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.

Oncogene
|May 20, 2014
PubMed

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.