The Quartet of Core Oncogenic Drivers in Neuroendocrine Prostate Cancer: Multi-Omics Dataset Integration to Forge a

Youzhi Wang1, Ning Wu2, Junbo Li3

  • 1Department of Urology, Peking University Third Hospital, Beijing, 100191, China.

Insights

Neuroendocrine prostate cancer (NEPC) arises from advanced prostate cancer (PC) despite anti-androgen therapies. This review explores cancer stem cells, EMT, and autophagy roles in NEPC development and potential therapeutic targets.

Area of Science:

  • Oncology
  • Molecular Biology
  • Cancer Research

Background:

  • Prostate cancer (PC) is a leading cause of cancer death in men.
  • Advanced PC treatments like androgen deprivation therapy (ADT) can lead to castration-resistant (CRPC) and neuroendocrine (NEPC) forms.
  • The mechanisms driving PC progression to NEPC remain under investigation.

Purpose of the Study:

  • To comprehensively review cellular and molecular mechanisms of NEPC development.
  • To focus on the roles of cancer stem cells (CSCs), epithelial-mesenchymal transition (EMT), and autophagy in NEPC pathogenesis.
  • To explore therapeutic strategies targeting these pathways for advanced PC.

Main Methods:

  • Literature review integrating clinical trials, pre-clinical models, and molecular research.
  • Analysis of cellular mechanisms including CSCs, EMT, and autophagy.
  • Evaluation of potential therapeutic interventions targeting identified pathways.

Main Results:

  • NEPC development is linked to complex molecular changes following ADT.
  • CSCs, EMT, and autophagy are implicated as key drivers in NEPC progression.
  • Targeting these mechanisms shows promise for overcoming treatment resistance.

Conclusions:

  • Understanding NEPC pathogenesis is crucial for improving outcomes in advanced prostate cancer.
  • Targeting CSCs, EMT, and autophagy offers potential therapeutic avenues.
  • Further research integrating clinical and molecular data is needed to refine treatment strategies.

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