2020
DOI: 10.3390/cancers12071833
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Mechanisms of Androgen Receptor Agonist- and Antagonist-Mediated Cellular Senescence in Prostate Cancer

Abstract: The androgen receptor (AR) plays a leading role in the control of prostate cancer (PCa) growth. Interestingly, structurally different AR antagonists with distinct mechanisms of antagonism induce cell senescence, a mechanism that inhibits cell cycle progression, and thus seems to be a key cellular response for the treatment of PCa. Surprisingly, while physiological levels of androgens promote growth, supraphysiological androgen levels (SAL) inhibit PCa growth in an AR-dependent manner by inducing cell s… Show more

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Cited by 25 publications
(32 citation statements)
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References 144 publications
(220 reference statements)
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“…Incidence of PCa in male population is high, and disease development predominantly depends on the androgen and androgen receptor (AR) signaling. 12 Mortality and morbidity of PCa are consistently increasing worldwide despite extensive use of a diagnostic marker, prostate-specific antigen (PSA). 13 Patients at the early stage of PCa can be effectively treated using the ADT approach 14 ; however, the majority of PCa patients will develop advanced PCa, namely, CRPC.…”
Section: Discussionmentioning
confidence: 99%
“…Incidence of PCa in male population is high, and disease development predominantly depends on the androgen and androgen receptor (AR) signaling. 12 Mortality and morbidity of PCa are consistently increasing worldwide despite extensive use of a diagnostic marker, prostate-specific antigen (PSA). 13 Patients at the early stage of PCa can be effectively treated using the ADT approach 14 ; however, the majority of PCa patients will develop advanced PCa, namely, CRPC.…”
Section: Discussionmentioning
confidence: 99%
“…Anti-androgen treatment is the first non-surgical treatment for PRAD (34). It has been shown that the level of the androgen receptor (AR) gene expression in tumor tissue is closely related to anti-androgen treatment sensitivity (35). Therefore, we also compared the expression levels of AR in the three subtypes and found that tumors from C1 and C3 had higher AR expression levels than those from C2 ( Figure 9A).…”
Section: Drug Sensibility Analysis With Metabolism-associated Subtypementioning
confidence: 99%
“…Mechanistically, AR antagonists can induce cellular senescence in PCa cells in vitro as well as ex vivo in patients PCa samples. This indicates that AR antagonists do not completely inhibit the AR rather promote the induction of an AR-dependent cellular senescence pathway [ 11 , 12 , 13 ]. Although cellular senescence induces an irreversible cell cycle arrest being in general advantageous for PCa therapy, senescent cells show a senescence associated secretory phenotype that might induce cell proliferation within the tumor microenvironment including in neighboring non-senescent PCa cells.…”
Section: Introductionmentioning
confidence: 99%