雄激素受体共调节因子及其在前列腺癌进展中的作用

雄激素受体（AR）信号通路在前列腺癌的发生、进展和转移中发挥着重要作用,但AR介导组织对雄激素的特异应答是通过与其相互作用的AR共调节因子共同完成的,许多AR共调节因子的功能已被广泛研究。简要综述了目前发现的部分AR共调节因子在调节AR转录活性及前列腺癌发生、进展中的生物学作用。     

雄激素受体信号转导途径及其在前列腺癌发展中的作用

前列腺癌是西方男性发病率最高的癌症之一,在采用雄激素阻断疗法后,大部分患者的病情可得到控制,但经过一段时间又会转变为雄激素非依赖型前列腺癌。雄激素受体(AR)在前列腺细胞中扮演重要的角色,它可调节大量基因的表达。在前列腺癌由雄激素依赖型向雄激素非依赖型的转变过程中,AR及其信号途径通过多种方式发挥作用,AR基因的扩增、AR的突变,以及与共激活子之间作用的改变都可能使细胞获得雄激素非依赖型的生长能力。此外,AR还受到多肽生长因子和细胞因子等的调节,表现激素非依赖型的转录激活活性。AR在前列腺癌中作用的阐明对前列腺癌的诊断与治疗有着重大的意义。     

前列腺癌雄激素受体和PI3K/Akt信号通路相互作用研究进展

前列腺癌的发生、进展依赖于雄激素,因此去势手术成为治疗晚期前列腺癌的标准疗法。但是去势后大多前列腺癌最终将转化为雄激素非依赖性前列腺癌,甚至进展为激素难治性前列腺癌,使得肿瘤的进展不受低水平雄激素的影响。即使如此,大多数激素非依赖性前列腺癌,依然阳性表达雄激素受体。因而雄激素受体在前列腺癌发生发展中起着重要作用。而PI3K/Akt信号通路能够通过维持细胞生存、抑制细胞凋亡、促进细胞代谢及血管生成等促进前列腺癌进展。本综述旨在总结前人研究,阐述雄激素受体和PI3K/Akt信号通路之间相互作用关系。研究表明Akt信号通路能够正性或者负性调控AR蛋白表达、蛋白的稳定性及其转录活性,从而维持细胞的生存、代谢。而AR即可以通过基因转录途径抑制Akt活化又能通过非转录基因途径激活Akt及其下游蛋白。因此,AR和Akt信号通路相互协同促进前列腺癌的发生及其向雄激素非依赖性前列腺癌进展。     

前列腺癌雄激素受体和PI3K/Akt 信号通路相互作用研究进展

前列腺癌的发生、进展依赖于雄激素,因此去势手术成为治疗晚期前列腺癌的标准疗法。但是去势后大多前列腺癌最终将转化为雄激素非依赖性前列腺癌,甚至进展为激素难治性前列腺癌,使得肿瘤的进展不受低水平雄激素的影响。即使如此,大多数激素非依赖性前列腺癌,依然阳性表达雄激素受体。因而雄激素受体在前列腺癌发生发展中起着重要作用。而PI3K/Akt信号通路能够通过维持细胞生存、抑制细胞凋亡、促进细胞代谢及血管生成等促进前列腺癌进展。本综述旨在总结前人研究,阐述雄激素受体和PI3K/Akt信号通路之间相互作用关系。研究表明Akt信号通路能够正性或者负性调控AR蛋白表达、蛋白的稳定性及其转录活性,从而维持细胞的生存、代谢。而AR即可以通过基因转录途径抑制Akt活化又能通过非转录基因途径激活Akt及其下游蛋白。因此,AR和Akt信号通路相互协同促进前列腺癌的发生及其向雄激素非依赖性前列腺癌进展。     

雄激素非依赖性前列腺癌细胞雄激素受体靶基因的筛选与初步鉴定

采用染色质免疫共沉淀技术在全基因组水平筛选雄激素非依赖性前列腺癌细胞LNCaP-AI的雄激素受体结合位点,行高通量测序及生物信息学分析共得到2 876个peak（pvalue〈1×10–5）,peak平均长度为673 bp;将peak序列定位到Hg19基因组,共有1 865个靶基因,其中fold enrichment≥10的基因有425个。对peak相关基因进行GO分析发现,与细胞、细胞组分、细胞过程、结合、细胞器相关的基因位列前五位;对peak相关基因进行通路分析发现,与黏着斑、代谢通路、癌症中的转录错误调控、嘌呤代谢等信号通路相关的基因占大多数。筛选出7个候选AR靶基因,采用Real-time qPCR技术分析它们在LNCaP-AI细胞和雄激素依赖性前列腺癌细胞LNCaP中对DTH刺激的反应性,发现DHT刺激可改变7个候选AR靶基因在LNCaP-AI细胞中的表达,为进一步研究雄激素依赖性前列腺癌向非依赖性前列腺癌发展的过程中雄激素受体及其调控的下游靶基因功能起着至关重要的作用。     

