Reversing silenced AR signal with demethylating agents - A promising treatment option?

endo.endojournals.org/cgi/content/abstract/143/5/1889

A Glucocorticoid-Responsive Mutant Androgen Receptor Exhibits Unique Ligand Specificity: Therapeutic Implications for Androgen-Independent Prostate Cancer

The cortisol/cortisone-responsive AR (ARccr) has two mutations (L701H and T877A) that were found in the MDA PCa human prostate cancer cell lines established from a castrated patient whose metastatic tumor exhibited androgen-independent growth. Cortisol and cortisone bind to the ARccr with high affinity. In the present study, we characterized the structural determinants for ligand binding to the ARccr. Our data revealed that many of the C17, C19, and C21 circulating steroids, at concentrations that are found in vivo, functioned as effective activators of the ARccr but had little or no activity via the wild-type AR or GR. Among the synthetic glucocorticoids tested, dexamethasone activated both GR and ARccr, whereas triamcinolone was selective for GR. In MDA PCa 2b cells, growth and prostate-specific antigen production were stimulated by potent ARccr agonists such as cortisol or 9-fluorocortisol but not by triamcinolone (which did not bind to or activate the ARccr). Of the potential antagonists tested, bicalutamide (casodex) and GR antagonist RU38486 showed inhibitory activity. We postulate that corticosteroids provide a growth advantage to prostate cancer cells harboring the promiscuous ARccr in androgen-ablated patients and contribute to their transition to androgen-independence. We predict that triamcinolone, a commonly prescribed glucocorticoid, would be a successful therapeutic agent for men with this form of cancer, perhaps in conjunction with the antagonist casodex. We hypothesize that triamcinolone administration would inhibit the hypothalamic-pituitary-adrenal axis, thus suppressing endogenous corticosteroids, which stimulate tumor growth. Triamcinolone, by itself, would not activate the ARccr or promote tumor growth but would provide glucocorticoid activity essential for survival.

joe.endocrinology-journals.org/cgi/content/abstract/106/3/329

Binding of glucocorticoid to the androgen receptor of mouse submandibular glands

An increase in esteroprotease activity, a known cytodifferentiating response to androgen in the submandibular gland, occurred after cortisol acetate, dexamethasone or methyltrienolone (R1881) treatment in castrated genetically normal male (X/Y-castrated) mice, but not in normal male (X/Y) and testicular feminized male (Tfm/Y) mice. A peak with specific binding for [3H]cortisol appeared in sucrose density gradient patterns of extracts from X/Y-castrated mice and in almost the same fraction number as that for [3H]R1881 binding. However, peaks specific for neither [3H]cortisol nor [3H]R1881 binding were observed in Tfm/Y mice. The peak binding [3H]cortisol in extracts from X/Y-castrated mice, as well as the one binding [3H]R1881, were inhibited by unlabelled R1881 and cyproterone acetate, an antiandrogen; the peak was not, however, affected by unlabelled oestradiol-17Ī². The binding capacity of [3H]cortisol determined by Scatchard analysis was similar to that of [3H]R1881 (103 and 106 fmol/mg protein respectively). The Kd value of [3H]cortisol, however, was about 13Ā·6-fold higher than that of R1881. These results suggest that cortisol has the ability to promote androgenic cytodifferentiating action in the mouse submandibular gland by binding to its androgen receptors, if androgens are absent or deficient.

onlinelibrary.wiley.com/doi/10.1111/j.1464-410X.2007.07261.x/full

In the present large, retrospective study of patients with progressive CRPC, dexamethasone 0.5 mg daily showed a 49% rate of PSA decline and an 11.6-month median duration of PSA response. These data provide a rationale for prospective studies to evaluate the effect of dexamethasone on clinically meaningful endpoints. Furthermore, they support the hypothesis that dexamethasone activity in CRPC might be mediated through mechanisms other than suppression of adrenal androgen synthesis.

