American Association for Cancer Research
00085472can183637-sup-212372_3_supp_6039918_q4dg8n.pdf (1.1 MB)

Figure S2 from Modeling Acquired Resistance to the Second-Generation Androgen Receptor Antagonist Enzalutamide in the TRAMP Model of Prostate Cancer

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journal contribution
posted on 2023-03-31, 03:21 authored by Marianna Cerasuolo, Federica Maccarinelli, Daniela Coltrini, Ali Mokhtar Mahmoud, Viviana Marolda, Gaia Cristina Ghedini, Sara Rezzola, Arianna Giacomini, Luca Triggiani, Magdalena Kostrzewa, Roberta Verde, Debora Paris, Dominique Melck, Marco Presta, Alessia Ligresti, Roberto Ronca

The Figure shows the long term behavior of sensitive and resistant cells (in absence of enzalutamide


Associazione Italiana per la Ricerca sul Cancro

Fondazione Cariplo



Enzalutamide (MDV3100) is a potent second-generation androgen receptor antagonist approved for the treatment of castration-resistant prostate cancer (CRPC) in chemotherapy-naïve as well as in patients previously exposed to chemotherapy. However, resistance to enzalutamide and enzalutamide withdrawal syndrome have been reported. Thus, reliable and integrated preclinical models are required to elucidate the mechanisms of resistance and to assess therapeutic settings that may delay or prevent the onset of resistance. In this study, the prostate cancer multistage murine model TRAMP and TRAMP-derived cells have been used to extensively characterize in vitro and in vivo the response and resistance to enzalutamide. The therapeutic profile as well as the resistance onset were characterized and a multiscale stochastic mathematical model was proposed to link the in vitro and in vivo evolution of prostate cancer. The model showed that all therapeutic strategies that use enzalutamide result in the onset of resistance. The model also showed that combination therapies can delay the onset of resistance to enzalutamide, and in the best scenario, can eliminate the disease. These results set the basis for the exploitation of this “TRAMP-based platform” to test novel therapeutic approaches and build further mathematical models of combination therapies to treat prostate cancer and CRPC.Significance: Merging mathematical modeling with experimental data, this study presents the “TRAMP-based platform” as a novel experimental tool to study the in vitro and in vivo evolution of prostate cancer resistance to enzalutamide.

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