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Stromal androgen receptor regulates the composition of the microenvironment to influence prostate cancer outcome.

Abstract
Androgen receptor (AR) signaling in stromal cells is important in prostate cancer, yet the mechanisms underpinning stromal AR contribution to disease development and progression remain unclear. Using patient-matched benign and malignant prostate samples, we show a significant association between low AR levels in cancer associated stroma and increased prostate cancer-related death at one, three and five years post-diganosis, and in tissue recombination models with primary prostate cancer cells that low stromal AR decreases castration-induced apoptosis. AR-regulation was found to be different in primary human fibroblasts isolated from adjacent to cancerous and non-cancerous prostate epithelia, and to represent altered activation of myofibroblast pathways involved in cell cycle, adhesion, migration, and the extracellular matrix (ECM). Without AR signaling, the fibroblast-derived ECM loses the capacity to promote attachment of both myofibroblasts and cancer cells, is less able to prevent cell-matrix disruption, and is less likely to impede cancer cell invasion. AR signaling in prostate cancer stroma appears therefore to alter patient outcome by maintaining an ECM microenvironment inhibitory to cancer cell invasion. This paper provides comprehensive insight into AR signaling in the non-epithelial prostate microenvironment, and a resource from which the prognostic and therapeutic implications of stromal AR levels can be further explored.
AuthorsDamien A Leach, Eleanor F Need, Roxanne Toivanen, Andrew P Trotta, Helen M Palethorpe, Helen M Palenthorpe, David J Tamblyn, Tina Kopsaftis, Georgina M England, Eric Smith, Paul A Drew, Carole B Pinnock, Peng Lee, Jeff Holst, Gail P Risbridger, Samarth Chopra, Donald B DeFranco, Renea A Taylor, Grant Buchanan
JournalOncotarget (Oncotarget) Vol. 6 Issue 18 Pg. 16135-50 (Jun 30 2015) ISSN: 1949-2553 [Electronic] United States
PMID25965833 (Publication Type: Comparative Study, Journal Article, Research Support, N.I.H., Extramural, Research Support, Non-U.S. Gov't, Research Support, U.S. Gov't, Non-P.H.S.)
Chemical References
  • AR protein, human
  • Androgens
  • RNA, Messenger
  • Receptors, Androgen
Topics
  • Aged
  • Aged, 80 and over
  • Androgens (pharmacology)
  • Animals
  • Apoptosis (drug effects)
  • Blotting, Western
  • Case-Control Studies
  • Cell Adhesion (drug effects)
  • Cell Movement (drug effects)
  • Cell Proliferation (drug effects)
  • Chromatin Immunoprecipitation
  • Follow-Up Studies
  • Humans
  • Immunoenzyme Techniques
  • Male
  • Middle Aged
  • Myofibroblasts (drug effects, metabolism, pathology)
  • Neoplasm Grading
  • Neoplasm Invasiveness
  • Orchiectomy
  • Prognosis
  • Prostatic Hyperplasia (drug therapy, metabolism, pathology)
  • Prostatic Neoplasms (drug therapy, metabolism, pathology)
  • RNA, Messenger (genetics)
  • Real-Time Polymerase Chain Reaction
  • Receptors, Androgen (genetics, metabolism)
  • Reverse Transcriptase Polymerase Chain Reaction
  • Signal Transduction
  • Stromal Cells (drug effects, metabolism, pathology)
  • Tissue Array Analysis
  • Tumor Cells, Cultured
  • Tumor Microenvironment

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