Unraveling the Efficacy of AR Antagonists Bearing N-(4-(Benzyloxy)phenyl)piperidine-1-sulfonamide Scaffold in Prostate Cancer Therapy by Targeting LBP Mutations.
Jun 2025· Journal of Medicinal Chemistry· Vol 68, pp. 11962-11978· 2 citations· 27 references
Medicine
TL;DR
LT16 outperformed existing antiandrogens by fully antagonizing clinical AR mutations and effectively suppressing castration- and enzalutamide-resistant LNCaP cells proliferation in vitro and in vivo, positioning it as a promising and innovative therapeutic for advanced PCa.
Abstract
Point mutations in the androgen receptor (AR) are significant drivers of resistance in prostate cancer (PCa), posing a great challenge to the development of effective treatment strategies. Building on our previous discovery of the suboptimal AR antagonist T1-12, we developed LT16, which contains an N-(4-(benzyloxy)phenyl)piperidine-1-sulfonamide scaffold through structural optimization and comprehensive screening against T878A-mutated AR. LT16 outperformed existing antiandrogens by fully antagonizing clinical AR mutations and effectively suppressing castration- and enzalutamide-resistant LNCaP cells proliferation in vitro. Mechanically, LT16 was found to disrupt AR nuclear translocation, hinder AR homodimerization, and suppress transcription of AR-regulated genes by competitive binding to the ligand binding pocket. Further in vivo experiments demonstrated that LT16 significantly reduced both regular- and enzalutamide-resistant LNCaP tumor volume and serum prostate-specific antigen levels in mice. These findings position LT16 as a promising and innovative therapeutic for advanced PCa, particularly in cases where resistance to current therapies is a concern.
Androgen receptor (AR) is a therapeutic target for prostate cancer. Despite effective drugging its folded ligand-binding domain (LBD), resistance will develop by mechanisms involving reactivation of AR signaling. These mechanisms include expression of constitutively active AR that lacks LBD such as AR-V7 which fueled the discovery of inhibitors that bind to AR's N-terminal intrinsically disordered transactivation domain (TAD). AR-TAD inhibitors (ARTADIs) are unique due to the paucity of small molecule inhibitors that bind directly to intrinsically disordered TADs, which have historically been considered undruggable. Several ARTADIs have been tested in first-in human clinical trials with acceptable safety and have shown proof-of-concept for the scaffold. Over 20 years we have designed, synthesized and empirically tested over 500 ARTADIs. Leveraging this proprietary platform using cultured prostate cancer cells and multiple xenograft models we demonstrate that subtle changes in the chemical scaffold produce distinct pharmacological outputs that extend beyond binary AR antagonism. Transcriptomic analyses revealed that individual ARTADIs differentially regulate subsets of AR-responsive genes, including both androgen-induced and androgen-repressed programs, resulting in compound-specific remodeling of the AR transcriptome and signaling pathways implicated in tumor progression. These findings support a model of transcriptome-selective pharmacology. Mechanistically, these compounds differentially disrupt interactions between full-length AR or splice-variant AR-V7, and co-regulators, as revealed by rapid immunoprecipitation mass spectrometry of endogenous protein and the proximity ligation assay. This is suggestive that minor alterations in the chemical structure of ARTADIs stabilize distinct AR-TAD conformational ensembles that drive selective cofactor engagement and downstream transcriptional programs. Biophysically, several ARTADIs exhibited picomolar-to-low-nanomolar dissociation constants and covalent binding to cysteine 129. This demonstrates that intrinsically disordered transactivation domains can be targeted with affinities comparable to, or exceeding, those achieved by the LBD inhibitor enzalutamide. In vivo, representative ARTADIs outperformed enzalutamide against prostate cancer xenografts in the presence of androgens, underscoring the therapeutic potential of targeting alternative AR domains. Collectively, these findings support the concept that direct targeting of the intrinsically disordered AR-TAD enables transcriptome-selective pharmacology, providing a mechanistic framework and a novel therapeutic strategy that may complement conventional AR-directed therapies.
Marianne D. Sadar. Direct targeting of the intrinsically disordered transactivation domain of androgen receptor enables transcriptome-selective pharmacology [abstract]. In: Proceedings of AACR Drug Discovery and Development (AACR D3) Conference; 2026 Jul 21-24; Boston, MA. Philadelphia (PA): AACR; Clin Cancer Res 2026;32(14_Suppl):Abstract nr IA02.
