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Departments of 1 Medical Oncology, 2 Cancer Biology, and 3 Pediatric Oncology, Dana-Farber Cancer Institute, Boston, Massachusetts; Departments of 4 Medicine and 5 Pathology, Brigham and Womens Hospital, Boston, Massachusetts; Departments of 6 Medicine and 7 Pathology, Harvard Medical School, Boston, Massachusetts; and 8 Broad Institute of MIT and Harvard and 9 Howard Hughes Medical Institute, Cambridge, Massachusetts
Androgen ablation is the primary treatment modality for patients with metastatic prostate cancer; however, the role of androgen receptor signaling in prostate cancer development remains enigmatic. Using a series of genetically defined immortalized and tumorigenic human prostate epithelial cells, we found that introduction of the androgen receptor induced differentiation of transformed prostate epithelial cells to a luminal phenotype reminiscent of organ-confined prostate cancer when placed in the prostate microenvironment. Moreover, androgen receptor expression converted previously androgen-independent, tumorigenic prostate epithelial cells into cells dependent on testosterone for tumor formation. These observations indicate that androgen receptor expression is oncogenic and addictive for the human prostate epithelium.
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