PD04-09 COMBINATION TREATMENT WITH HSP70/STUB1 MODULATOR AND ENZALUTAMIDE YIELDS SYNERGISTIC ACTIVITY IN ADVANCED PROSTATE CANCER

Abstract

You have accessJournal of UrologyCME1 Apr 2023PD04-09 COMBINATION TREATMENT WITH HSP70/STUB1 MODULATOR AND ENZALUTAMIDE YIELDS SYNERGISTIC ACTIVITY IN ADVANCED PROSTATE CANCER Pengfei Xu, Joy C. Yang, Bo Chen, Christopher Nip, Shu Ning, Allen C. Gao, Hao Shao, Jason Gestwicki, Christopher P. Evans, and Chengfei Liu Pengfei XuPengfei Xu More articles by this author , Joy C. YangJoy C. Yang More articles by this author , Bo ChenBo Chen More articles by this author , Christopher NipChristopher Nip More articles by this author , Shu NingShu Ning More articles by this author , Allen C. GaoAllen C. Gao More articles by this author , Hao ShaoHao Shao More articles by this author , Jason GestwickiJason Gestwicki More articles by this author , Christopher P. EvansChristopher P. Evans More articles by this author , and Chengfei LiuChengfei Liu More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003228.09AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Ubiquitin proteasome system is suppressed in enzalutamide resistant prostate cancer cells and that the HSP70/STUB1 machinery is involved in androgen receptor (AR) and AR variant protein stabilization. Targeting HSP70 could be a valuable strategy to overcome the resistance of androgen receptor signaling inhibitors (ARSI) in advanced prostate cancer. In this study, we tested novel HSP70/STUB1modulators in enzalutamide resistant cells and patient-derived prostate cancer cell models. METHODS: Expression of AR-V7, HSP70 and STUB1 were determined by qRT-PCR and western blot. Expression of HSP70 and STUB1 was down-regulated using specific siRNA. HSP70/STUB1 and AR-V7 interaction was determined by co-immunoprecipitation and dual immunofluorescence. Tumor organoids were established from the patient derived xenografts (PDX) and the viability was stained by LIVE/DEAD™ Cell Imaging Kit. The effects of HSP70 inhibitors on enzalutamide sensitivity were examined in cell line model and patient-derived cell models. RESULTS: A novel HSP70 inhibitor JG98 significantly suppressed drug resistant C4-2B MDVR and CWR22Rv1 cell growth and enhanced enzalutamide treatment (p<0.001). JG98 also suppressed the PDX derived organoid growth and induced organoid death in a dose dependent manner (p<0.001). Mechanistically, JG98 suppressed AR/AR-V7 expression in resistant cells and promoted STUB1 entering into the nucleus and bound to AR-V7. Knockdown of STUB1 diminished the anti-cancer effect and AR-V7 inhibition by JG98. A more potent HSP70 inhibitor JG231 was developed from JG98. JG231 significantly improved the drug solubility and showed better pharmacokinetic characteristics than JG98. Moreover, JG231 effectively suppressed the cell growth and enhanced enzalutamide treatment in resistant cells and PDX derived prostate cancer cells (p<0.001). CONCLUSIONS: The HSP70/STUB1 machinery involved in AR/AR-V7 regulation and enzalutamide resistance. Targeting HSP70 by novel HSP70/STUB1 modulators overcome the ARSI resistance and improve their therapy. Source of Funding: This work was supported in part by grants NIH/NCI R37CA249108 (C, Liu) and R01CA251253 (C, Liu) © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e145 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Pengfei Xu More articles by this author Joy C. Yang More articles by this author Bo Chen More articles by this author Christopher Nip More articles by this author Shu Ning More articles by this author Allen C. Gao More articles by this author Hao Shao More articles by this author Jason Gestwicki More articles by this author Christopher P. Evans More articles by this author Chengfei Liu More articles by this author Expand All Advertisement PDF downloadLoading ...