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Updated: Jun 10, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Overcoming persistent dependency on androgen signaling after progression to castration-resistant prostate cancer
Masuo Yamaoka1, Takahito Hara, Masami Kusaka
1Takeda Pharmaceutical Company Limited, Tsukuba, Japan. Yamaoka_Masuo@takeda.co.jp
Abstract:
Prostate cancer is the most common form of cancer in males in the United States, and the second leading cause of cancer death. Initially, most cases of prostate cancer respond well to hormone therapy; however, resistance often develops rapidly, leading to castration-resistant prostate cancer (CRPC). Several mechanisms for castration resistance have been proposed, of which the most significant seems to be the "intracrine" production of androgens from adrenal androgen or intratumorally via the de novo route. This mechanism stimulates disease progression through reactivation of androgen receptor signaling in patients who have previously undergone castration therapy. 17,20-lyase is essential for androgen synthesis in both the adrenal glands and CRPC tissue, and some 17,20-lyase inhibitors and second-generation anti-androgens that were developed to treat CRPC are currently under clinical investigation, with encouraging preliminary data reported so far. However, resistance to some of these therapies has already been noted. The study of circulating tumor cells will likely be important not only to identify patients likely to receive benefit from this therapeutic approach, but also to further understand the molecular mechanisms of resistance.
Insights
Prostate cancer often becomes resistant to hormone therapy due to intracrine androgen production. Studying circulating tumor cells may reveal resistance mechanisms and identify patients benefiting from new therapies targeting 17,20-lyase.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- Prostate cancer is a leading cause of cancer death in males.
- Initial hormone therapy for prostate cancer frequently leads to castration-resistant prostate cancer (CRPC).
- Intracrine androgen synthesis is a significant mechanism driving CRPC progression by reactivating androgen receptor signaling.
Purpose of the Study:
- To explore the role of intracrine androgen synthesis in castration resistance.
- To investigate the potential of 17,20-lyase inhibitors and second-generation anti-androgens for CRPC treatment.
- To highlight the importance of circulating tumor cells in understanding CRPC and guiding therapy.
Main Methods:
- Review of proposed mechanisms for castration resistance.
- Discussion of the role of 17,20-lyase in androgen synthesis.
- Emphasis on the potential utility of circulating tumor cell analysis.
Main Results:
- Intracrine androgen production is a key factor in CRPC development.
- 17,20-lyase inhibitors and novel anti-androgens show promise but face emerging resistance.
- Circulating tumor cells offer insights into therapeutic response and resistance.
Conclusions:
- Targeting intracrine androgen synthesis is crucial for managing CRPC.
- Further research into 17,20-lyase inhibitors and anti-androgens is warranted.
- Circulating tumor cell analysis is vital for personalized treatment strategies in CRPC.
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08:36Prostate Organoid Cultures as Tools to Translate Genotypes and Mutational Profiles to Pharmacological Responses
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