Overcoming mutation-based resistance to antiandrogens with rational drug design
- PMID: 23580326
- PMCID: PMC3622181
- DOI: 10.7554/eLife.00499
Overcoming mutation-based resistance to antiandrogens with rational drug design
Abstract
The second-generation antiandrogen enzalutamide was recently approved for patients with castration-resistant prostate cancer. Despite its success, the duration of response is often limited. For previous antiandrogens, one mechanism of resistance is mutation of the androgen receptor (AR). To prospectively identify AR mutations that might confer resistance to enzalutamide, we performed a reporter-based mutagenesis screen and identified a novel mutation, F876L, which converted enzalutamide into an AR agonist. Ectopic expression of AR F876L rescued the growth inhibition of enzalutamide treatment. Molecular dynamics simulations performed on antiandrogen-AR complexes suggested a mechanism by which the F876L substitution alleviates antagonism through repositioning of the coactivator recruiting helix 12. This model then provided the rationale for a focused chemical screen which, based on existing antiandrogen scaffolds, identified three novel compounds that effectively antagonized AR F876L (and AR WT) to suppress the growth of prostate cancer cells resistant to enzalutamide. DOI:http://dx.doi.org/10.7554/eLife.00499.001.
Keywords: Human; Mouse; androgen receptor; drug resistance; prostate cancer.
Conflict of interest statement
MDB, Co-inventor of patent applications covering the AR mutation and novel chemical matter described in this manuscript.
MJE, Co-inventor of a patent application covering the novel chemical matter described in this manuscript.
DJH, Co-inventor of a patent application covering the novel chemical matter described in this manuscript.
GLG, Co-inventor of a patent application covering the novel chemical matter described in this manuscript.
YS, Co-inventor of a patent application covering the novel chemical matter described in this manuscript.
PAW, Co-inventor of a patent application covering the AR mutation described in this manuscript.
CLS, Senior editor,
The other authors declare that no competing interests exist.
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Comment in
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Designer antiandrogens join the race against drug resistance.Elife. 2013 Apr 9;2:e00692. doi: 10.7554/eLife.00692. Elife. 2013. PMID: 23580166 Free PMC article.
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Therapeutic resistance: two steps ahead.Nat Rev Cancer. 2013 Jun;13(6):382-3. doi: 10.1038/nrc3532. Epub 2013 May 10. Nat Rev Cancer. 2013. PMID: 23660783 No abstract available.
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