Metastatic castration-resistant prostate cancer (mCRPC) remains a leading cause of cancer-related mortality in men, with over 35,000 deaths annually in the United States and a 5-year survival rate of approximately 30%. Although AR-targeted therapies such as enzalutamide and darolutamide delay disease progression, resistance inevitably emerges, underscoring a critical unmet need for next-generation therapeutics. Here, we describe EMI-1725, a novel androgen receptor (AR) antagonist developed to overcome resistance-associated AR mutations. EMI-1725 binds the AR ligand-binding domain with affinities comparable to or higher than enzalutamide and darolutamide. In cell-based transcriptional assays, both enantiomers inhibit wild-type AR activity at potencies comparable to approved agents and retain activity against the most prevalent AR mutation T878A, where EMI-1725 is approximately 5-fold more potent than darolutamide. Critically, EMI-1725 also demonstrates antagonist activity against the enzalutamide-resistant double mutant AR F877L/T878A, a target not addressed by current therapies. In cell viability assays, EMI-1725 inhibits proliferation of two prostate cancer models (AR-amplified VCaP and LNCaP cells expressing the AR T878A mutation). In an AR-amplified xenograft model of mCRPC (VCaP), EMI-1725 reduced tumor growth as well as enzalutamide and suppressed PSA levels below those achieved with enzalutamide at standard dosing. Treatment across all groups was well tolerated over 47 days of daily oral gavage, with no significant weight loss. EMI-1725 showed improved biodistribution across organs, and importantly, displayed less accumulation in the brain compared to enzalutamide, where off-target binding leads to risk of seizure. Collectively, these in vitro and in vivo findings support the advancement of EMI-1725 as a promising therapeutic candidate for mCRPC.
Steven Kregel, Raymond J. Kostlan, John T. Phoenix, Audris Budreika, Carleen D. Deegan, Jonathan Katz, Jerry S.H. Lee, Charles McKenna, David B. Agus, Katherin Patsch. EMI-1725 Demonstrates Broad Antagonist Activity Against Drug-Resistant Androgen Receptor Mutations and Tumor Growth Suppression in Preclinical Models of Metastatic Castration-Resistant Prostate Cancer [abstract]. In: Proceedings of AACR Drug Discovery and Development (AACR D3) Conference; 2026 Jul 21-24; Boston, MA. Philadelphia (PA): AACR; Clin Cancer Res 2026;32(14_Suppl):Abstract nr B077.
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Breast cancer is the most frequently diagnosed malignancy in women, and safer, more effective therapies are urgently needed. Inspired by the prenylated coumarin scaffolds of Ferulin C and Miliusol, we rationally designed and synthesized a series of novel 4-hydroxycoumarin derivatives (A, B, and PB series) to develop potent anti-breast cancer agents. Among them, lead compound PB1-3 (7-methoxy, geranyl-substituted) exhibited the most potent antiproliferative activity against MCF-7 (IC₅₀ = 3.13 μM) and 4 T1 (IC₅₀ = 4.28 μM) cells, with high selectivity over normal cells. Structure-activity relationship (SAR) analysis underscored that the combination of a methoxy group and an extended geranyl side chain is crucial for activity. Integrated computational studies (molecular docking, 100 ns MD simulations, and MM-PBSA) confirmed that PB1-3 establishes stable hydrogen-bond and hydrophobic interactions with CDK4/6. Mechanistically, PB1-3 functions as a dual-acting CDK4/6 pathway modulator: it not only directly binds to CDK4/6 but, notably, downregulates their total protein expression, thereby reducing Rb phosphorylation and inducing G0/G1 phase arrest. Concurrently, PB1-3 triggers a potent ROS burst, collapses mitochondrial membrane potential (MMP), upregulates the Bax/Bcl-2 ratio, and activates cleaved caspase-3, driving the intrinsic apoptotic cascade. In a 4 T1 orthotopic syngeneic model, PB1-3 (20 mg/kg, i.p.) significantly suppressed tumor growth comparable to cisplatin, while exhibiting excellent biosafety (LD₅₀ > 2000 mg/kg, no hepatotoxicity/nephrotoxicity) and acceptable oral pharmacokinetics (T₁/₂ = 3.0 h). Collectively, PB1-3 represents a promising prenylated coumarin lead that orchestrates both CDK4/6-Rb cell cycle checkpoint blockade and ROS-dependent mitochondrial apoptosis, offering a valuable scaffold for developing targeted breast cancer therapies, especially for TNBC.
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