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Pharmacological inhibition of the Notch pathway enhances the efficacy of androgen deprivation therapy for prostate cancer
Author(s) -
Cui Jian,
Wang Yanqing,
Dong Baijun,
Qin Lixia,
Wang Chao,
Zhou Peijie,
Wang Xue,
Xu Huiming,
Xue Wei,
Fang YuXiang,
Gao WeiQiang
Publication year - 2018
Publication title -
international journal of cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.475
H-Index - 234
eISSN - 1097-0215
pISSN - 0020-7136
DOI - 10.1002/ijc.31346
Subject(s) - lncap , notch signaling pathway , androgen deprivation therapy , prostate cancer , cancer research , downregulation and upregulation , androgen receptor , notch 1 , medicine , tramp , androgen , cancer , biology , receptor , hormone , biochemistry , gene
Although androgen deprivation therapy (ADT) is a standard treatment for metastatic prostate cancer, this disease inevitably recurs and progresses to ADT‐resistant stage after this therapy. Accordingly, understanding the mechanism of resistance to ADT and finding new approach to enhance the efficacy of ADT may provide a major benefit to PCa patients. In our study, we found upregulated expression of Notch receptors is positive associated with ADT‐resistance progression. Using fluorescent Notch signaling reporter system, we observed that endogenous Notch signaling could be activated after treatment of androgen deprivation in LNCaP cells via activation of Notch3. In addition, exogenous activation of the Notch signaling though Dox‐induced overexpression of any Notch intracellular domains (NICD1‐4) could enhance the resistance of PCa cells to ADT under ex vivo 3D culture conditions and upregulate expression of ADT resistance‐associated phospho‐p38 and Bcl‐2 in LNCaP cells. As a result, pharmacological inhibition of the Notch pathway using γ‐secretase inhibitor (GSI), DAPT, downregulated both phospho‐p38 and Bcl‐2 expression and significantly enhanced the efficacy of ADT in androgen sensitive PCa cells with impaired proliferation and 3D colony formation, increased apoptosis and remarkable inhibition of tumor growth in murine subcutaneous xenograft model. These results indicate that activated Notch signaling contributes to ADT resistance, and suggest that inhibition of the Notch pathway may be a promising adjuvant therapy of ADT for PCa.

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