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Updated: Jun 17, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Targeting Androgen Receptor Alterations in Metastatic Prostate Cancer
Pawel Rajwa1, Piotr Zapała2, Axel S Merseburger3
1Department of Urology, Medical University of Silesia, Zabrze, Poland; Department of Urology, Comprehensive Cancer Center, Medical University of Vienna, Vienna, Austria.
Abstract:
There have been significant advances in our understanding of the biology of metastatic prostate cancer (mPCa) and its response to therapy. Androgen receptor (AR) alterations, including mutations, amplifications, splice variants, and alternative activations, play a significant role in mPCa resistance to treatment. Recent studies indicate that AR alterations detected via genomic testing can be considered predictive biomarkers in men with castration-resistant PCa and can guide treatment strategies. Novel therapeutic approaches, including AR antagonists and inhibitors of ACK1, the AR N-terminal domain, or cytochrome P450 11A1, have shown promise in overcoming treatment resistance. Ongoing clinical trials are exploring the efficacy of these treatments in relation to AR mutation status and could potentially transform the treatment landscape for mPCa. PATIENT SUMMARY: Our mini review highlights advances in the treatment of metastatic prostate cancer, with a focus on drugs that target genetic alterations affecting a protein called the androgen receptor. Some promising results have been obtained and clinical trials are ongoing.
Insights
Advances in metastatic prostate cancer (mPCa) treatment focus on targeting androgen receptor (AR) alterations. Genomic testing identifies AR biomarkers, guiding novel therapies like AR antagonists and inhibitors to overcome treatment resistance.
Area of Science:
- Oncology
- Genetics
- Pharmacology
Background:
- Metastatic prostate cancer (mPCa) biology and therapeutic responses are increasingly understood.
- Androgen receptor (AR) alterations are key drivers of treatment resistance in mPCa.
Purpose of the Study:
- To review recent advances in understanding AR alterations in mPCa.
- To highlight novel therapeutic strategies targeting AR alterations.
- To discuss the role of AR alterations as predictive biomarkers.
Main Methods:
- Genomic testing to detect AR alterations.
- Review of novel therapeutic agents targeting AR pathways.
- Analysis of ongoing clinical trials for mPCa treatments.
Main Results:
- AR alterations are significant predictors of treatment resistance in castration-resistant PCa.
- Novel therapies targeting AR antagonists, ACK1, AR N-terminal domain, and cytochrome P450 11A1 show promise.
- Clinical trials investigating AR mutation status are underway.
Conclusions:
- AR alterations are crucial biomarkers for guiding mPCa treatment strategies.
- Emerging therapies offer potential to overcome resistance and improve outcomes.
- Ongoing research and clinical trials may transform mPCa treatment paradigms.
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