Taken from other thread:

aacrmeetingabstracts.org/cgi/content/abstract/2005/1/647-c

ncbi.nlm.nih.gov/pubmed/19816598

As of today Iā€™ve experienced muscle twitching. This is not the first time a post fin sufferer has had this problem. But why does it happen?

First of the genetic disease Kennedys disease - a disorder of the androgen receptor can cause muscle twitching along with many other problems. This isnā€™t our problem but a disorder of the androgen signal may produce similar problems.

en.wikipedia.org/wiki/Kennedyā€™s_disease

Secondly ncbi.nlm.nih.gov/pubmed/15545703

However, the androgen-AR signaling pathway increases expression of slow-twitch-specific skeletal muscle proteins and downregulates fast-twitch-specific skeletal muscle proteins, resulting in an increase of slow-twitch muscle fiber type cells in quadriceps muscle.

jp.physoc.org/content/588/3/511.full.pdf

In contrast, testosterone had no effect on force and increased the phosphorylation of ERK1/2 in slow twitch fibres only. From these results we conclude that sex steroids have non-genomic actions in isolated intact mammalian skeletal muscle fibres. These are mediated through the EGF receptor and one of their main physiological functions is the enhancement of force production in fast twitch skeletal muscle fibres.

Some of us have high DHT levels - maybe the non genomic effects are still happening - causing twitching. Its really weird. Iā€™ll drink a lot of water and try to increase magnesium and calcium. Also stress might be a trigger which brings up the idea of cortisol making it worse.

I wonder where Awor is?
Awor could you please give updates.

thanx

sps

Okay folks the tyrosine problem. Why does tyrosine help some people? It is well known that some people have had a positive response on it. In fact some people claim a full recovery on it. Others got worse on it - but it did modulate something important!

viewtopic.php?f=23&t=4759
viewtopic.php?f=23&t=4231
viewtopic.php?f=23&t=3334
viewtopic.php?f=23&t=2086

Now wikipedia says:

In dopaminergic cells in the brain, tyrosine is converted to levodopa by the enzyme tyrosine hydroxylase (TH). TH is the rate-limiting enzyme involved in the synthesis of the neurotransmitter dopamine. In addition, in the adrenal medulla, tyrosine is converted into the catecholamine hormones norepinephrine (noradrenaline), and epinephrine(adrenaline).

The thyroid hormones triiodothyronine (T3) and thyroxine (T4) in the colloid of the thyroid also are derived from tyrosine.

Til now we have assumed that its effects are due to the above reasons. However, what if this is not the case:

mcb.asm.org/cgi/content/short/21/24/8385

Neuropeptide-Induced Androgen Independence in Prostate Cancer Cells: Roles of Nonreceptor Tyrosine Kinases Etk/Bmx, Src, and Focal Adhesion Kinase

In this study, we investigate the biological effects and signal pathways of bombesin and NT on LNCaP, a prostate cancer cell line which requires androgen for growth. We show that both neurotrophic factors can induce LNCaP growth in the absence of androgen. Concurrent transactivation of reporter genes driven by the prostate-specific antigen promoter or a promoter carrying an androgen-responsive element (ARE) indicate that growth stimulation is accompanied by androgen receptor (AR) activation. Furthermore, neurotrophic factor-induced gene activation was also present in PC3 cells transfected with the AR but not in the parental line which lacks the AR. Given that bombesin does not directly bind to the AR and is known to engage a G-protein-coupled receptor, we investigated downstream signaling events that could possibly interact with the AR pathway. We found that three nonreceptor tyrosine kinases, focal adhesion kinase (FAK), Src, and Etk/BMX play important parts in this process. Etk/Bmx activation requires FAK and Src and is critical for neurotrophic factor-induced growth, as LNCaP cells transfected with a dominant-negative Etk/BMX fail to respond to bombesin. Etkā€™s activation requires FAK, Src, but not phosphatidylinositol 3-kinase. Likewise, bombesin-induced AR activation is inhibited by the dominant-negative mutant of either Src or FAK. Thus, in addition to defining a new G-protein pathway, this report makes the following points regarding prostate cancer. (i) Neurotrophic factors can activate the AR, thus circumventing the normal growth inhibition caused by androgen ablation. (ii) Tyrosine kinases are involved in neurotrophic factor-mediated AR activation and, as such, may serve as targets of future therapeutics, to be used in conjunction with current antihormone and antineuropeptide therapies.

