The mechanism by which the androgen receptor (AR) distinguishes between agonist and antagonist ligands is poorly understood. AR antagonists are currently used to treat prostate cancer. However, mutations commonly develop in patients that convert these compounds to agonists. Recently, our laboratory discovered selective androgen receptor modulators, which structurally resemble the nonsteroidal AR antagonists bicalutamide and hydroxyflutamide but act as agonists for the androgen receptor in a tissueselective manner. To investigate why subtle structural changes to both the ligand and the receptor (i.e. mutations) result in drastic changes in activity, we studied structure-activity relationships for nonsteroidal AR ligands through crystallography and site-directed mutagenesis, comparing bound conformations of R-bicalutamide, hydroxyflutamide, and two previously reported nonsteroidal androgens, S-1 and R-3. These studies provide the first crystallographic evidence of the mechanism by which nonsteroidal ligands interact with the wild type AR. We have shown that changes induced to the positions of Trp-741, Thr-877, and Met-895 allow for ligand accommodation within the AR binding pocket and that a water-mediated hydrogen bond to the backbone oxygen of Leu-873 and the ketone of hydroxyflutamide is present when bound to the T877A AR variant. Additionally, we demonstrated that R-bicalutamide stimulates transcriptional activation in AR harboring the M895T point mutation. As a whole, these studies provide critical new insight for receptor-based drug design of nonsteroidal AR agonists and antagonists.
The androgen receptor (AR)3 is a ligand-inducible nuclear hormone receptor involved in regulation of prostate growth, muscle and bone mass, and spermatogenesis in males. Endogenous ligands for the AR include the steroid, testosterone, and its more potent metabolite, dihydrotestosterone (DHT). Agonist compounds for the AR provide therapeutic potential in the treatment of osteoporosis, cachexia, contraception, and androgen deficiency (1). Antagonist AR ligands are commonly used in the treatment of androgen-dependent prostate cancer. The clinically available nonsteroidal antiandrogens, flutamide and bicalutamide, are advantageous over steroidal drug treatments because of their oral bioavailability and lack of cross-reactivity with other steroid receptors. Mutations to the AR that cause resistance to antiandrogens by converting the compounds to agonists exist and represent a significant problem with currently prescribed prostate cancer drugs that target the AR (2-4). Different AR mutations cause agonism for hydroxyflutamide (HF, active form of flutamide) as compared with bicalutamide, suggesting that these ligands do not antagonize the AR by the same mechanism. Our recent report of the W741L-R-bicalutamide crystal structure (5) demonstrated that R-bicalutamide induces the same overall fold of the AR ligand binding domain (LBD) observed in steroidal androgen-bound AR LBD crystal structures when bound to a mutant AR associated with re...