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Updated: Jun 8, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
[Androgen-deprivation therapy in prostate cancer: clinical evidence and future perspectives]
1Urologia, Policlinico Universitario Agostino Gemelli, Università Cattolica del Sacro Cuore, Roma. francesco.pinto@libero.it
Abstract:
Androgens are involved in the development and progression of prostate cancer even if the mechanism is not well-recognized. For this reason androgen-deprivation therapy remains a milestone for the treatment of patients with advanced and metastatic disease and, in the last years, in conjunction with radiotherapy and surgery in locally advanced tumors. Alternative options, such as intermittent deprivation suppression, seem to be promising in terms of clinical benefits and toxicity profile. However, current therapies present side effects, such as testosterone surge with consequent clinical flare-up, metabolic syndrome and hormone-resistance, which develops after a variable number of years. Novel therapies such as LH-RH antagonists and prolonged depot LH-RH analogues have been developed in order to avoid clinical flare-up and testosterone microsurges. Novel androgen synthesis inhibitors, such as abiraterone acetate and MDV3100, have been recently discovered and tested as promising hormonal second-line agents in patients with castration-resistant prostate cancer. Finally, long-term side effects from androgen deprivation, such as osteoporosis, sarcopenic obesity and cardiovascular morbidity should be carefully monitored and properly treated.
Insights
Androgen-deprivation therapy is crucial for advanced prostate cancer but has side effects. Novel therapies and careful monitoring are essential for managing treatment outcomes and long-term health.
Area of Science:
- Oncology
- Endocrinology
Background:
- Androgens play a key role in prostate cancer development and progression.
- Androgen-deprivation therapy (ADT) is a cornerstone treatment for advanced and metastatic prostate cancer.
- ADT is also used with radiotherapy and surgery for locally advanced tumors.
Purpose of the Study:
- To review the role of androgens in prostate cancer.
- To discuss current ADT strategies, including intermittent suppression.
- To highlight emerging therapies and long-term side effects of ADT.
Main Methods:
- Literature review of androgen's role in prostate cancer.
- Analysis of current ADT efficacy and limitations.
- Evaluation of novel therapeutic approaches and side effect management.
Main Results:
- ADT is effective but associated with side effects like testosterone surge, metabolic syndrome, and hormone resistance.
- Newer agents like LH-RH antagonists, depot analogues, abiraterone acetate, and MDV3100 aim to mitigate flare-ups and treat castration-resistant prostate cancer.
- Long-term ADT effects include osteoporosis, sarcopenic obesity, and cardiovascular issues requiring monitoring.
Conclusions:
- ADT remains vital for prostate cancer treatment, necessitating management of its side effects.
- Innovative therapies offer improved outcomes and reduced toxicity.
- Comprehensive monitoring and management of long-term ADT complications are crucial for patient well-being.
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