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Inhibition of de novo lipogenesis targets androgen receptor signaling in castration-resistant prostate cancer.

Giorgia Zadra | Caroline F Ribeiro | Paolo Chetta | Yeung Ho | Stefano Cacciatore | Xueliang Gao | Sudeepa Syamala | Clyde Bango | Cornelia Photopoulos | Ying Huang | Svitlana Tyekucheva | Debora C Bastos | Jeremy Tchaicha | Brian Lawney | Takuma Uo | Laura D'Anello | Alfredo Csibi | Radha Kalekar | Benjamin Larimer | Leigh Ellis | Lisa M Butler | Colm Morrissey | Karen McGovern | Vito J Palombella | Jeffery L Kutok | Umar Mahmood | Silvano Bosari | Julian Adams | Stephane Peluso | Scott M Dehm | Stephen R Plymate | Massimo Loda
Proceedings of the National Academy of Sciences of the United States of America | 2019

A hallmark of prostate cancer progression is dysregulation of lipid metabolism via overexpression of fatty acid synthase (FASN), a key enzyme in de novo fatty acid synthesis. Metastatic castration-resistant prostate cancer (mCRPC) develops resistance to inhibitors of androgen receptor (AR) signaling through a variety of mechanisms, including the emergence of the constitutively active AR variant V7 (AR-V7). Here, we developed an FASN inhibitor (IPI-9119) and demonstrated that selective FASN inhibition antagonizes CRPC growth through metabolic reprogramming and results in reduced protein expression and transcriptional activity of both full-length AR (AR-FL) and AR-V7. Activation of the reticulum endoplasmic stress response resulting in reduced protein synthesis was involved in IPI-9119-mediated inhibition of the AR pathway. In vivo, IPI-9119 reduced growth of AR-V7-driven CRPC xenografts and human mCRPC-derived organoids and enhanced the efficacy of enzalutamide in CRPC cells. In human mCRPC, both FASN and AR-FL were detected in 87% of metastases. AR-V7 was found in 39% of bone metastases and consistently coexpressed with FASN. In patients treated with enzalutamide and/or abiraterone FASN/AR-V7 double-positive metastases were found in 77% of cases. These findings provide a compelling rationale for the use of FASN inhibitors in mCRPCs, including those overexpressing AR-V7.

Pubmed ID: 30578319

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Associated grants

  • Agency: NCI NIH HHS, United States
    Id: P50 CA090381
  • Agency: NCI NIH HHS, United States
    Id: R01 CA174777
  • Agency: NCI NIH HHS, United States
    Id: P50 CA097186
  • Agency: BLRD VA, United States
    Id: I01 BX003324
  • Agency: NCI NIH HHS, United States
    Id: R01 CA131945
  • Agency: BLRD VA, United States
    Id: I01 BX000585

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