The
androgen receptor (AR) is a major driver of
prostate cancer (PCa) and a key therapeutic target for AR inhibitors (ie,
Enzalutamide). However,
Enzalutamide only inhibits
androgen-dependent AR signaling, enabling intrinsic AR activation via
androgen-independent pathways, leading to aggressive
castration-resistant PCa (CRPC). We investigated the ability of novel anti-
cancer agents,
Dp44mT and DpC, to overcome
androgen resistance. The effect of
Dp44mT and DpC on
androgen-dependent and independent AR signaling was assessed in
androgen-dependent and -independent PCa cells using 2D- and 3D-tissue culture. The clinically trialed DpC was then examined in vivo and compared to
Enzalutamide. These agents uniquely promote AR proteasomal degradation and inhibit AR transcription in PCa cells via the upregulation of c-Jun, potently reducing the AR target,
prostate-specific antigen (PSA). These agents also inhibited the activation of key molecules in both
androgen-dependent and independent AR signaling (ie, EGFR, MAPK, PI3K), which promote CRPC. The clinically trialed DpC also significantly inhibited PCa
tumor growth, AR, and PSA expression in vivo, being more potent than
Enzalutamide. DpC is a promising candidate for a unique, structurally distinct generation of AR inhibitors that simultaneously target both
androgen-dependent and independent arms of AR signaling. No other
therapies exhibit such comprehensive and potent AR suppression, which is critical for overcoming the development of
androgen resistance.