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New RNA Strategy Against Treatment-Resistant Prostate Cancer Identified
https://scitechdaily.com ^ | NOVEMBER 5, 2021 | By WASHINGTON UNIVERSITY SCHOOL OF MEDICINE

Posted on 11/05/2021 11:32:29 AM PDT by Red Badger

A study from Washington University School of Medicine in St. Louis has identified an RNA molecule that suppresses prostate tumors. According to the research — conducted in mice implanted with human prostate tumor samples — restoring this so-called long noncoding RNA could be a new strategy to treat prostate cancer that has developed resistance to hormonal therapies. Pictured are prostate cancer cells. The androgen receptor is shown in dark red. Cell nuclei are outlined in blue. Credit: Mahajan Lab

==================================================================== RNA molecule suppresses prostate tumor growth.

Many patients with prostate cancer are treated with drugs that lower or block hormones that fuel tumor growth. While the drugs are effective for a time, most patients eventually develop resistance to these therapies.

A new study from Washington University School of Medicine in St. Louis has identified an RNA molecule that suppresses prostate tumors. The scientists found that prostate cancers develop ways to shut down this RNA molecule to allow themselves to grow. According to the new research — conducted in mice implanted with human prostate tumor samples — restoring this so-called long noncoding RNA could be a new strategy to treat prostate cancer that has developed resistance to hormonal therapies.

The study is published today (November 5, 2021) in Cancer Research, a journal of the American Association for Cancer Research.

“The drugs that we have to treat prostate cancer are effective initially, but most patients start developing resistance, and the drugs usually stop working after a year or two,” said senior author Nupam P. Mahajan, PhD, a professor of surgery in the Division of Urologic Surgery. “At that point, the options available for these patients are very limited. We are interested in addressing this need — developing new therapies for patients who have developed resistance — and we believe the RNA molecule we’ve pinpointed may lead to an effective approach.”

The key protein that drives prostate tumor growth, the androgen receptor, binds to testosterone and stimulates cancer growth. Studying the stretch of DNA that codes for the androgen receptor, the researchers discovered that a section of the DNA molecule next to the androgen receptor produced a molecule called a long noncoding RNA. They found that this long noncoding RNA plays a key role in regulating the androgen receptor and vice versa. Because of its position next to the androgen receptor in the genome, the researchers dubbed it NXTAR (next to androgen receptor).

“In prostate cancer, the androgen receptor is very clever,” said Mahajan, who is also a research member of Siteman Cancer Center at Barnes-Jewish Hospital and Washington University School of Medicine. “Our research shows that it suppresses its own suppressor; essentially it binds to NXTAR and shuts it down. This means that in all the prostate cancer samples that we study, we rarely find NXTAR, because it is suppressed by the heavy presence of the androgen receptor in these types of tumors. We discovered NXTAR by using a drug that my lab developed that suppresses the androgen receptor. When the androgen receptor is suppressed, NXTAR starts to appear. When we saw this, we suspected that we had discovered a tumor suppressor.”

The drug, called (R)-9b, was developed to attack a different aspect of prostate cancer biology, knocking down expression of the androgen receptor overall rather than just blocking its ability to bind to testosterone or reducing overall testosterone levels in the body, as currently approved drugs do. But in this study, (R)-9b ended up serving as a tool to reveal the presence and role of NXTAR.

Studying human prostate tumor samples implanted in mice, the researchers showed that restoring NXTAR expression caused the tumors to shrink. They also showed that they didn’t need the entire long noncoding RNA to achieve this effect. One small, key section of the NXTAR molecule is sufficient for shutting down the androgen receptor.

“We are hoping to develop both this (R)-9b drug and NXTAR into new therapies for prostate cancer patients who have developed resistance to the front-line treatments,” Mahajan said. “One possible strategy is to encapsulate the small molecule drug and the key piece of NXTAR into nanoparticles, perhaps into the same nanoparticle, and shut down the androgen receptor in two different ways.”

Mahajan worked with Washington University’s Office of Technology Management to file a patent application on potential uses of NXTAR as therapeutics. In addition, the Moffitt Cancer Center in Tampa, Fla., where Mahajan was a faculty member before joining Washington University, has filed a patent application on the (R)-9b drug. The (R)-9b inhibitor has been licensed to a biotechnology startup company called TechnoGenesys. Mahajan and co-author Kiran Mahajan are co-founders of the company.

