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.

Pharmacological Research
|November 7, 2016
PubMed

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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