Unlocking artificial intelligence, machine learning and deep learning to combat therapeutic resistance in metastatic

Zainab Haider Ejaz1, Reyan Hussain Shaikh1, Alizeh Sonia Fatimi1

  • 1Aga Khan University Hospital, Aga Khan Medical College, Sindh, Karachi 748000, Pakistan.

Ecancermedicalscience
|September 15, 2025
PubMed

Insights

Artificial intelligence (AI) offers new ways to fight treatment resistance in metastatic castration-resistant prostate cancer (mCRPC). AI analyzes complex data to personalize treatments and identify resistance markers, though challenges remain for clinical use.

Area of Science:

  • Oncology
  • Medical Informatics
  • Bioinformatics

Background:

  • Metastatic castration-resistant prostate cancer (mCRPC) presents significant therapeutic challenges.
  • Existing treatments face limitations due to acquired or intrinsic resistance.
  • Novel approaches are crucial for improving patient outcomes in mCRPC.

Purpose of the Study:

  • To review the application of artificial intelligence (AI), machine learning (ML), and deep learning (DL) in overcoming therapeutic resistance in mCRPC.
  • To explore how AI can analyze integrated datasets for mechanistic insights and biomarker discovery.
  • To discuss the potential and limitations of AI in developing personalized treatment strategies for mCRPC.

Main Methods:

  • Narrative review synthesizing current literature on AI in mCRPC.
  • Analysis of AI methodologies utilizing genomics, proteomics, and clinical data.
  • Examination of studies focusing on prediction of treatment response and resistance mechanisms.

Main Results:

  • AI approaches can integrate multi-omics and clinical data to identify resistance drivers.
  • AI shows promise in predicting treatment efficacy and identifying novel biomarkers.
  • Personalized treatment strategies can be potentially developed using AI insights.

Conclusions:

  • AI holds significant potential for advancing therapeutic strategies against mCRPC resistance.
  • Data heterogeneity and regulatory hurdles are key challenges for clinical translation.
  • Further research is needed to fully implement AI in mCRPC clinical practice.

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