Increased androgen receptor transcription: a cause of castration-resistant prostate cancer and a possible therapeutic target
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Updated: Jun 2, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Masaki Shiota1, Akira Yokomizo, Seiji Naito
1Department of Urology, Graduate School of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan.
Abstract:
Few effective therapies exist for the treatment of castration-resistant prostate cancer (CRPC). Recent evidence suggests that CRPC may be caused by augmented androgen/androgen receptor (AR) signaling, generally involving AR overexpression. Aberrant androgen/AR signaling associated with AR overexpression also plays a key role in prostate carcinogenesis. Although AR overexpression could be attributed to gene amplification, only 10-20% of CRPCs exhibit AR gene amplification, and aberrant AR expression in the remaining instances of CRPC is thought to be attributed to transcriptional, translational, and post-translational mechanisms. Overexpression of AR at the protein level, as well as the mRNA level, has been found in CRPC, suggesting a key role for transcriptional regulation of AR expression. Since the analysis of the AR promoter region in the 1990s, several transcription factors have been reported to regulate AR transcription. In this review, we discuss the molecules involved in the control of AR gene expression, with emphasis on its transcriptional control by transcription factors in prostate cancer. We also consider the therapeutic potential of targeting AR expression.
Insights
Castration-resistant prostate cancer (CRPC) often involves androgen receptor (AR) overexpression. This review explores how transcription factors regulate AR gene expression, offering potential therapeutic targets for CRPC treatment.
Area of Science:
- Oncology
- Molecular Biology
- Genetics
Background:
- Castration-resistant prostate cancer (CRPC) lacks effective therapies.
- Augmented androgen receptor (AR) signaling, often via AR overexpression, is implicated in CRPC development and prostate carcinogenesis.
- While gene amplification causes AR overexpression in 10-20% of CRPCs, other mechanisms like transcriptional regulation are key in the remaining cases.
Purpose of the Study:
- To review molecules controlling AR gene expression in prostate cancer.
- To emphasize the role of transcription factors in the transcriptional control of AR.
- To explore therapeutic strategies targeting AR expression.
Main Methods:
- Literature review of studies on AR gene expression.
- Analysis of transcription factors regulating AR transcription.
- Discussion of therapeutic potential targeting AR expression.
Main Results:
- AR overexpression occurs at both protein and mRNA levels in CRPC.
- Multiple transcription factors have been identified that regulate AR transcription.
- Transcriptional regulation is a significant mechanism driving AR overexpression in CRPC.
Conclusions:
- Understanding AR gene expression control is crucial for CRPC treatment.
- Transcription factors represent key regulators of AR expression in prostate cancer.
- Targeting AR expression pathways holds therapeutic promise for CRPC.
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