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Updated: Mar 21, 2026

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Progress in the mechanism and drug development of castration-resistant prostate cancer
Minzan Zuo1, Xi Xu1, Tinghan Li1
1Department of Medicinal Chemistry, China Pharmaceutical University, #24 Tongjiaxiang, Nanjing 210009, PR China.
Abstract:
Although prostate cancer can initially respond to androgen deprivation therapy, it will inevitably relapse and switch to a castration-resistant state. The progress in understanding the mechanism of castration-resistant prostate cancer (CRPC) has led to the evolution of novel agents, including sipuleucel-T as an immunomodulant agent, enzalutamide as an androgen receptor antagonist, docetaxel as a chemotherapeutic agent and radium-223 as a radiopharmaceutical agent. In this review, we discuss the main mechanisms of CRPC and the development of promising agents along with the novel therapies in the clinic. New therapeutic challenges remain, such as the identification of predictive biomarkers and the optimal combinations of agents. Future investigation is still needed for a better understanding of CRPC.
Insights
Castration-resistant prostate cancer (CRPC) inevitably develops after initial treatment. This review covers CRPC mechanisms, novel therapies like sipuleucel-T and enzalutamide, and future research needs.
Area of Science:
- Oncology
- Urology
- Pharmacology
Background:
- Prostate cancer often progresses to a castration-resistant state despite androgen deprivation therapy.
- Understanding CRPC mechanisms is crucial for developing new treatments.
Purpose of the Study:
- To review the mechanisms driving castration-resistant prostate cancer (CRPC).
- To discuss the development and clinical application of novel CRPC therapeutic agents.
- To highlight ongoing challenges and future research directions in CRPC treatment.
Main Methods:
- Literature review of mechanisms and therapies for castration-resistant prostate cancer.
- Analysis of novel agents including immunomodulators, androgen receptor antagonists, chemotherapy, and radiopharmaceuticals.
- Discussion of clinical advancements and therapeutic challenges.
Main Results:
- Several novel agents have emerged for CRPC, including sipuleucel-T, enzalutamide, docetaxel, and radium-223.
- These agents target different pathways involved in CRPC progression.
- The review synthesizes current understanding of CRPC mechanisms and therapeutic strategies.
Conclusions:
- Despite advances, CRPC remains a significant clinical challenge.
- Identifying predictive biomarkers and optimizing combination therapies are key future goals.
- Further research is essential for a comprehensive understanding and improved management of CRPC.
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