阻断MAPK通路促进雄激素受体招募NCoR并抑制前列腺癌细胞生长

雄激素受体(androgen receptor,AR)是配体调节的转录因子,与前列腺癌的生长和内分泌治疗密切相关.醋酸环丙孕酮(cyproterone acetate,CPA)作为雄激素的拮抗剂已用于前列腺癌的治疗.结合了CPA的AR可与核受体协同抑制因子作用.已证实丝裂原激活的蛋白激酶(mitogen-activated protein kinase,MAPK)可介导生长因子和雄激素受体的信号转导通路的交互作用.我们报道,激活的MAPK抑制结合了CPA的AR招募核受体协同抑制因子(nuclear receptor corepressor,NCoR)至雄激素反应元件上.应用MEK的抑制剂U0126阻断MAPK通路可促进结合了CPA的AR和NCoR相互作用并通过对NCoR的招募增加抑制AR的功能从而阻遏AR靶基因的表达.此外,联合使用CPA和U0126处理稳定表达NCoR的LNCaP细胞可显著抑制前列腺癌细胞的生长.本研究表明,联合应用AR的拮抗剂和MAPK抑制剂有助于前列腺癌的治疗.     

雄激素受体及其辅调节因子在肥胖及胰岛素抵抗中作用的研究进展

雄激素受体(androgen receptor,AR)是核受体超家族的成员,主要通过与配体(雄激素)结合的方式发挥其生物学功能。AR在调节男性精子生成和发育,维持男性第二性征等方面起重要作用。此外,AR在前列腺癌、肝癌等疾病的发生发展中起重要作用。更有趣的是,近来研究发现,AR及其介导的靶基因转录在抵抗肥胖,抑制机体产生胰岛素抵抗中也发挥着不可忽视的作用。AR的辅助调节因子参与调控AR介导的基因转录,通过不同的分子机制影响着AR的活性,并且影响机体能量代谢活动。现就AR结构与功能、AR的辅助调节因子的作用机制及其对脂代谢、胰岛素抵抗等影响进行综述。     

雄激素受体与男性代谢综合征

雄激素受体(androgen receptor,AR)属于核受体超家族成员,以配体依赖的方式介导靶基因的转录活性,并招募一系列辅调节因子调控其转录,发挥其生物学功能。近年研究证实,AR可作为一个正向调节因子,通过影响脂代谢、抑制前脂肪细胞的转化、增强机体对胰岛素的敏感性等途径有效预防肥胖和胰岛素抵抗相关疾病的发生。对AR的结构、作用机制及其对男性脂代谢、胰岛素抵抗等影响的研究进展进行综述。     

新型四氢苯并噻唑化合物作为雄激素受体调节剂的合成与构效关系

前列腺癌是男性最常被诊断出的癌症之一,而雄激素受体（androgen receptor, AR）是前列腺癌治疗的重要靶标。现有的AR拮抗剂在长期使用后通常由于多种原因而失效。因此,新型AR拮抗剂的开发仍具有重要的意义。一系列四氢苯并噻唑类化合物,通过 α,β-环氧环己酮与适当的硫脲的缩合反应被合成。其中,多个化合物在酵母双杂交系统中表现出强于或相当于氟他胺的雄激素受体拮抗活性（IC50≤2.48 mmol/L）。进一步的细胞活力试验表明,这些活性化合物有效地抑制了雄激素敏感的LNCaP细胞的增殖（IC50值17.1~41.4 mmol/L）。分子对接研究提供了化合物与受体相互作用的可能模型,较好地符合了初步的构效关系研究。总之,本文的研究证明,四氢苯并噻唑可以作为有效的AR调节剂,可能代表了一种有前景的先导化合物,有助于进一步开发出新型的更加强效的雄激素受体拮抗剂。     

雄激素受体的研究进展

雄激素受体是一种配体依赖性的反式转录调节蛋白,广泛分布于机体各组织,参与雄激素的各种生理调节功能,其与疾病的关系已越来越成为人们研究的热点。本文就雄激素受体的结构、功能、组织分布、转录调控及其与疾病的关系等研究的最新进展作简要综述。     

The PPARγ ligand ciglitazone regulates androgen receptor activation differently in androgen-dependent versus androgen-independent human prostate cancer cells

The androgen receptor (AR) regulates growth and progression of androgen-dependent as well as androgen-independent prostate cancer cells. Peroxisome proliferator-activated receptor gamma (PPARγ) agonists have been reported to reduce AR activation in androgen-dependent LNCaP prostate cancer cells. To determine whether PPARγ ligands are equally effective at inhibiting AR activity in androgen-independent prostate cancer, we examined the effect of the PPARγ ligands ciglitazone and rosiglitazone on C4-2 cells, an androgen- independent derivative of the LNCaP cell line. Luciferase-based reporter assays and Western blot analysis demonstrated that PPARγ ligand reduced dihydrotestosterone (DHT)-induced increases in AR activity in LNCaP cells. However, in C4-2 cells, these compounds increased DHT-induced AR driven luciferase activity. In addition, ciglitazone did not significantly alter DHT-mediated increases in prostate specific antigen (PSA) protein or mRNA levels within C4-2 cells. siRNA-based experiments demonstrated that the ciglitazone-induced regulation of AR activity observed in C4-2 cells was dependent on the presence of PPARγ. Furthermore, overexpression of the AR corepressor cyclin D1 inhibited the ability of ciglitazone to induce AR luciferase activity in C4-2 cells. Thus, our data suggest that both PPARγ and cyclin D1 levels influence the ability of ciglitazone to differentially regulate AR signaling in androgen-independent C4-2 prostate cancer cells.     

