1. Academic Validation
  2. An Autophagy-Targeting Chimera Induces Degradation of Androgen Receptor Mutants and AR-v7 in Castration-Resistant Prostate Cancer

An Autophagy-Targeting Chimera Induces Degradation of Androgen Receptor Mutants and AR-v7 in Castration-Resistant Prostate Cancer

  • Cancer Res. 2024 Nov 12. doi: 10.1158/0008-5472.CAN-24-0591.
Tae Hyun Bae 1 Ki Woon Sung 1 Tri M Pham 2 Abdo J Najy 2 Alaleh Zamiri 2 Hyejeong Jang 3 Su Ran Mun 1 Seongho Kim 4 Ha Kyoung Kwon 5 Yeon Sung Son 1 Dongping Shi 6 Steven Kregel 7 Elisabeth I Heath 8 Michael L Cher 2 Yong Tae Kwon 9 Hyeong-Reh C Kim 2
Affiliations

Affiliations

  • 1 Seoul National University, Seoul, Korea (South), Republic of.
  • 2 Wayne State University School of Medicine, Detroit, MI, United States.
  • 3 Karmanos Cancer Institute, Detroit, MI, United States.
  • 4 Wayne State University, Detroit, MI, United States.
  • 5 AUTOTAC Bio Inc., Seoul, Korea (South), Republic of.
  • 6 Wayne State University School of Medicine, Detroit, United States.
  • 7 Loyola University Chicago, Maywood, IL, United States.
  • 8 Karmanos Cancer Center, Detroit, MI, United States.
  • 9 College of Medicine, Seoul National University, Seoul, Korea (South), Republic of.
Abstract

Genetic alterations play a pivotal role in various human diseases, particularly Cancer. The Androgen Receptor (AR) is a crucial transcription factor driving prostate Cancer (PCa) progression across all stages. Current AR-targeting therapies utilize competitive AR antagonists or pathway suppressors. However, therapy resistance often emerges due to AR mutations and AR splice variants, such as AR-v7. To overcome this, we developed ATC-324, an AR degrader using the innovative protein degradation technology platform AUTOphagy-TArgeting Chimera (AUTOTAC). ATC-324 was designed to comprise enzalutamide, an AR inhibitor, as a target-binding ligand and YT 6-2, a ligand of the Autophagy receptor p62/SQSTM1, as an autophagy-targeting ligand. ATC-324 induces the formation of the AR/p62 complex, leading to autophagy-lysosomal degradation of AR. Importantly, ATC-324 effectively degrades AR mutants frequently detected in PCa and co-degrades AR-v7 as a heterodimer with full-length AR. ATC-324 reduces nuclear AR levels and downregulates the target gene expression of AR and AR-v7, leading to cytotoxicity in AR-positive PCa cells. We also provide evidence of the therapeutic potential of ATC-324 in vivo as well as ex vivo bone organ culture. Moreover, ATC-324 remains potent in enzalutamide-resistant PCa cells. These results demonstrate the potential of the AUTOTAC platform to target previously considered undruggable proteins and overcome certain drug resistance mechanisms.

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