nature.com/onc/journal/v29/n22/full/onc2010103a.html

Dasatinib inhibits site-specific tyrosine phosphorylation of androgen receptor by Ack1 and Src kinases

Activation of androgen receptor (AR) may have a role in the development of castration-resistant prostate cancer. Two intracellular tyrosine kinases, Ack1 (activated cdc42-associated kinase) and Src, phosphorylate and enhance AR activity and promote prostate xenograft tumor growth in castrated animals. However, the upstream signals that activate these kinases and lead to AR activation are incompletely characterized. In this study, we investigated AR phosphorylation in response to non-androgen ligand stimulation using phospho-specific antibodies. Treatment of LNCaP and LAPC-4 cells with epidermal growth factor (EGF), heregulin, Gas6 (ligand binding to the Mer receptor tyrosine kinase and activating Ack1 downstream), interleukin (IL)-6 or bombesin stimulated cell proliferation in the absence of androgen. Treatment of LNCaP and LAPC-4 cells with EGF, heregulin or Gas6 induced AR phosphorylation at Tyr-267, whereas IL-6 or bombesin treatment did not. AR phosphorylation at Tyr-534 was induced by treatment with EGF, IL-6 or bombesin, but not by heregulin or Gas6. Small interfering RNA-mediated knockdown of Ack1 or Src showed that Ack1 mediates heregulin- and Gas6-induced AR Tyr-267 phosphorylation, whereas Src mediates Tyr-534 phosphorylation induced by EGF, IL-6 and bombesin. Dasatinib, a Src inhibitor, blocked EGF-induced Tyr-534 phosphorylation. In addition, we showed that dasatinib also inhibited Ack1 kinase. Dasatinib inhibited heregulin-induced Ack1 kinase activity and AR Tyr-267 phosphorylation. In addition, dasatinib inhibited heregulin-induced AR-dependent reporter activity. Dasatinib also inhibited heregulin-induced expression of endogenous AR target genes. Dasatinib inhibited Ack1-dependent colony formation and prostate xenograft tumor growth in castrated mice. Interestingly, Ack1 or Src knockdown or dasatinib did not inhibit EGF-induced AR Tyr-267 phosphorylation or EGF-stimulated AR activity, suggesting the existence of an additional tyrosine kinase that phosphorylates AR at Tyr-267. These data suggest that specific tyrosine kinases phosphorylate AR at distinct sites and that dasatinib may exert antitumor activity in prostate cancer through inhibition of Ack1.

cancerres.aacrjournals.org/content/early/2010/06/18/0008-5472.CAN-09-4610

Compensatory Upregulation of Tyrosine Kinase Etk/BMX in Response to Androgen Deprivation Promotes Castration-Resistant Growth of Prostate Cancer Cells

We previously showed that targeted expression of nonā€“receptor tyrosine kinase Etk/BMX in mouse prostate induces prostate intraepithelial neoplasia, implying a possible causal role of Etk in prostate cancer development and progression. Here, we report that Etk is upregulated in both human and mouse prostates in response to androgen ablation. Etk expression seems to be differentially regulated by androgen and interleukin 6 (IL-6), which is possibly mediated by the androgen receptor (AR) in prostate cancer cells. Our immunohistochemical analysis of tissue microarrays containing 112 human prostate tumor samples revealed that Etk expression is elevated in hormone-resistant prostate cancer and positively correlated with tyrosine phosphorylation of AR (Pearson correlation coefficient Ļ = 0.71, P < 0.0001). AR tyrosine phosphorylation is increased in Etk-overexpressing cells, suggesting that Etk may be another tyrosine kinase, in addition to Src and Ack-1, which can phosphorylate AR. We also showed that Etk can directly interact with AR through its Src homology 2 domain, and such interaction may prevent the association of AR with Mdm2, leading to stabilization of AR under androgen-depleted conditions. Overexpression of Etk in androgen-sensitive LNCaP cells promotes tumor growth while knocking down Etk expression in hormone-insensitive prostate cancer cells by a specific shRNA that inhibits tumor growth under androgen-depleted conditions. Taken together, our data suggest that Etk may be a component of the adaptive compensatory mechanism activated by androgen ablation in prostate and may play a role in hormone resistance, at least in part, through direct modulation of the AR signaling pathway.