Interaction of IGF signaling and the androgen receptor in prostate cancer progression

The insulin-like growth factor type I receptor (IGF-IR) has been suggested to play an important role in prostate cancer progression and possibly in the progression to androgen-independent (AI) disease. The term AI may not be entirely correct, in that recent data suggest that expression of androgen receptor (AR) and androgen-regulated genes is the primary association with prostate cancer progression after hormone ablation. Therefore, signaling through other growth factors has been thought to play a role in AR-mediated prostate cancer progression to AI disease in the absence of androgen ligand. However, existing data on how IGF-IR signaling interacts with AR activation in prostate cancer are conflicting. In this Prospect article, we review some of the published data on the mechanisms of IGF-IR/AR interaction and present new evidence that IGF-IR signaling may modulate AR compartmentation and thus alter AR activity in prostate cancer cells. Inhibition of IGF-IR signaling can result in cytoplasmic AR retention and a significant change in androgen-regulated gene expression. Translocation of AR from the cytoplasm to the nucleus may be associated with IGF-induced dephosphorylation. Since fully humanized antibodies targeting the IGF-IR are now in clinical trials, the current review is intended to reveal the mechanisms of potential therapeutic effects of these antibodies on AI prostate cancers.     

5alpha-androstane-3alpha,17beta-diol supports human prostate cancer cell survival and proliferation through androgen receptor-independent signaling pathways: implication of androgen-independent prostate cancer progression

Androgen and androgen receptor (AR) are involved in growth of normal prostate and development of prostatic diseases including prostate cancer. Androgen deprivation therapy is used for treating advanced prostate cancer. This therapeutic approach focuses on suppressing the accumulation of potent androgens, testosterone and 5alpha-dihydrotestosterone (5alpha-DHT), or inactivating the AR. Unfortunately, the majority of patients with prostate cancer eventually advance to androgen-independent states and no longer respond to the therapy. In addition to the potent androgens, 5alpha-androstane-3alpha,17beta-diol (3alpha-diol), reduced from 5alpha-DHT through 3alpha-hydroxysteroid dehydrogenases (3alpha-HSDs), activated signaling may represent a novel pathway responsible for the progression to androgen-independent prostate cancer. Androgen sensitive human prostate cancer LNCaP cells were used to compare 5alpha-DHT and 3alpha-diol activated androgenic effects. In contrast to 5alpha-DHT, 3alpha-diol regulated unique patterns of beta-catenin and Akt expression as well as Akt phosphorylation in parental and in AR-silenced LNCaP cells. More significantly, 3alpha-diol, but not 5alpha-DHT, supported AR-silenced LNCaP cells and AR negative prostate cancer PC-3 cell proliferation. 3alpha-diol-activated androgenic effects in prostate cells cannot be attributed to the accumulation of 5alpha-DHT, since 5alpha-DHT formation was not detected following 3alpha-diol administration. Potential accumulation of 3alpha-diol, as a result of elevated 3alpha-HSD expression in cancerous prostate, may continue to support prostate cancer growth in the presence of androgen deprivation. Future therapeutic strategies for treating advanced prostate cancer might need to target reductive 3alpha-HSD to block intraprostatic 3alpha-diol accumulation.     

Amino-terminus domain of the androgen receptor as a molecular target to prevent the hormonal progression of prostate cancer

Prostate cancer has a propensity to metastasize to the bone. Currently the only effective systemic treatment for these patients is androgen ablation therapy. However, the tumor will invariably progress to an androgen-independent stage and the patient will succumb to his disease within approximately 2 years. The earliest indication of hormonal progression is the rising titer of serum prostate specific antigen. Current evidence implicates the androgen receptor (AR) as a key factor in maintaining the growth of prostate cancer cells in an androgen-depleted state. Under normal conditions, binding of ligand activates the receptor, allowing it to effectively bind to its respective DNA element. However, AR is also transformed in the absence of androgen (ligand-independent activation) in prostate cells via multiple protein kinase pathways and the interleukin-6 (IL-6) pathway that converge upon the N-terminal domain of the AR. This domain is the main region for phosphorylation and is also critical for normal coregulator recruitment. Here we discuss evidence supporting the role of the AR, IL-6 and other protein kinase pathways in the hormonal progression of prostate cancer to androgen independence and the mechanisms involved in activation of the AR by these pathways. Receptor-targeted therapy, especially potential drugs targeting the N-terminal domain, may effectively prevent or delay the hormonal progression of AR-dependent prostate cancer.