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Updated: Nov 22, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Loss and revival of androgen receptor signaling in advanced prostate cancer
Nicolò Formaggio1, Mark A Rubin2, Jean-Philippe Theurillat3
1Institute of Oncology Research, Università della Svizzera italiana, Lugano, Switzerland.
Abstract:
Targeting the androgen receptor (AR) signaling axis has been, over decades, the mainstay of prostate cancer therapy. More potent inhibitors of androgen synthesis and antiandrogens have emerged and have been successfully implemented in clinical practice. That said, the stronger inhibition of the AR signaling axis has led in recent years to an increase of prostate cancers that de-differentiate into AR-negative disease. Unfortunately, this process is intimately linked with a poor prognosis. Here, we review the molecular mechanisms that enable cancer cells to switch from an AR-positive to an AR-negative disease and efforts to prevent/revert this process and thereby maintain/restore AR-dependence.
Insights
Stronger prostate cancer treatments targeting the androgen receptor (AR) can cause AR-negative disease, which has a poor prognosis. This review explores mechanisms of this transition and strategies to maintain AR-dependence.
Area of Science:
- Oncology
- Molecular Biology
- Cancer Research
Background:
- Androgen receptor (AR) signaling is a primary target in prostate cancer therapy.
- Advanced anti-androgen therapies have improved treatment outcomes.
- However, intensified AR pathway inhibition can drive prostate cancer dedifferentiation to an AR-negative state.
Purpose of the Study:
- To review the molecular mechanisms underlying the transition from AR-positive to AR-negative prostate cancer.
- To discuss current strategies aimed at preventing or reversing this dedifferentiation process.
- To explore methods for maintaining or restoring AR-dependence in prostate cancer.
Main Methods:
- Literature review of molecular mechanisms in prostate cancer progression.
- Analysis of studies on AR signaling pathway inhibition.
- Synthesis of research on therapeutic strategies for AR-negative prostate cancer.
Main Results:
- Dedifferentiation to AR-negative disease is a consequence of potent AR signaling blockade.
- This transition is associated with aggressive tumor behavior and poor patient prognosis.
- Specific molecular pathways facilitate the switch from AR-positive to AR-negative phenotypes.
Conclusions:
- Understanding the mechanisms of AR-negative prostate cancer development is crucial.
- Developing strategies to prevent or revert AR-dependence is a key therapeutic challenge.
- Maintaining AR-dependence may offer a path to improved long-term outcomes for prostate cancer patients.
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