2021
DOI: 10.3390/cancers13040633
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Metformin and Androgen Receptor-Axis-Targeted (ARAT) Agents Induce Two PARP-1-Dependent Cell Death Pathways in Androgen-Sensitive Human Prostate Cancer Cells

Abstract: We explored whether the anti-prostate cancer (PC) activity of the androgen receptor-axis-targeted agents (ARATs) abiraterone and enzalutamide is enhanced by metformin. Using complementary biological and molecular approaches, we determined the associated underlying mechanisms in pre-clinical androgen-sensitive PC models. ARATs increased androgren receptors (ARs) in LNCaP and AR/ARv7 (AR variant) in VCaP cells, inhibited cell proliferation in both, and induced poly(ADP-ribose) polymerase-1 (PARP-1) cleavage and … Show more

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Cited by 13 publications
(12 citation statements)
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References 50 publications
(54 reference statements)
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“…The observed GR-mediated upregulation of LEDGF/p75 in enzalutamide-resistant PCa cells raises the intriguing possibility that this transcription co-activator may also contribute to ARSI resistance. While the most widely accepted mode of action of enzalutamide is targeting AR activity, there is evidence that this drug also triggers apoptosis and attenuates the expression of anti-apoptotic proteins and heat shock proteins such as HSP27 in PCa cells and other cancer cell types [ 103 , 104 , 105 , 106 ]. Targeting anti-apoptotic and cell survival signaling pathways has been proposed as a novel strategy to overcome enzalutamide resistance in PCa [ 18 , 107 , 108 , 109 ].…”
Section: Discussionmentioning
confidence: 99%
“…The observed GR-mediated upregulation of LEDGF/p75 in enzalutamide-resistant PCa cells raises the intriguing possibility that this transcription co-activator may also contribute to ARSI resistance. While the most widely accepted mode of action of enzalutamide is targeting AR activity, there is evidence that this drug also triggers apoptosis and attenuates the expression of anti-apoptotic proteins and heat shock proteins such as HSP27 in PCa cells and other cancer cell types [ 103 , 104 , 105 , 106 ]. Targeting anti-apoptotic and cell survival signaling pathways has been proposed as a novel strategy to overcome enzalutamide resistance in PCa [ 18 , 107 , 108 , 109 ].…”
Section: Discussionmentioning
confidence: 99%
“…Metformin inhibited 2-deoxyglucose autophagy induction and favored apoptosis [66]. Increased apoptosis was also observed in metformin combined with bicalutamide [94], vitamin D3 [49], curcumin [74], atorvastatin [80], valproic acid [79], abiraterone and enzalutamide [61]. In fact, metformin was shown to reverse resistance to enzalutamide [78].…”
Section: Prostate Cancermentioning
confidence: 95%
“…AR can also suppress AMPK signaling, and inhibition of AMPK signaling prevented metformin-induced AR decrease [59]. Metformin reduced AR and ARv7 (an AR variant correlated with worse prognosis) expression, restoring miR26a-5p expression, which suppressed enhancer of zeste homolog 2 (EZH2), a catalyst of histone-3 lysine 27 trimethylation, that suppressed gene expression and has been correlated with tumor progression [60,61]. Responsiveness to the androgen receptor is a key element in vitro and in vivo.…”
Section: Prostate Cancermentioning
confidence: 99%
“…Clomipramine and metformin are autophagy inhibitors and have proven to overcome enzalutamide resistance in vitro and in vivo, significantly reducing tumor growth in enza-resistant prostate cancer cells [ 122 ]. In addition, metformin improves the efficacy of both abiraterone and enzalutamide in vitro [ 123 ].…”
Section: Agents and Strategies To Resensitize Crpc To Antiandrogen Th...mentioning
confidence: 99%