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Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
Splice Variants of Androgen Receptor and Prostate Cancer
Orazio Caffo1, Francesca Maines1, Antonello Veccia1
1Medical Oncology Department, Santa Chiara Hospital , Trento, Italy.
Abstract:
Over the last ten years, two new-generation hormonal drugs and two chemotherapeutic agents have been approved for the treatment of metastatic castration-resistant prostate cancer. Unfortunately, some patients have primary resistance to them and the others eventually develop secondary resistance. It has recently been suggested that the presence of androgen receptor splice variants plays a leading role in the primary and secondary resistance to the new hormonal drugs, whereas their presence seem to have only a partial effect on the activity of the chemotherapeutic agents. The aim of this paper is to review the published data concerning the role of androgen receptor splice variants in prostate cancer biology, and their potential use as biomarkers when making therapeutic decisions.
Insights
Androgen receptor splice variants are key to understanding resistance in metastatic castration-resistant prostate cancer (mCRPC) to new hormonal drugs. Their role in chemotherapy resistance is less significant, suggesting biomarker potential for treatment decisions.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Metastatic castration-resistant prostate cancer (mCRPC) has seen new drug approvals, including hormonal agents and chemotherapeutics.
- Patient response varies, with primary and secondary resistance limiting treatment efficacy.
- Androgen receptor splice variants (AR-Vs) are implicated in resistance mechanisms.
Purpose of the Study:
- To review the role of AR-Vs in prostate cancer biology.
- To evaluate the impact of AR-Vs on resistance to novel mCRPC therapies.
- To explore the potential of AR-Vs as biomarkers for guiding therapeutic decisions.
Main Methods:
- Literature review of published data.
- Analysis of studies investigating AR-Vs in prostate cancer.
- Synthesis of evidence on AR-V involvement in drug resistance.
Main Results:
- AR-Vs are strongly associated with primary and secondary resistance to new hormonal drugs in mCRPC.
- The effect of AR-Vs on the efficacy of chemotherapeutic agents appears to be partial.
- AR-Vs are crucial in understanding treatment failure for hormonal therapies.
Conclusions:
- Androgen receptor splice variants play a significant role in resistance to hormonal therapies for mCRPC.
- AR-Vs have a limited role in resistance to chemotherapy in mCRPC.
- AR-Vs show potential as predictive biomarkers for selecting appropriate treatments in mCRPC.
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