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Updated: Sep 14, 2025

A Bioluminescent and Fluorescent Orthotopic Syngeneic Murine Model of Androgen-dependent and Castration-resistant Prostate Cancer
Published on: March 6, 2018
Novel androgen receptor inhibitors in prostate cancer: What do we know so far?
Francesca Rifaldi1, Paolo Pedrazzoli1, Anna Tortorella1
1Department of Internal Medicine and Medical Therapy, University of Pavia, Pavia, Italy; Radiation Oncology, IRCCS Policlinico San Matteo Foundation, Pavia, Italy.
Abstract:
Prostate cancer (PC) is the second most common cancer among males, following lung cancer, more frequently occurring at an advanced age. Even nowadays, early diagnosis represents a challenge and validated screening methods are still missing. To date, multiple therapeutic strategies are available and a tailored approach is possible. The backbone of PC therapy is represented by the inhibition of the androgen signaling pathway, which mediates tumor cells growth. In this current therapeutic scenario, androgen-receptors signaling inhibitors (ARSIs) play a role in improving cancer treatment. This paper provides an overview of the currently available treatment options, focusing on the new drugs (ARSIs), their actual implications and future developments. METHODS: We conducted a research from Pubmed and Embase database regarding the terms 'prostate cancer', 'ARSI', 'androgen receptor inhibitors', ''enzalutamide", "apalutamide", and "Darolutamide". Original full-text articles published in English were reviewed. Based on this research 185 potentially relevant articles were found, limiting our research to the period 2019-2025 of publication. 75 articles were excluded on the basis of abstract, title or the content.
Insights
Androgen-receptor signaling inhibitors (ARSIs) are advancing prostate cancer (PC) treatment by targeting tumor growth pathways. This review explores current ARSI therapies, their clinical impact, and future directions in PC management.
Area of Science:
- Oncology
- Urology
- Pharmacology
Background:
- Prostate cancer (PC) is a leading malignancy in males, often diagnosed at advanced stages.
- Effective early screening methods for PC remain a significant clinical challenge.
- Androgen signaling pathway inhibition is a cornerstone of PC therapy.
Purpose of the Study:
- To provide an overview of current prostate cancer treatment options.
- To focus on novel androgen-receptor signaling inhibitors (ARSIs) and their therapeutic implications.
- To discuss the future developments in ARSI-based prostate cancer treatment.
Main Methods:
- Systematic literature search of PubMed and Embase databases.
- Keywords included 'prostate cancer', 'ARSI', 'androgen receptor inhibitors', 'enzalutamide', 'apalutamide', and 'Darolutamide'.
- Review of original full-text articles published in English between 2019 and 2025.
Main Results:
- Identified 185 potentially relevant articles, with 75 excluded based on initial screening.
- Focused review on the role and efficacy of ARSIs in prostate cancer treatment.
- Analysis of current clinical implications and future prospects of ARSIs.
Conclusions:
- Androgen-receptor signaling inhibitors (ARSIs) represent a significant advancement in prostate cancer therapy.
- ARSIs offer improved treatment outcomes by targeting key tumor growth mechanisms.
- Ongoing research and development promise further refinements in ARSI-based treatment strategies for PC.
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