cell.com/cancer-cell/abstract/S1535-6108(0600277-7

Regulation of androgen receptor activity by tyrosine phosphorylation

The androgen receptor (AR) is essential for the growth of prostate cancer cells. Here, we report that tyrosine phosphorylation of AR is induced by growth factors and elevated in hormone-refractory prostate tumors. Mutation of the major tyrosine phosphorylation site in AR significantly inhibits the growth of prostate cancer cells under androgen-depleted conditions. The Src tyrosine kinase appears to be responsible for phosphorylating AR, and there is a positive correlation of AR tyrosine phosphorylation with Src tyrosine kinase activity in human prostate tumors. Our data collectively suggest that growth factors and their downstream tyrosine kinases, which are elevated during hormone-ablation therapy, can induce tyrosine phosphorylation of AR and such modification may be important for prostate tumor growth under androgen-depleted conditions.

jme.endocrinology-journals.org/cgi/reprint/30/3/287.pdf

Inhibition of Src tyrosine kinase stimulates adrenal androgen production

A unique characteristic of the primate adrenal is the ability to produce 19-carbon steroids, often called the adrenal androgens. Although it is clear that the major human adrenal androgens, dehydroepiandrosterone (DHEA) and DHEA sulfate (DHEA-S), are produced almost solely in the adrenal reticularis, the mechanisms regulating production are poorly understood. Herein, we tested the hypothesis that the Src family of tyrosine kinases are involved in the regulation of adrenal androgen production. The NCI-H295R human adrenal cell line and primary human adrenal cells in culture were used to study adrenal androgen production and expression of enzymes involved in steroidogenesis. To examine the role of Src tyrosine kinase, cells were treated with PP2, a specific Src inhibitor. Alternatively, adrenal cells were transfected with an expression vector containing a dominant-negative form of Src. PP2 treatment inhibited basal cortisol production while significantly increasing the production of DHEA and DHEA-S (together referred to as DHEA(S)) in both adrenal cell models. The effect of PP2 on steroidogenesis occurred along with a rapid induction of steroidogenic acute regulatory (StAR) protein synthesis as revealed by Western analysis. Treatment with PP2 also increased mRNA levels for StAR, and cholesterol side-chain cleavage (CYP11A) and 17Ī±-hydroxylase/17,20-lyase (CYP17) enzymes. Treatment of adrenal cells with the cAMP agonist dibutyryladenosine cyclic monophosphate (dbcAMP), stimulated the production of cortisol and DHEA(S). However, treatment of adrenal cells with a combination of PP2 and dbcAMP enhanced the production of DHEA(S) while inhibiting cortisol production. During dbcAMP treatment PP2 was able to augment the expression of CYP17 and to inhibit the induction of 3Ī²-hydroxysteroid dehydrogenase type 2 (HSD3B2) levels. Increasing the CYP17 to HSD3B2 ratio is likely to promote the use of steroid precursors for the production of DHEA(S) and not for cortisol. Taken together these data suggest that the inhibition of Src tyrosine kinases causes adrenal cells to adopt a reticularis phenotype both by the production of DHEA(S) and by the steroidogenic enzymes expressed.

