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Updated: May 11, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Molecular aspects of androgenic signaling and possible targets for therapeutic intervention in prostate cancer
Zoran Culig1, Frédéric R Santer
1Division of Experimental Urology, Department of Urology, Innsbruck Medical University, Anichstrasse 35, A-6020 Innsbruck, Austria. zoran.culig@i-med.ac.at
Abstract:
The androgen axis is of crucial importance in the development of novel therapeutic approaches for non-organ-confined prostate cancer. Recent studies revealed that tumor cells have the ability to synthesize androgenic hormones in an intracrine manner. This recognition opened the way for the development of a novel drug, abiraterone acetate, which shows benefits in clinical trials. A novel anti-androgen enzalutamide that inhibits androgen receptor (AR) nuclear translocation has also been developed and tested in the clinic. AR coactivators exert specific cellular regulatory functions, however it is difficult to improve the treatment because of a large number of coregulators overexpressed in prostate cancer. AR itself is a target of several miRNAs which may cause its increased degradation, inhibition of proliferation, and increased apoptosis. Truncated AR occur in prostate cancer as a consequence of alternative splicing. They exhibit ligand-independent transcriptional activity. Although there has been an improvement of endocrine therapy in prostate cancer, increased intracrine ligand synthesis and appearance of variant receptors may facilitate the development of resistance.
Insights
Novel prostate cancer therapies target the androgen axis. Drugs like abiraterone acetate and enzalutamide show promise, but resistance mechanisms like intracrine synthesis and variant receptors remain challenges.
Area of Science:
- Oncology
- Endocrinology
- Molecular Biology
Background:
- The androgen axis is critical for non-organ-confined prostate cancer treatment.
- Tumor cells exhibit intracrine androgen synthesis, a key factor in treatment development.
- Novel drugs like abiraterone acetate and enzalutamide target this axis.
Purpose of the Study:
- To review current understanding of the androgen axis in prostate cancer.
- To discuss novel therapeutic strategies targeting androgen synthesis and receptor activity.
- To highlight challenges in endocrine therapy, including resistance mechanisms.
Main Methods:
- Literature review of recent studies on prostate cancer, androgen axis, and therapeutics.
- Analysis of drug mechanisms, including abiraterone acetate and enzalutamide.
- Examination of resistance pathways, such as intracrine synthesis and AR variants.
Main Results:
- Abiraterone acetate and enzalutamide demonstrate clinical benefits by targeting the androgen axis.
- Overexpressed AR coactivators and targeting of AR by miRNAs present therapeutic complexities.
- Truncated AR variants exhibit ligand-independent activity, contributing to treatment resistance.
Conclusions:
- Despite advancements, resistance to endocrine therapy in prostate cancer persists.
- Intracrine androgen synthesis and emergent AR variants are significant challenges.
- Further research is needed to overcome resistance and improve treatment outcomes for advanced prostate cancer.
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