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The Androgen receptor (AR) mRNA hinge region, specifically encoded by exon 4 of the AR gene, is a therapeutic target for antisense oligonucleotides (ASOs) designed to treat advanced prostate cancer (PubMed: 23471015). The hinge region of the AR protein is crucial for its nuclear translocation and DNA-binding stability, making the corresponding mRNA sequence a high-value site for gene silencing (Cancer Res, 2011). Therapeutic agents like EZN-4176, a Locked Nucleic Acid (LNA)-based ASO, are engineered to bind specifically to this region, triggering RNase H-mediated degradation of the mRNA transcript. This process results in the depletion of full-length AR protein, thereby inhibiting the androgen signaling axis that drives tumor progression in castration-resistant prostate cancer (CRPC) (Clin Cancer Res, 2013). While this strategy effectively targets full-length AR, it may be bypassed by certain AR splice variants, such as AR-V7, which lack exon 4 and remain constitutively active (Oncotarget, 2016). Consequently, the hinge region target represents a sophisticated approach to overcoming resistance to traditional androgen deprivation therapies, though it requires careful patient selection based on AR variant profiles.
Antisense oligonucleotide-mediated RNase H recruitment and subsequent degradation of the target mRNA transcript, preventing translation of the androgen receptor protein.
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