19 -

Can you give me the major takeaways from this? Or is the general summation just that Dopamine is involved in our issue?

I donā€™t mean to be asking you to do extra work, just that I donā€™t always have great comprehension when it comes to these medical studies.

Thanks,

Former

What this means is that dopamine may not be the problem. I have never heard of someone with dopamine deficiency having shrinkage of their genitals. That doesnā€™t cause it.

These studies indicate that the reason tyrosine helps is due to its action on the AR signal. Nothing to do with dopamine. This makes better sense.

Hey folks I was thinking and I thought if anyone has anyone questions about this theory then ask away.

Iā€™ll do my best to answer and if need be look into it properly.

Has anyone had a positive effect on resveratrol alone? No other agents?

A friend of mine is on it. He took accutane. He says it completely eliminates stress reaction in his life. Perhaps it blocks the action of cortisol or adrenaline?

Not sure that is a good thing. Stress is useful in right doses. Care to elaborate a little. Thanks

Not muc to elaborate. He had taken it two weeks when we spoke and said he no longer has any stress reaction. Never gets nervous, etc.

musclechatroom.com/forum/showthread.php?17273-For-those-interested-in-methylation-here-u-go

Is this useful at all?

Afraid not this refers to methylation in the liver which is altogether a different thing.

Started disulfiram treatment - today is 3rd day. Iā€™m feeling worse at the moment. As if my body is really confused. Will keep you informed.

Still feeling worse. Given me nasty headache and eye pain again. Last day today of a high dose then cutting to lower dose for remainder of week. Donā€™t want to be on it more than 2 weeks in total.

If the problem is one of androgen receptor hypersensitivity then decreasing sensitivity will make you feel worse for a period of time. So hopefully things will pick up. Awor felt worse after procaine treatment before he improved a bit. Now it may be disulfiram isnā€™t strong enough to help but Iā€™ll have to wait and see.

A bit worried about optic neuritis or peripheral neuropathy as have some tingling in hands. But this should reverse. Also started high dose vit e and b complex just in case.

19 - Are demethylating agent usually only good against certain target genes that have been turned off, or are they usually broad spectrum? The only demethylation Iā€™ve been doing is decaffinated green tea each day. The EGCG in it is a known demethylator. One of the recovery threads (canā€™t remember who right now) claimed he got better with green tea and DIM.

Most are broad. Green tea is too.

Think I might have to stop disulfiram due to peripheral neuropathy.

Quite annoyed i have to stop disulfiram. Taken it for 5 days but not taking today as peripheral neuropathy - losing sensation in hands and feet. Should come back. Its not a permanent thing according to the literature as long as you stop.

If anyone else wants to give it a go and let us know if you feel any different would be good. It also does stops dopamine breaking down so increases dopamine levels.

Ok so I had no luck with disulfiram. Was on it 5 days - did nothing but give me a peripheral neuropathy which i have recovered from in full. Donā€™t think its demethylating effect was strong enough and the literature agrees with me.

So at the moment that only really leaves procaine, and azacitadine.

The side effects of the latter are:

Azacitidine appears to be well tolerated, with the most com- mon grade 3 or 4 events being peripheral blood cytopenias.6 Injection site complications are the most common treatment- related non-hematological complications in subcutaneous azacitidine dosing, followed by nausea and vomiting. Although sometimes severe, myelosuppression is usually tran- sient, with most patients recovering before their next treatment or usually managed with dosing delays (23%ā€“29%).

The highest proportion of adverse events occurs during the first two cycles, and the drugā€™s tolerability improves sub- sequently. The infection rates were not statistically different when comparing with basic support (RR = 1.00 [95% CI: 0.81, 1.22], P = 1.00]. The administration-related events such as nausea and vomiting occurred typically in the first week of drug delivery, resolved with antiemetics during the studies. The majority of injection site complications are typically mild erythema, and most improve after the application of warm or cold compresses to the affected area for a couple of hours.

IF DNA methylation is the issue this is at the moment probably our only hope.