2012
DOI: 10.1210/jc.2011-2353
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Androgen Deprivation Therapy as Primary Treatment for Prostate Cancer

Abstract: Androgen deprivation therapy remains the treatment of choice for metastatic prostate cancer; however, it is not without its adverse effects, and most men with advanced disease eventually develop castration resistance. Newer compounds that more specifically and effectively target androgen and androgen receptor signaling in prostate cancer cells may provide more long-lasting remissions in advanced disease.

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Cited by 33 publications
(29 citation statements)
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“…Patients with metastases are insensitive to conventional treatments, including androgen-deprivation, chemotherapy and radiotherapy [16,17]. For bone metastatic patients, bisphosphonates and denosumab, a human monoclonal antibody against receptor activator of nuclear factor κ-B ligand (RANKL) could inhibit bone resorption and improve bone density to relieve pain and tumor-induced hypercalcemia [18,19].…”
Section: Discussionmentioning
confidence: 99%
“…Patients with metastases are insensitive to conventional treatments, including androgen-deprivation, chemotherapy and radiotherapy [16,17]. For bone metastatic patients, bisphosphonates and denosumab, a human monoclonal antibody against receptor activator of nuclear factor κ-B ligand (RANKL) could inhibit bone resorption and improve bone density to relieve pain and tumor-induced hypercalcemia [18,19].…”
Section: Discussionmentioning
confidence: 99%
“…Although androgen ablation therapy is initially effective for the majority of men with metastatic prostate cancer, resistance to such treatment invariably develops through mechanisms that remain incompletely understood [23,24]. Most CRPCs express AR and are dependent on AR for growth and survival, through mechanisms reported to involve constitutive activation of AR [25,26].…”
Section: Discussionmentioning
confidence: 99%
“…41 ADT severely reduces testosterone levels, which may impact cognitive function in subtle but meaningful ways for patients. 37 Because aromatase converts testosterone to estrogen, blocking testosterone lowers estrogen levels.…”
Section: Treatment-related Mechanismsmentioning
confidence: 99%