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Updated: Apr 29, 2026

Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Targeting the androgen receptor pathway in castration-resistant prostate cancer: progresses and prospects
R Ferraldeschi1, J Welti1, J Luo2
1Prostate Cancer Targeted Therapy Group, The Institute of Cancer Research and Royal Marsden NHS Foundation Trust, Surrey, UK.
Abstract:
Androgen receptor (AR) signaling is a critical pathway for prostate cancer cells, and androgen-deprivation therapy (ADT) remains the principal treatment for patients with locally advanced and metastatic disease. However, over time, most tumors become resistant to ADT. The view of castration-resistant prostate cancer (CRPC) has changed dramatically in the last several years. Progress in understanding the disease biology and mechanisms of castration resistance led to significant advancements and to paradigm shift in the treatment. Accumulating evidence showed that prostate cancers develop adaptive mechanisms for maintaining AR signaling to allow for survival and further evolution. The aim of this review is to summarize molecular mechanisms of castration resistance and provide an update in the development of novel agents and strategies to more effectively target the AR signaling pathway.
Insights
Prostate cancer cells adapt to androgen-deprivation therapy (ADT) by maintaining androgen receptor (AR) signaling. This review summarizes castration resistance mechanisms and novel therapeutic strategies targeting AR signaling.
Area of Science:
- Oncology
- Molecular Biology
- Urology
Background:
- Androgen receptor (AR) signaling is crucial for prostate cancer cell growth.
- Androgen-deprivation therapy (ADT) is the primary treatment for advanced prostate cancer.
- Tumor resistance to ADT, leading to castration-resistant prostate cancer (CRPC), is a major clinical challenge.
Purpose of the Study:
- To review the molecular mechanisms underlying castration resistance in prostate cancer.
- To provide an update on emerging therapeutic agents and strategies targeting the AR signaling pathway.
Main Methods:
- Literature review of molecular mechanisms of castration resistance.
- Analysis of recent advancements in novel therapeutic agents and strategies.
- Synthesis of current understanding of AR signaling in CRPC.
Main Results:
- Prostate cancers develop adaptive mechanisms to sustain AR signaling for survival and progression.
- Understanding these adaptive mechanisms has led to significant treatment advancements.
- Novel agents and strategies are being developed to overcome resistance.
Conclusions:
- Castration resistance in prostate cancer involves complex adaptive mechanisms maintaining AR signaling.
- Targeting AR signaling remains a key strategy for managing CRPC.
- Continued research into molecular mechanisms will drive the development of more effective treatments.
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