Intersection of phenotypic plasticity and anoikis enhances therapeutic vulnerability in prostate cancer

Maria Kouspou1, Alec Zhu1, Lauren Martires2

  • 1Department of Urology, Icahn School of Medicine at Mount Sinai, New York, NY 10029 , USA.

Endocrinology
|April 17, 2026
PubMed

Insights

Targeting anoikis resistance in prostate cancer can prevent metastasis and recurrence. Understanding molecular drivers like CDKN1A and NEDD9 offers new therapeutic strategies against treatment resistance.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Metastasis Research

Background:

  • Cancer cells develop anoikis (apoptosis triggered by detachment) resistance to survive circulation during metastasis.
  • Anoikis resistance is linked to treatment resistance and tumor recurrence in prostate cancer patients.
  • Key signaling pathways (FAK, PI3K/AKT, MAPK, integrin) and genes (CDKN1A, NEDD9, CFL1, JAM2) are implicated in anoikis resistance and prostate cancer progression.

Purpose of the Study:

  • To review current literature on cellular drivers of anoikis resistance in prostate cancer.
  • To explore the intersection of anoikis resistance and phenotypic plasticity within the tumor microenvironment.
  • To identify molecular mechanisms exploitable for therapeutic applications and predictive marker development.

Main Methods:

  • Literature review of studies on anoikis resistance, phenotypic plasticity, and prostate cancer.
  • Analysis of transcriptomic data identifying anoikis-centered genes.
  • Interrogation of molecular pathways involved in cytoskeletal remodeling and cell cycle regulation.

Main Results:

  • Anoikis resistance is a critical factor in cancer cell survival during metastasis.
  • Genes like CDKN1A, NEDD9, CFL1, and JAM2 show prognostic value and correlate with therapeutic resistance.
  • Molecular mechanisms involving cytoskeletal dynamics (cofilin, NEDD9) and cell cycle regulation (CDKN1A) are central to anoikis resistance.

Conclusions:

  • Targeting anoikis resistance pathways presents a promising therapeutic strategy for advanced prostate cancer.
  • Anoikis-resistance based signatures may serve as predictive markers for therapy resistance and recurrence.
  • Further research into these molecular mechanisms can lead to novel translational applications for improved patient outcomes.

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