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Updated: Jun 6, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Novel targeted agents on the horizon for castration-resistant prostate cancer
Anthony Koupparis1, Rowan G Casey, Rowan Casey
1The Vancouver Prostate Centre & Department of Urological Sciences, 2775 Laurel St., Vancouver, BC, Canada.
Abstract:
Androgen deprivation treatment in prostate cancer patients is well established; however, resistance to such treatment manifests itself by progression to castration-resistant prostate cancer (CRPC). Despite significant advances in treatment options for patients with CRPC, their prognosis remains poor. Resistance results from multiple processes that facilitate cancer cell growth and survival. Mechanisms underlying the shift to castrate resistance have been attributed to a complex interplay of clonal selection, reactivation of the androgen receptor axis despite castrate levels of serum testosterone, stress-induced prosurvival genes and cytoprotective chaperone networks and alternative mitogenic growth factor pathways. This article discusses several pathways involved in the development of CRPC, with a particular focus on those mechanisms that have led to the development of new targeted therapies.
Insights
Prostate cancer patients can develop resistance to androgen deprivation treatment, progressing to castration-resistant prostate cancer (CRPC). Understanding the complex mechanisms driving CRPC is crucial for developing effective targeted therapies.
Area of Science:
- Oncology
- Urology
- Molecular Biology
Background:
- Androgen deprivation therapy is a standard treatment for prostate cancer.
- Resistance to this therapy leads to castration-resistant prostate cancer (CRPC), which has a poor prognosis.
- CRPC development involves complex biological processes facilitating cancer cell survival and growth.
Purpose of the Study:
- To discuss the pathways involved in the development of CRPC.
- To highlight mechanisms driving castrate resistance.
- To focus on targeted therapies developed from understanding these mechanisms.
Main Methods:
- Review of current literature on CRPC.
- Discussion of molecular mechanisms underlying treatment resistance.
- Analysis of pathways contributing to CRPC progression.
Main Results:
- CRPC arises from multiple processes including clonal selection and androgen receptor axis reactivation.
- Stress-induced prosurvival genes and alternative growth factor pathways contribute to resistance.
- Understanding these mechanisms has informed the development of novel targeted therapies.
Conclusions:
- Resistance to androgen deprivation therapy is a significant challenge in prostate cancer management.
- Multiple interconnected pathways contribute to the transition to CRPC.
- Targeted therapies based on elucidated mechanisms offer new hope for CRPC patients.
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