AR) signaling is a distinctive feature of prostate carcinoma (PC) and represents the major therapeutic target for treating metastatic prostate cancer (mPC). Though highly effective, AR antagonism can produce tumors that bypass a functional requirement for AR, often through neuroendocrine (NE) transdifferentiation. Through the molecular assessment of mPCs over two decades, we find a phenotypic shift has occurred in mPC with the emergence of an AR-null NE-null phenotype. These “double-negative” PCs are notable for elevated FGF and MAPK pathway activity, which can bypass AR dependence. Pharmacological inhibitors of MAPK or FGFR repressed the growth of double-negative PCs in vitro and in vivo. Our results indicate that FGF/MAPK blockade may be particularly efficacious against mPCs with an AR-null phenotype. •The frequency of double-negative (AR-null; NE-null) prostate cancer is increasing•FGF and MAPK pathways are active in AR-null prostate cancer•Autocrine and paracrine FGF pathway activation can bypass AR dependence•Targeting the FGF and MAPK pathways can repress AR-null prostate cancer Bluemn et al. show that androgen receptor (AR) inhibition results in a phenotypic shift in castration-resistant prostate cancer, leading to tumors that are AR-null but not neuroendocrine (NE). Models for AR-null, non-NE tumors show elevated FGF and MAPK activity and are sensitive to blockade of these pathways.