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Updated: May 24, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Outsmarting androgen receptor: creative approaches for targeting aberrant androgen signaling in advanced prostate
Karen E Knudsen1, William Kevin Kelly
1Kimmel Cancer Center, Thomas Jefferson University, 233 10th Street, BLSB 1008, Philadelphia, PA 19107, USA.
Abstract:
Prostatic adenocarcinomas are reliant on androgen receptor (AR) activity for survival and progression. Therefore, first-line therapeutic intervention for disseminated disease entails the use of AR-directed therapeutics, achieved through androgen deprivation and direct AR antagonists. While initially effective, recurrent, 'castrate-resistant' prostate cancers arise, for which there is no durable means of treatment. An abundance of clinical study and preclinical modeling has led to the revelation that restored AR activity is a major driver of therapeutic failure and castrate-resistant prostate cancer development. The mechanisms underpinning AR reactivation have been identified, providing the foundation for a new era of drug discovery and rapid translation into the clinic. As will be reviewed in this article, these creative new ways of suppressing AR show early promise.
Insights
Prostate cancer relies on androgen receptor (AR) activity. New therapies target AR reactivation, offering hope against castrate-resistant prostate cancer where initial treatments fail.
Area of Science:
- Oncology
- Urology
- Molecular Biology
Background:
- Prostatic adenocarcinomas depend on androgen receptor (AR) activity for growth and spread.
- Current treatments for advanced prostate cancer involve androgen deprivation and AR antagonists.
- Therapeutic resistance leads to castrate-resistant prostate cancer (CRPC), a condition with limited durable treatment options.
Purpose of the Study:
- To review the mechanisms driving AR reactivation in CRPC.
- To explore novel therapeutic strategies targeting AR reactivation.
- To discuss the potential of new AR-suppressing drugs in clinical settings.
Main Methods:
- Review of clinical studies and preclinical models investigating AR activity in prostate cancer.
- Analysis of identified mechanisms responsible for AR reactivation.
- Synthesis of current research on emerging AR-directed therapies.
Main Results:
- Restored AR activity is a key factor in treatment failure and CRPC development.
- Specific mechanisms underlying AR reactivation have been elucidated.
- Emerging therapeutic approaches targeting AR show promising early results.
Conclusions:
- Understanding AR reactivation is crucial for overcoming treatment resistance in prostate cancer.
- Novel therapeutic strategies focused on suppressing AR offer a promising new direction for CRPC treatment.
- Continued research and drug development in this area hold potential for improved patient outcomes.
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