PMID- 22549914 OWN - NLM STAT- MEDLINE DCOM- 20130116 LR - 20131121 IS - 1097-0045 (Electronic) IS - 0270-4137 (Linking) VI - 72 IP - 16 DP - 2012 Dec 1 TI - Down-regulation of calcium/calmodulin-dependent protein kinase kinase 2 by androgen deprivation induces castration-resistant prostate cancer. PG - 1789-801 LID - 10.1002/pros.22533 [doi] AB - BACKGROUND: Conversion into androgen-hypersensitive state and adaptation to the low concentration of androgen during ADT cause relapse of prostate cancer (PCa). It is important to identify differentially expressed genes between PCa and normal prostate tissues and to reveal the function of these genes that are involved in progression of PCa. METHODS: We performed cDNA microarray analysis to identify differentially expressed genes, calcium/calmodulin-dependent protein kinase kinase 2 (CAMKK2). Immunohistochemical analysis was conducted to investigate the relationship between the CAMKK2 expression level and prognosis. The function of CAMKK2 was assessed by generating CAMKK2 overexpressed LNCaP cells and by knockdown of CAMKK2. RESULTS: We identified CAMKK2 overexpressed six times in PCa more than normal prostate by cDNA microarray analysis. Immunohistochemical analysis of CAMKK2 protein showed that CAMKK2 protein was expressed more in PCa than normal tissue. However, the expression in the high-grade PCa diminished. Moreover, the narrowness of CAMKK2-positive area before ADT was a poor prognostic factor. Androgen-deprivation treatment from the medium in which LNCaP cells were cultured in the presence of 10 nM DHT repressed CAMKK2 expression. CAMKK2 overexpressed LNCaP cells (LNCaP/GFP-CAMKK2) attenuated androgen-sensitivity. Tumorigenesis of LNCaP/GFP-CAMKK2 cells in male SCID mice was decreased compared with control cells irrespective of castration. Finally, knockdown of CAMKK2 mRNA in LNCaP cells induced androgen-hypersensitivity and stimulated LNCaP cell proliferation. CONCLUSIONS: Induction of androgen-hypersensitivity after ADT may be involved in down-regulation of CAMKK2. This result may provide new therapeutic approach to keep androgen-sensitivity of PCa after ADT. CI - Copyright (c) 2012 Wiley Periodicals, Inc. FAU - Shima, Takashi AU - Shima T AD - Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Sciences, Ishikawa, Japan. FAU - Mizokami, Atsushi AU - Mizokami A FAU - Miyagi, Toru AU - Miyagi T FAU - Kawai, Keiichi AU - Kawai K FAU - Izumi, Kouji AU - Izumi K FAU - Kumaki, Misako AU - Kumaki M FAU - Ofude, Mitsuo AU - Ofude M FAU - Zhang, Jian AU - Zhang J FAU - Keller, Evan T AU - Keller ET FAU - Namiki, Mikio AU - Namiki M LA - eng PT - Journal Article PT - Research Support, Non-U.S. Gov't DEP - 20120501 PL - United States TA - Prostate JT - The Prostate JID - 8101368 RN - 0 (Androgens) RN - 0 (Receptors, Androgen) RN - 08J2K08A3Y (Dihydrotestosterone) RN - EC 2.7.11.17 (Calcium-Calmodulin-Dependent Protein Kinase Kinase) RN - EC 2.7.11.17 (Camkk2 protein, mouse) SB - IM MH - Aged MH - Aged, 80 and over MH - Androgens/*deficiency/genetics/metabolism MH - Animals MH - Calcium-Calmodulin-Dependent Protein Kinase Kinase/*genetics/metabolism MH - Cell Line, Tumor MH - Cell Proliferation/drug effects MH - Cell Transformation, Neoplastic/*drug effects/genetics/pathology MH - Dihydrotestosterone/pharmacology MH - Down-Regulation/*drug effects/genetics MH - Humans MH - Male MH - Mice MH - Mice, SCID MH - Middle Aged MH - Orchiectomy MH - Prostatic Neoplasms/*genetics/metabolism/pathology MH - Receptors, Androgen/genetics/metabolism EDAT- 2012/05/03 06:00 MHDA- 2013/01/17 06:00 CRDT- 2012/05/03 06:00 PHST- 2012/01/29 00:00 [received] PHST- 2012/04/03 00:00 [accepted] PHST- 2012/05/03 06:00 [entrez] PHST- 2012/05/03 06:00 [pubmed] PHST- 2013/01/17 06:00 [medline] AID - 10.1002/pros.22533 [doi] PST - ppublish SO - Prostate. 2012 Dec 1;72(16):1789-801. doi: 10.1002/pros.22533. Epub 2012 May 1.