Abstract Androgen depletion for advanced prostate cancer (PCa) targets activity of the androgen receptor (AR), a steroid receptor transcription factor required for PCa growth. The emergence of lethal castration-resistant PCa (CRPCa) is marked by aberrant re-activation of the AR despite ongoing androgen depletion. Recently, alternative splicing has been described as a mechanism giving rise to COOH-terminally truncated, constitutively active AR isoforms that can support the CRPCa phenotype. However, the pathologic origin of these truncated AR isoforms has not been described. The goal of this study was to investigate alterations in AR expression arising in a cell-based model of PCa progression driven by truncated AR isoform activity. We demonstrate that stable, high-level expression of truncated AR isoforms in 22Rv1 CRPCa cells coincides with intragenic rearrangement of a ∼35kb AR genomic segment, which contains several alternative AR exons. Analysis of metastatic CRPCa tissues indicated that related AR copy number alterations are frequent and often occur in conjunction with high-level AR amplification. Nucleotide-level resolution of the break fusion junction in 22Rv1 cells revealed a DNA repair signature consistent with a microhomology-mediated, replication-based mechanism of origin. Together, these data provide the first report of AR intragenic rearrangements in CRPCa and a link with pathologic expression of truncated AR isoforms in a cell-based model of PCa progression. Citation Format: {Authors}. {Abstract title} [abstract]. In: Proceedings of the 102nd Annual Meeting of the American Association for Cancer Research; 2011 Apr 2-6; Orlando, FL. Philadelphia (PA): AACR; Cancer Res 2011;71(8 Suppl):Abstract nr 4556. doi:10.1158/1538-7445.AM2011-4556
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