2022
DOI: 10.3390/cancers14153744
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Advances in the Current Understanding of the Mechanisms Governing the Acquisition of Castration-Resistant Prostate Cancer

Abstract: Despite aggressive treatment and androgen-deprivation therapy, most prostate cancer patients ultimately develop castration-resistant prostate cancer (CRPC), which is associated with high mortality rates. However, the mechanisms governing the development of CRPC are poorly understood, and androgen receptor (AR) signaling has been shown to be important in CRPC through AR gene mutations, gene overexpression, co-regulatory factors, AR shear variants, and androgen resynthesis. A growing number of non-AR pathways ha… Show more

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Cited by 11 publications
(14 citation statements)
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“…Mechanisms leading to PC progression and ADR resistance are usually associated with amplifications, mutations, altered splicing, or epigenetic reprogramming in the AR gene [ 27 , 28 , 29 ]. Another potential driver is the increase in androgen biosynthesis, which can occur through the mutation in the HSD3B1 gene [ 30 ].…”
Section: Diagnosis and Therapy Of Pcmentioning
confidence: 99%
“…Mechanisms leading to PC progression and ADR resistance are usually associated with amplifications, mutations, altered splicing, or epigenetic reprogramming in the AR gene [ 27 , 28 , 29 ]. Another potential driver is the increase in androgen biosynthesis, which can occur through the mutation in the HSD3B1 gene [ 30 ].…”
Section: Diagnosis and Therapy Of Pcmentioning
confidence: 99%
“…common in primary tumors and is reported in just 2% of PCa patients who had not undergone ADT [78]. Another cause of increased AR signaling is due to increased level of AR protein via post-transcriptional or post-translational deregulation, which may lead to increased stabilization of AR mRNA and/or protein [79,80]. Consequently, the increased level of AR protein in CRPC cells enables the cells to be hypersensitive to the low level of androgens [79,81,82].…”
Section: Adt In the Treatment Of Advanced Pcamentioning
confidence: 99%
“…Another mechanism for the re-activation of AR signaling in CRPC is AR mutations. While some mutations have been identified in the amino-terminal (NTD) and DNAbinding (DBD) domains of AR, most of the activating mutations are localized to the ligand-binding domain (LBD) of AR [79,83]. Although mutations in LBD are rare in hormone-responsive PCa cells, they have been detected in about 20% of CRPC tumor cells [84].…”
Section: Adt In the Treatment Of Advanced Pcamentioning
confidence: 99%
See 1 more Smart Citation
“…Despite the CRPC being unresponsive to androgens, the androgen receptor (AR) signaling axis remains the most critical factor for CRPC development, bypassing the androgen depletion through AR overexpression, de novo androgen synthesis, and AR activation induced by coregulatory proteins, mutation, or altered splicing 4,12 . In addition to AR signaling, other regulatory mechanisms have been described as involved with CRPC, including hedgehog pathway, PI3K‐AKT–mTOR signaling, Wnt pathway, and dynamic of noncoding RNAs such as long noncoding RNAs (lncRNAs) 12 . lncRNAs constitute a class of RNAs with a length of more than 200 nucleotides and rare protein‐coding potential 13 .…”
Section: Introductionmentioning
confidence: 99%