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Molecular determinants of response to high-dose androgen therapy in prostate cancer
Michael D. Nyquist, Alexandra Corella, Osama Mohamad, Ilsa Coleman, Arja Kaipainen, Daniel A. Kuppers, Jared M. Lucas, Patrick J. Paddison, Stephen R. Plymate, Peter S. Nelson, Elahe A. Mostaghel
Michael D. Nyquist, Alexandra Corella, Osama Mohamad, Ilsa Coleman, Arja Kaipainen, Daniel A. Kuppers, Jared M. Lucas, Patrick J. Paddison, Stephen R. Plymate, Peter S. Nelson, Elahe A. Mostaghel
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Research Article Genetics Oncology

Molecular determinants of response to high-dose androgen therapy in prostate cancer

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Abstract

Clinical trials of high-dose androgen (HDA) therapy for prostate cancer (PC) have shown promising efficacy but are limited by lack of criteria to identify likely responders. To elucidate factors that govern the growth-repressive effects of HDAs, we applied an unbiased integrative approach using genetic screens and transcriptional profiling of PC cells with or without demonstrated phenotypic sensitivity to androgen-mediated growth repression. Through this comprehensive analysis, we identified genetic events and related signaling networks that determine the response to both HDA and androgen withdrawal. We applied these findings to develop a gene signature that may serve as an early indicator of treatment response and identify men with tumors that are amenable to HDA therapy.

Authors

Michael D. Nyquist, Alexandra Corella, Osama Mohamad, Ilsa Coleman, Arja Kaipainen, Daniel A. Kuppers, Jared M. Lucas, Patrick J. Paddison, Stephen R. Plymate, Peter S. Nelson, Elahe A. Mostaghel

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Figure 2

The androgen receptor signaling program is comprised of multiple modalities.

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The androgen receptor signaling program is comprised of multiple modalit...
(A) Normalized-enrichment scores (NES) of GSEA Hallmark gene sets for all 4 cell lines. Significant gene sets comparing 10 nM R1881 versus vehicle (FDR < 0.05) are marked as circles. Androgen receptor–related gene sets are labeled in red, cell cycle–related gene sets in blue (n = 2). (B) Same as A for 10 μM ENZ-related gene expression changes. (C) AR-signaling modalities are diagrammed: biphasic (blue), inverse-biphasic (red), AR-repressed (yellow), AR-induced (green). (D) Percentage of AR-responsive genes in each category. Gene ontology (GO) pathways that are overrepresented in the (E) biphasic gene subset, (F) inverse-biphasic subset, (G) AR-induced subset, and (H) AR-repressed subset. ADT, androgen deprivation therapy; AR, androgen receptor; GSEA, gene set enrichment analysis; HDA, high-dose androgen.

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