Reference: “Loss of long noncoding RNA NXTAR in prostate cancer augments androgen receptor expression and enzalutamide resistance” by Ghildiyal R, Sawant M, Renganathan A, Mahajan K, Kim EH, Luo J, Dang HX, Maher CA, Feng FY, Mahajan NP, 5 November 2021, Cancer Research.

This work was supported by the National Cancer Institute (NCI) of the National Institutes of Health (NIH), grant numbers 1R01CA208258 and 5R01CA227025; the Prostate Cancer Foundation (PCF), grant number 17CHAL06; and the Department of Defense (DOD), grant number W81XWH-21-1-0202.

The (R)-9b inhibitor has been licensed to a biotechnology startup company called TechnoGenesys. Mahajan and co-author Kiran Mahajan are co-founders of the company. They also own stock and serve as consultants to TechnoGenesys.


TOPICS: Business/Economy; Health/Medicine; Science; Society
KEYWORDS: cancer; prostate

1 posted on 11/05/2021 11:32:29 AM PDT by Red Badger
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To: Red Badger

Very clever. Hope it works.


2 posted on 11/05/2021 11:34:30 AM PDT by Blueflag (Res ipsa loquitur: ad ferre non, velit esse sine defensione)
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To: Red Badger

Given the current state and failure of the COVID-19 mRNA “Vaccines”, I would not trust the medical community with regards to anything that references the term mRNA.


3 posted on 11/05/2021 11:41:12 AM PDT by SoConPubbie (Mitt and Obama: They're the same poison, just a different potency)
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To: SoConPubbie

Next step for Big Pharma — introduce mRNA into something that on the surface looks promising. Not holding my breath.


4 posted on 11/05/2021 11:45:39 AM PDT by George from New England
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To: Blueflag

I hope it pans out as well.

Interestingly, drugs that block androgen receptors seem to be of use against covid infections... i.e. Spironolactone.

I remember when prostate cancer treatment usually included nasty old DES with its unfortunate side effects. Surely they don’t still use that old med.

WashU is a great school, My home was walking distance when I lived in St Louis.


5 posted on 11/05/2021 11:46:12 AM PDT by Bobalu (Figure out what you like, learn enough to be dangerous, and then start fiddling around)
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To: Red Badger

Wondering how long it would take for posts to appear with people not knowing what RNA even is - didn’t take very long. They’ve been posting about it going on 2 years now - still haven’t bothered to even do basic research on it...but they have strong opinions in their willful ignorance.


6 posted on 11/05/2021 11:56:12 AM PDT by Republican Wildcat
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To: Republican Wildcat

Yea, willful ignorance.

That’s rich coming from you Mr. “Head-in-the-Sand” when it comes to all of the evidence where the harmful effects of the current mRNA “Vaccines” are concerned.

That’s a Laugher!


7 posted on 11/05/2021 12:47:37 PM PDT by SoConPubbie (Mitt and Obama: They're the same poison, just a different potency)
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To: Red Badger

9 year prostate cancer survivor. God bless these scientists making progress for others with this disease.


8 posted on 11/05/2021 1:36:11 PM PDT by Midwesterner53
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To: Bobalu

Radiation / hormones/ surgery, in that order.

But yeah, clearly “androgen blockers” function in other areas of the metabolism as well.


9 posted on 11/05/2021 2:52:46 PM PDT by Blueflag (Res ipsa loquitur: ad ferre non, velit esse sine defensione)
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To: Midwesterner53

Fellow warrior here for 4 years and 9 months. Looking forward to February and my 5 year anniversary. Congratulations to you “long timer”. Good luck on the way to your 10th year anniversary.

YES, thank the researchers and caring medical staff that keeps us hoping and above the grass. Most of all, than you Father in Heaven, because I know my days are numbered, as are all days for all people. Every day is a gift, every challenge a blessing.


10 posted on 11/05/2021 7:36:10 PM PDT by Glad2bnuts ((“If there are no absolutes by which to judge society, then society is absolute.” Francis Schaeffer,)
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