Downregulated miR-99b-5p and upregulated mTOR cooperatively promotes the African American (AA) PCa aggressiveness and
drug resistance. Nuclear mTOR, AR, and SMARCD1 are highly expressed in AA PCa (MDA PCa 2b) compared to EA PCa (
LNCaP)
cell line. miR-99b-5p inhibited
protein levels of mTOR, AR / AR-V7 and SMARCD1 in
cytoplasm and nuclei of EA and AA PCa. miR-99b-5p effectively inhibits
cell proliferation / survival and induced
cell apoptosis in EA and AA PCa cells. Moreover, combination of miR-99b-5p and
enzalutamide (Enz) synergistically enhances the
cytotoxicity against aggressive AA PCa and
castration resistant
prostate cancer (CRPC). miR-99b-5p or miR-99b-5p / Enz significantly reduces the recruitment of mTOR to the genes involved in the metabolic
reprogramming in CRPC. miR-99b-5p can function as an epigenomic driver to modulate the mTOR / AR / SMARCD1 signaling axis in AA PCa and resistant CRPC. miR-99b-5p can be utilized as a biomarker for identifying the presence of
prostate cancer.