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A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Regulation of tumor cell plasticity by the androgen receptor in prostate cancer
Jennifer L Bishop1, Alastair Davies1, Kirsi Ketola1
1The Vancouver Prostate Centre2660 Oak Street, Vancouver, British Columbia, Canada V6H-3Z6Department of Urologic SciencesUniversity of British Columbia, Vancouver, British Columbia, Canada The Vancouver Prostate Centre2660 Oak Street, Vancouver, British Columbia, Canada V6H-3Z6Department of Urologic SciencesUniversity of British Columbia, Vancouver, British Columbia, Canada.
Abstract:
Prostate cancer (PCa) has become the most common form of cancer in men in the developed world, and it ranks second in cancer-related deaths. Men that succumb to PCa have a disease that is resistant to hormonal therapies that suppress androgen receptor (AR) signaling, which plays a central role in tumor development and progression. Although AR continues to be a clinically relevant therapeutic target in PCa, selection pressures imposed by androgen-deprivation therapies promote the emergence of heterogeneous cell populations within tumors that dictate the severity of disease. This cellular plasticity, which is induced by androgen deprivation, is the focus of this review. More specifically, we address the emergence of cancer stem-like cells, epithelial-mesenchymal or myeloid plasticity, and neuroendocrine transdifferentiation as well as evidence that demonstrates how each is regulated by the AR. Importantly, because all of these cell phenotypes are associated with aggressive PCa, we examine novel therapeutic approaches for targeting therapy-induced cellular plasticity as a way of preventing PCa progression.
Insights
Prostate cancer (PCa) progression is driven by cellular plasticity, where cells adapt to androgen-deprivation therapies. Targeting this adaptability offers new strategies to combat aggressive PCa.
Area of Science:
- Oncology
- Cancer Biology
- Endocrinology
Background:
- Prostate cancer (PCa) is a leading cause of cancer-related deaths in men.
- Hormonal therapies targeting androgen receptor (AR) signaling are standard PCa treatment.
- AR signaling is crucial for PCa development and progression.
Purpose of the Study:
- To review the cellular plasticity induced by androgen deprivation in prostate cancer.
- To examine how AR signaling regulates cancer stem-like cells, epithelial-mesenchymal/myeloid plasticity, and neuroendocrine transdifferentiation.
- To explore novel therapeutic strategies targeting therapy-induced cellular plasticity in aggressive PCa.
Main Methods:
- Review of existing scientific literature on prostate cancer cellular plasticity.
- Analysis of AR's role in regulating adaptive cell phenotypes under androgen deprivation.
- Examination of therapeutic approaches targeting AR-regulated cellular plasticity.
Main Results:
- Androgen-deprivation therapies induce heterogeneous cell populations in PCa.
- Emergence of cancer stem-like cells, epithelial-mesenchymal/myeloid plasticity, and neuroendocrine transdifferentiation are key adaptive phenotypes.
- These phenotypes are regulated by the androgen receptor (AR) and associated with aggressive disease.
Conclusions:
- Cellular plasticity is a critical mechanism driving treatment resistance and progression in advanced prostate cancer.
- Targeting AR-mediated cellular plasticity presents a promising therapeutic avenue.
- Developing novel strategies to counteract these adaptive phenotypes could improve outcomes for patients with aggressive PCa.
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