Abstract
Signal transducer and activator of transcription 5 (Stat5) plays an important role in the transition of prostate cancer (PCa) to its castrate-resistant state. Pharmacologic targeting of Stat5 is a rational approach to delay castrate-resistant progression, in part, because Stat5 cooperates with the androgen receptor (AR) to promote PCa progression. Immunostaining of tissue microarrays was used to correlate Stat5 expression with Gleason grade and to characterize changes in treatment-naive and androgen-deprived human PCa. Potency of a Stat5 antisense oligonucleotide (ASO) on Stat5 knockdown, cell growth, and apoptosis was assessed in LNCaP, C4-2, and DU145 cells. Effects of Stat5 knockdown on AR activity and stability was assessed using a PSA transactivation-luciferase assay and cyclohexamide plus MG132 treatment, respectively. LNCaP tumor-bearing mice were castrated and randomly assigned to treatment with Stat5-ASO or controls. Here, we show that the frequency of Stat5 expression is significantly increased in high Gleason grade as well as in hormone-treated PCa. Also, specific knockdown of Stat5 with ASO abrogates androgen-induced AR nuclear translocation and PSA transactivation despite R1881 stimulation. Moreover, Stat5 knockdown destabilizes AR, which leads to AR degradation via the proteasome. Shown for the first time as a preclinical proof-of-principle, Stat5 knockdown with Stat5-ASO significantly delays CRPC tumor progression in vivo. Thereby, we are able to recapitulate our in vitro results by reducing serum PSA and expression levels of target proteins in the xenograft tumors.
Highlights
Highly effective and in most cases curative treatment options exist for clinically localized prostate cancer (PCa), treatment options for recurrent and metastatic PCa are limited and mostly palliative [1, 2]
Signal transducer and activator of transcription 5 (Stat5) expression is associated with high Gleason grade, Androgen deprivation therapy (ADT), and castration-resistant disease
Stat5 expression is significantly more frequent (*, P < 0.05) in high Gleason grade compared with low Gleason grade by Fisher's exact test
Summary
Highly effective and in most cases curative treatment options exist for clinically localized prostate cancer (PCa), treatment options for recurrent and metastatic PCa are limited and mostly palliative [1, 2]. CRPC progression is a complex process by which cells acquire the ability to both survive and proliferate in the absence of androgens and involves variable combinations of clonal selection, adaptive upregulation of anti-apoptotic genes, and alternative growth factor pathways [6,7,8,9,10,11,12,13,14,15,16,17,18] Molecular targeting at this stage seems to be a promising approach [19]
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