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

Andrea Lunardi, Ugo Ala, Mirjam T. Epping, Leonardo Salmena, John G. Clohessy, Kaitlyn A. Webster, Guocan Wang, Roberta Mazzucchelli, Maristella Bianconi, Edward C. Stack, Rosina Lis, Akash Patnaik, Lewis C. Cantley, Glenn Bubley, Carlos Cordon-Cardo, William L. Gerald, Rodolfo Montironi, Sabina Signoretti, Massimo Loda, Caterina NardellaPier Paolo Pandolfi

Research output: Contribution to journalArticlepeer-review

129 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)747-755
Number of pages9
JournalNature Genetics
Volume45
Issue number7
DOIs
StatePublished - Jul 2013
Externally publishedYes

ASJC Scopus subject areas

  • Genetics

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