Androgen receptor (AR) has been extensively
established
as a potential
therapeutic target for nearly all stages of prostate cancer (PCa).
However, acquired resistance to AR-targeted drugs inevitably develops
and severely limits their clinical efficacy. Particularly, there currently
exists no efficient treatment for patients expressing the constitutively
active AR splice variants, such as AR-V7. Herein, we report the structure–activity
relationship studies of 55 N-heterocycle-substituted
hydantoins, which identified the structural motifs required for AR/AR-V7
degradation. Among them, the most potent compound 27c exhibited selective AR/AR-V7 degradation over other hormone receptors
and excellent antiproliferative activities in LNCaP and 22RV1 cells.
RNA sequence analysis confirmed that 27c effectively
suppressed transcriptional activity of the AR signaling pathway. Importantly, 27c demonstrated potent antitumor efficacy in an enzalutamide-resistant
22RV1 xenograft model. These results highlight the potential of 27c as a promising dual AR/AR-V7 degrader for overcoming drug
resistance in advanced PCa expressing AR splice variants.