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Updated: Oct 13, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Androgen Receptor Signaling in Prostate Cancer and Therapeutic Strategies
Aasems Jacob1, Rishi Raj2, Derek B Allison3,4,5
1Department of Medicine, Division of Hematology & Oncology, Pikeville Medical Center, Pikeville, KY 41501, USA.
Abstract:
Understanding of the molecular mechanisms of prostate cancer has led to development of therapeutic strategies targeting androgen receptor (AR). These androgen-receptor signaling inhibitors (ARSI) include androgen synthesis inhibitor-abiraterone and androgen receptor antagonists-enzalutamide, apalutamide, and darolutamide. Although these medications provide significant improvement in survival among men with prostate cancer, drug resistance develops in nearly all patients with time. This could be through androgen-dependent or androgen-independent mechanisms. Even weaker signals and non-canonical steroid ligands can activate AR in the presence of truncated AR-splice variants, AR overexpression, or activating mutations in AR. AR splice variant, AR-V7 is the most studied among these and is not targeted by available ARSIs. Non-androgen receptor dependent resistance mechanisms are mediated by activation of an alternative signaling pathway when AR is inhibited. DNA repair pathway, PI3K/AKT/mTOR pathway, BRAF-MAPK and Wnt signaling pathway and activation by glucocorticoid receptors can restore downstream signaling in prostate cancer by alternative proteins. Multiple clinical trials are underway exploring therapeutic strategies to overcome these resistance mechanisms.
Insights
Prostate cancer therapies targeting androgen receptor (AR) show promise but resistance develops. Understanding AR-dependent and independent resistance mechanisms is crucial for developing new treatments.
Area of Science:
- Oncology
- Molecular Biology
- Pharmacology
Background:
- Prostate cancer treatment often involves targeting the androgen receptor (AR) signaling pathway.
- Androgen-receptor signaling inhibitors (ARSIs) like abiraterone, enzalutamide, apalutamide, and darolutamide have improved survival.
- However, drug resistance invariably develops, limiting long-term efficacy.
Purpose of the Study:
- To elucidate the molecular mechanisms underlying resistance to ARSIs in prostate cancer.
- To identify both androgen-dependent and androgen-independent pathways that mediate treatment failure.
- To inform the development of novel therapeutic strategies to overcome resistance.
Main Methods:
- Review of current literature on prostate cancer molecular mechanisms and therapeutic resistance.
- Analysis of known AR-dependent resistance pathways, including AR splice variants (e.g., AR-V7), overexpression, and mutations.
- Investigation of non-AR-dependent resistance mechanisms involving alternative signaling pathways.
Main Results:
- Resistance can occur through AR-dependent mechanisms, such as AR splice variants (AR-V7) or mutations, which are not targeted by current ARSIs.
- Androgen-independent resistance involves the activation of alternative signaling pathways, including DNA repair, PI3K/AKT/mTOR, BRAF-MAPK, Wnt, and glucocorticoid receptor pathways.
- These alternative pathways can restore downstream signaling, bypassing AR inhibition.
Conclusions:
- Resistance to ARSIs in prostate cancer is a complex process involving multiple molecular mechanisms.
- Targeting AR-V7 and exploring inhibitors of alternative signaling pathways are critical areas for future research.
- Ongoing clinical trials aim to develop strategies to overcome these resistance mechanisms and improve patient outcomes.
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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
08:36Prostate Organoid Cultures as Tools to Translate Genotypes and Mutational Profiles to Pharmacological Responses
Published on: October 24, 2019
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