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Androgen receptor (AR) mRNA is the messenger RNA transcript encoded by the AR gene, serving as the template for the synthesis of the androgen receptor protein. The AR protein is a nuclear transcription factor that mediates the biological effects of androgens like testosterone and dihydrotestosterone, playing a pivotal role in male sexual development and the progression of prostate cancer (PubMed: 25162882). In advanced stages of disease, such as castration-resistant prostate cancer (CRPC), the AR pathway often remains active through mechanisms like AR gene amplification, mutations, or the expression of truncated splice variants like AR-V7 that lack a ligand-binding domain (PubMed: 25188503). Targeting the AR mRNA using antisense oligonucleotides (ASOs) or RNA interference (RNAi) allows for the depletion of all AR protein isoforms, including those resistant to conventional antagonists (ClinicalTrials.gov: NCT03300505). This therapeutic strategy aims to bypass traditional resistance mechanisms by preventing the production of the receptor at the pre-translational level. Clinical candidates like AZD5312 have been investigated for their ability to reduce AR expression and inhibit tumor growth in patients with metastatic CRPC (PubMed: 32435030). Beyond oncology, the AR mRNA is also relevant in neuromuscular disorders like spinal and bulbar muscular atrophy, where CAG repeat expansions in the transcript lead to proteotoxicity (PubMed: 21163910).
Antisense oligonucleotides (ASOs) bind to the AR mRNA through Watson-Crick base pairing, which triggers the recruitment of RNase H to cleave the RNA-DNA heteroduplex, thereby degrading the mRNA and preventing the translation of the androgen receptor protein (PubMed: 32435030).
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