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Updated: May 8, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Targeted therapy in the treatment of castration-resistant prostate cancer
Christina L Derleth1, Evan Y Yu
1Department of Medicine, Division of Hematology/Oncology, Vanderbilt University, Nashville, Tennessee 37232, USA. christina.l.derleth@vanderbilt.edu
Abstract:
In the field of metastatic castration-resistant prostate cancer, a bevy of novel therapeutics have recently been proven to extend survival via distinct mechanisms of action. Although revolutionary, these recent developments have not led to improved cure rates, and resistance eventually develops.Thus, further exploration into the biologic mechanisms of resistance to these new agents in prostate cancer has been necessary. This has opened the door to the development of agents designed to manipulate alternative biologic targets. In this review, we focus on the testosterone/androgen receptor pathway that is being targeted with potent new agents; we also discuss other important alternative biologic pathways that have given rise to new therapeutics that may attenuate prostate cancer growth, survival, and propagation.
Insights
Novel therapeutics extend survival in metastatic castration-resistant prostate cancer but do not improve cure rates due to resistance. Research is exploring alternative targets like the testosterone/androgen receptor pathway to overcome treatment resistance.
Area of Science:
- Oncology
- Pharmacology
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) has seen advancements with novel therapeutics offering survival benefits.
- However, treatment resistance eventually develops, limiting curative potential.
Purpose of the Study:
- To review emerging therapeutic strategies targeting resistance mechanisms in mCRPC.
- To focus on the testosterone/androgen receptor pathway and other alternative biologic targets.
Main Methods:
- Literature review of recent advancements in mCRPC therapeutics.
- Analysis of biologic mechanisms underlying treatment resistance.
- Discussion of novel agents targeting alternative pathways.
Main Results:
- Novel agents targeting distinct mechanisms extend survival in mCRPC.
- Resistance to current therapies necessitates exploration of alternative targets.
- The testosterone/androgen receptor pathway is a key focus for new drug development.
Conclusions:
- Targeting alternative biologic pathways, including the testosterone/androgen receptor, holds promise for overcoming resistance in mCRPC.
- Further research into these pathways may lead to improved treatment outcomes and potentially attenuate prostate cancer progression.
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