Inhibiting androgen receptor nuclear entry in castration-resistant prostate cancer

JA Pollock, SE Wardell, AA Parent, DB Stagg… - Nature chemical …, 2016 - nature.com
JA Pollock, SE Wardell, AA Parent, DB Stagg, SJ Ellison, HM Alley, CA Chao, SA Lawrence…
Nature chemical biology, 2016nature.com
Clinical resistance to the second-generation antiandrogen enzalutamide in castration-
resistant prostate cancer (CRPC), despite persistent androgen receptor (AR) activity in
tumors, highlights an unmet medical need for next-generation antagonists. We have
identified and characterized tetra-aryl cyclobutanes (CBs) as a new class of competitive AR
antagonists that exhibit a unique mechanism of action. These CBs are structurally distinct
from current antiandrogens (hydroxyflutamide, bicalutamide, and enzalutamide) and inhibit …
Abstract
Clinical resistance to the second-generation antiandrogen enzalutamide in castration-resistant prostate cancer (CRPC), despite persistent androgen receptor (AR) activity in tumors, highlights an unmet medical need for next-generation antagonists. We have identified and characterized tetra-aryl cyclobutanes (CBs) as a new class of competitive AR antagonists that exhibit a unique mechanism of action. These CBs are structurally distinct from current antiandrogens (hydroxyflutamide, bicalutamide, and enzalutamide) and inhibit AR-mediated gene expression, cell proliferation, and tumor growth in several models of CRPC. Conformational profiling revealed that CBs stabilize an AR conformation resembling an unliganded receptor. Using a variety of techniques, it was determined that the AR–CB complex was not recruited to AR-regulated promoters and, like apo AR, remains sequestered in the cytoplasm, bound to heat shock proteins. Thus, we have identified third-generation AR antagonists whose unique mechanism of action suggests that they may have therapeutic potential in CRPC.
nature.com