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Androgen Receptor Pathway-Independent Prostate Cancer Is Sustained through FGF Signaling.

Cancer cell | 2017

Androgen receptor (AR) signaling is a distinctive feature of prostate carcinoma (PC) and represents the major therapeutic target for treating metastatic prostate cancer (mPC). Though highly effective, AR antagonism can produce tumors that bypass a functional requirement for AR, often through neuroendocrine (NE) transdifferentiation. Through the molecular assessment of mPCs over two decades, we find a phenotypic shift has occurred in mPC with the emergence of an AR-null NE-null phenotype. These "double-negative" PCs are notable for elevated FGF and MAPK pathway activity, which can bypass AR dependence. Pharmacological inhibitors of MAPK or FGFR repressed the growth of double-negative PCs in vitro and in vivo. Our results indicate that FGF/MAPK blockade may be particularly efficacious against mPCs with an AR-null phenotype.

Pubmed ID: 29017058 RIS Download

Associated grants

  • Agency: NCI NIH HHS, United States
    Id: P50 CA097186
  • Agency: NCI NIH HHS, United States
    Id: K08 CA175154
  • Agency: NCI NIH HHS, United States
    Id: U54 CA224079
  • Agency: NIGMS NIH HHS, United States
    Id: T32 GM007266
  • Agency: NCI NIH HHS, United States
    Id: P01 CA163227

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