RT Journal Article T1 Cross-Resistance to Abiraterone and Enzalutamide in Castration Resistance Prostate Cancer Cellular Models Is Mediated by AR Transcriptional Reactivation A1 Simon, Iris A1 Perales, Sonia A1 Casado-Medina, Laura A1 Rodríguez-Martínez, Alba A1 Garrido-Navas, Maria del Carmen A1 Puche-Sanz, Ignacio A1 Diaz-Mochon, Juan J. A1 Alaminos, Clara A1 Lupiañez, Pablo A1 Lorente, Jose A. A1 Serrano, María J. A1 Real, Pedro J. K1 Castration resistant prostate cancer K1 Androgen receptor K1 AR-V7 K1 AR-V9 K1 Transcriptional regulation K1 Novel hormonal agents K1 Abiraterone K1 Enzalutamide K1 Cross-resistance K1 Neoplasias de la próstata resistentes a la castración K1 Andrógenos K1 Elementos reguladores de la transcripción K1 Acetato de abiraterona AB Androgen deprivation therapy (ADT) and novel hormonal agents (NHAs) (Abiraterone and Enzalutamide) are the goal standard for metastatic prostate cancer (PCa) treatment. Although ADT is initially effective, a subsequent castration resistance status (CRPC) is commonly developed. The expression of androgen receptor (AR) alternative splicing isoforms (AR-V7 and AR-V9) has been associated to CRPC. However, resistance mechanisms to novel NHAs are not yet well understood. Androgen-dependent PCa cell lines were used to generate resistant models to ADT only or in combination with Abiraterone and/or Enzalutamide (concomitant models). Functional and genetic analyses were performed for each resistance model by real-time cell monitoring assays, flow cytometry and RT-qPCR. In androgen-dependent PCa cells, the administration of Abiraterone and/or Enzalutamide as first-line treatment involved a critical inhibition of AR activity associated with a significant cell growth inhibition. Genetic analyses on ADT-resistant PCa cell lines showed that the CRPC phenotype was accompanied by overexpression of AR full-length and AR target genes, but not necessarily AR-V7 and/or AR-V9 isoforms. These ADT resistant cell lines showed higher proliferation rates, migration and invasion abilities. Importantly, ADT resistance induced cross-resistance to Abiraterone and/or Enzalutamide. Similarly, concomitant models possessed an elevated expression of AR full-length and proliferation rates and acquired cross-resistance to its alternative NHA as second-line treatment. PB MDPI YR 2021 FD 2021-03-23 LK http://hdl.handle.net/10668/4185 UL http://hdl.handle.net/10668/4185 LA en NO Simon I, Perales S, Casado-Medina L, Rodríguez-Martínez A, Garrido-Navas MDC, Puche-Sanz I, et al. Cross-Resistance to Abiraterone and Enzalutamide in Castration Resistance Prostate Cancer Cellular Models Is Mediated by AR Transcriptional Reactivation. Cancers. 2021 Mar 23;13(6):1483 DS RISalud RD Apr 5, 2025