Proxalutamide is a newly developed
androgen receptor (AR) antagonist for the treatment of
castration-resistant
prostate cancer (PCa) that has entered phase III clinical trials. In the present study, we intended to elucidate the antitumor efficacy of
proxalutamide through the metabolomic profiling of PCa cells. Two AR-positive PCa cell lines and two AR-negative PCa cell lines were investigated. Cell viability assays based on
ATP quantitation were conducted. LC-Q/TOF-MS was used to analyze intracellular metabolites before or after the administration of
proxalutamide and two other clinical AR antagonists (
bicalutamide and
enzalutamide). The results of this study showed that the inhibitory effect of
proxalutamide on PCa cell proliferation was better than that of
bicalutamide and
enzalutamide, and
proxalutamide preferentially affected AR-positive PCa cells over AR-negative cells. The metabolic composition of PCa cells changed significantly after
proxalutamide administration, and these changes in response to
proxalutamide were significantly different from those in the presence of the two other AR antagonists. In AR-positive cells,
proxalutamide significantly decreased the intracellular levels of
glutamine,
glutamate,
glutathione,
cysteine,
glycine,
aspartate,
uridine,
cytidine and
thymidine. However, the effects of the two other antagonists on these discriminant metabolites were ambiguous, and no changes in these metabolites were found in AR-negative cells. Our findings indicate that
proxalutamide has inhibitory effects on
glutamine metabolism, redox homeostasis and de novo
pyrimidine synthesis in AR-positive PCa cells that enhance the cellular sensitivity to
proxalutamide.