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Adrenal-derived factors drive progression of sclerotic prostate cancer in bone;




TekijätHagberg Thulin, Malin; Li, Lei; Abrahamsson, Sanna; Landin, Andreas; Horkeby, Karin; Wu, Jianyao; Lagerquist, Marie K.; Ohlsson, Claes; Poutanen, Matti

KustantajaBioScientifica

Julkaisuvuosi2026

Lehti: Endocrine-Related Cancer

Artikkelin numeroe250309

Vuosikerta33

Numero6

ISSN1351-0088

eISSN1479-6821

DOIhttps://doi.org/10.1530/ERC-25-0309

Julkaisun avoimuus kirjaamishetkelläAvoimesti saatavilla

Julkaisukanavan avoimuus Osittain avoin julkaisukanava

Verkko-osoitehttps://doi.org/10.1530/ERC-25-0309

Rinnakkaistallenteen osoitehttps://research.utu.fi/converis/portal/detail/Publication/527003449

Rinnakkaistallenteen lisenssiCC BY

Rinnakkaistallennetun julkaisun versioKustantajan versio


Tiivistelmä

Bone metastasis is a leading cause of death in prostate cancer (PC) patients. Although androgen deprivation therapy (ADT) combined with novel androgen‐targeted agents constitutes the cornerstone of systemic treatment, its efficacy is limited. We investigated the adrenal contribution to promoting progression of castration-resistant PC (CRPC) within bone using a preclinical intratibial xenograft model (VCaP, 22Rv1, and LNCaP cells). Mice underwent orchiectomy (ORX) to mimic ADT, with or without adrenalectomy (ORX + ADX) to eliminate adrenal contribution. A significant increase in bone mineral density (BMD) was observed in tumor-grafted tibiae in ORX-treated mice compared with controls (P < 0.001), indicating a strong tumor-induced sclerotic response. In contrast, ORX + ADX reduced tumor take rate by approximately 50% and decreased tumor-induced BMD by over 80% (P < 0.001). Transcriptomic analysis revealed that ADX downregulated tumor-induced transcripts in bone by over 90%, including osteogenic (Lox, Sparcl1, Bmp2, Postn, and Col1a1) and pro-angiogenic (Bmper, Pecam-1, and Esam) signatures. In addition, BMP, PI3K/Akt, and ERK1/2 signaling pathways were associated with the tumor-induced bone response. Both high serum progesterone and intratumoral levels of dihydrotestosterone (DHT) were associated with the sclerotic bone phenotype. ADX markedly reduced intratumoral DHT and downregulated glycolytic genes (HK2, PFK2, and LDHA) and secretory proteins expressed by the tumor, including stanniocalcin 2, potentially mediating paracrine effects in the sclerotic bone response. Altogether, these findings highlight the critical role of adrenal-dependent androgen synthesis, particularly via progesterone, in driving the sclerotic CRPC in bone. Our findings suggest that a comprehensive blockade of adrenal contribution is essential to prevent the sclerotic bone response associated with CRPC.



Avainsanat:
Adrenal glandsBone metastasisdihydrotestosteroneosteogenesissclerotic bone

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Julkaisussa olevat rahoitustiedot
This work was supported by the Swedish Research Council (Grant No.: VR 2020-01836, MP), the Swedish Cancer Foundation (Grant No.: 211889 Pj, MP), the Swedish Prostate Cancer Foundation (Grant Nos: 2020, 2022, MHT), and Assar Gabrielson’s foundation for preclinical research (Grant Nos: FB21-93, FB22-105, FB23-103, MHT). This work was also supported by grants from the Swedish state under the agreement between the Swedish government and the county councils (the ALF agreement; Grant No.: ALFGBG-965821, MP) and Cancer Foundation Finland (MP).


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