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Updated: Mar 13, 2026

Prostate Organoid Cultures as Tools to Translate Genotypes and Mutational Profiles to Pharmacological Responses
Published on: October 24, 2019
Androgen receptor variation affects prostate cancer progression and drug resistance
Edel McCrea1, Tristan M Sissung2, Douglas K Price1
1Molecular Pharmacology Section, Genitourinary Malignancies Branch, National Cancer Institute, Bethesda, MD, United States.
Abstract:
Significant therapeutic progress has been made in treating prostate cancer in recent years. Drugs such as enzalutamide, abiraterone, and cabazitaxel have expanded the treatment armamentarium, although it is not completely clear which of these drugs are the most-effective option for individual patients. Moreover, such advances have been tempered by the development of therapeutic resistance. The purpose of this review is to summarize the current literature pertaining to the biochemical effects of AR variants and their consequences on prostate cancer therapies at both the molecular level and in clinical treatment. We address how these AR splice variants and mutations affect tumor progression and therapeutic resistance and discuss potential novel therapeutic strategies under development. It is hoped that these therapies can be administered with increasing precision as tumor genotyping methods become more sophisticated, thereby lending clinicians a better understanding of the underlying biology of prostate tumors in individual patients.
Insights
New prostate cancer treatments show promise, but resistance is a challenge. Understanding androgen receptor (AR) variants and mutations is key to developing precise, effective therapies for advanced prostate cancer.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Recent advances in prostate cancer treatment include enzalutamide, abiraterone, and cabazitaxel.
- Therapeutic resistance remains a significant challenge in managing advanced prostate cancer.
- The role of androgen receptor (AR) variants and mutations in treatment efficacy is not fully understood.
Purpose of the Study:
- To review the biochemical effects of AR variants on prostate cancer therapies.
- To elucidate the impact of AR variants and mutations on tumor progression and therapeutic resistance.
- To discuss emerging therapeutic strategies for prostate cancer.
Main Methods:
- Literature review of current research on AR variants and prostate cancer therapies.
- Analysis of molecular mechanisms underlying AR variant function.
- Examination of clinical data regarding treatment outcomes and resistance patterns.
Main Results:
- AR variants and mutations can drive prostate cancer progression and confer resistance to standard therapies.
- Specific AR alterations influence the effectiveness of drugs like enzalutamide and abiraterone.
- Understanding these molecular changes is crucial for predicting treatment response.
Conclusions:
- Targeting AR variants and mutations offers a promising avenue for overcoming therapeutic resistance in prostate cancer.
- Advancements in tumor genotyping will enable more precise and personalized treatment strategies.
- Further research into novel therapies targeting AR pathways is warranted.
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