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Updated: Feb 18, 2026

Serum and Plasma Copy Number Detection Using Real-time PCR
Published on: December 15, 2017
AR Copy Number and AR Signaling-directed Therapies in Castrationresistant Prostate Cancer
Samanta Salvi1, Vincenza Conteduca2, Cristian Lolli2
1Biosciences Laboratory, Istituto Scientifico Romagnolo per lo Studio e la Cura dei Tumori (IRST) IRCCS, Meldola, Italy.
Background:
Adaptive upregulation of Androgen Receptor (AR) is the most common event involved in the progression from hormone sensitive to Castration-Resistant Prostate Cancer (CRPC). AR signaling remains the main target of new AR signalling-directed therapies such as abiraterone and enzalutamide in CRPC patients.
Objective:
In this review, we discuss general mechanisms of resistance to AR-targeted therapies, with a focus on the role of AR Copy Number (CN). We reported methods and clinical applications of AR CN evaluation in tissue and liquid biopsy, thus to have a complete information regarding its role as predictive and prognostic biomarker.
Conclusion:
Outcomes of CRPC patients are reported to be highly variable as the consequence of tumor heterogeneity. AR CN could contribute to patient selection and tumor monitoring in CRPC treated with new anti-cancer treatment as abiraterone and enzalutamide. Further studies to investigate AR CN effect to these agents and its potential combination with other prognostic or predictive clinical factors are necessary in the context of harmonized clinical trial design.
Insights
Androgen Receptor (AR) Copy Number (CN) is crucial for understanding resistance to prostate cancer therapies. Evaluating AR CN in biopsies can guide treatment selection and monitor disease progression in Castration-Resistant Prostate Cancer (CRPC).
Area of Science:
- Oncology
- Genetics
- Molecular Biology
Background:
- Androgen Receptor (AR) upregulation drives progression from hormone-sensitive to Castration-Resistant Prostate Cancer (CRPC).
- AR signaling is the primary target for therapies like abiraterone and enzalutamide in CRPC.
- Tumor heterogeneity leads to variable outcomes in CRPC patients.
Purpose of the Study:
- To review mechanisms of resistance to AR-targeted therapies.
- To focus on the role of Androgen Receptor Copy Number (AR CN) in treatment resistance.
- To discuss methods and clinical applications of AR CN evaluation as a biomarker.
Main Methods:
- Review of existing literature on AR signaling and resistance mechanisms.
- Analysis of methods for evaluating AR Copy Number (AR CN) in tissue and liquid biopsies.
- Examination of the clinical utility of AR CN as a predictive and prognostic biomarker.
Main Results:
- Adaptive AR upregulation is a key event in CRPC progression.
- AR CN evaluation provides comprehensive information for its role as a predictive and prognostic biomarker.
- AR CN can aid in patient selection and tumor monitoring for CRPC patients.
Conclusions:
- AR CN evaluation is essential for understanding treatment response and resistance in CRPC.
- Further research is needed to investigate AR CN's effect on therapies like abiraterone and enzalutamide.
- Harmonized clinical trial designs incorporating AR CN are necessary for future studies.
More Related Videos
12:13Sequencing Small Non-coding RNA from Formalin-fixed Tissues and Serum-derived Exosomes from Castration-resistant Prostate Cancer Patients
Published on: November 19, 2019
07:25A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
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