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Molecular determinants of response to high-dose androgen therapy in prostate cancer
Michael D. Nyquist, … , Peter S. Nelson, Elahe A. Mostaghel
Michael D. Nyquist, … , Peter S. Nelson, Elahe A. Mostaghel
Published September 10, 2019
Citation Information: JCI Insight. 2019;4(19):e129715. https://doi.org/10.1172/jci.insight.129715.
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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 4

Genetic loss-of-function screens identify factors that mediate response to AR-directed therapies.

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Genetic loss-of-function screens identify factors that mediate response ...
(A) Summary of 4 whole-genome CRISPR/CAS9 screens. Values (1–4) indicate the number of times the gene appeared in the top 2000 most enriched (+) or depleted (–) sgRNAs by gene. (B) Heatmap of validation study indicating the change in percentage of cells that harbor sgRNAs specific for the indicated gene. (C) Competitive enrichment assay for cells harboring sgRNAs targeting either, both, or neither RB1 and TP53.

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