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Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Antisense approaches in prostate cancer
1BC Cancer Agency, 600 West 10th Avenue, Vancouver, British Columbia, V5Z 4E6, Canada. kchi@bccancer.bc.ca
Abstract:
Patients with hormone refractory prostate cancer have limited treatment options and new therapies are urgently needed. Advances in the understanding of the molecular mechanisms implicated in prostate cancer progression have identified many potential therapeutic gene targets that are involved in apoptosis, growth factors, cell signalling and the androgen receptor (AR). Antisense oligonucleotides are short sequences of synthetic modified DNA that are designed to be complimentary to a selected gene's mRNA and thereby specifically inhibit expression of that gene. The antisense approach continues to hold promise as a therapeutic modality to target genes involved in cancer progression, especially those in which the gene products are not amenable to small molecule inhibition or antibodies. The current status and future direction of a number of antisense oligonucleotides targeting several genes, including BCL-2, BCL-XL, clusterin, the inhibitors of apoptosis (IAP) family, MDM2, protein kinase C-alpha, c-raf, insulin-like growth factor binding proteins and the AR, that have potential clinical use in prostate cancer are reviewed.
Insights
Antisense oligonucleotides offer a promising new therapy for hormone refractory prostate cancer by targeting specific genes involved in cancer progression. This approach is particularly useful when other treatments are ineffective.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Hormone refractory prostate cancer lacks effective treatment options, necessitating novel therapeutic strategies.
- Understanding molecular pathways driving prostate cancer progression has revealed numerous gene targets.
- Antisense oligonucleotides (ASOs) represent a targeted gene inhibition technology.
Purpose of the Study:
- To review the current status and future potential of antisense oligonucleotides for prostate cancer therapy.
- To identify key gene targets amenable to antisense oligonucleotide intervention in prostate cancer.
Main Methods:
- Review of scientific literature on antisense oligonucleotides and prostate cancer molecular targets.
- Analysis of genes implicated in prostate cancer progression, including apoptosis, growth factors, cell signaling, and androgen receptor (AR).
Main Results:
- ASOs can specifically inhibit gene expression by binding to complementary mRNA.
- Several gene targets, including BCL-2, clusterin, IAP family, MDM2, and AR, are being investigated for ASO therapy.
- ASO therapy shows promise for genes whose products are not targeted by small molecules or antibodies.
Conclusions:
- Antisense oligonucleotides hold significant therapeutic promise for hormone refractory prostate cancer.
- Targeting specific genes involved in cancer progression offers a viable treatment modality.
- Further research and clinical development of ASOs are warranted for prostate cancer.
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