2010
DOI: 10.1158/1078-0432.ccr-10-0255
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Overcoming Persistent Dependency on Androgen Signaling after Progression to Castration-Resistant Prostate Cancer

Abstract: Prostate cancer is the most common form of cancer in males in the United States, and the second leading cause of cancer death. Initially, most cases of prostate cancer respond well to hormone therapy; however, resistance often develops rapidly, leading to castration-resistant prostate cancer (CRPC). Several mechanisms for castration resistance have been proposed, of which the most significant seems to be the "intracrine" production of androgens from adrenal androgen or intratumorally via the de novo route. Thi… Show more

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Cited by 72 publications
(83 citation statements)
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“…However, several likely interconnected mechanisms of castration resistance have been proposed. For example, alterations in intraprostatic androgen production or metabolism ("intracrine" androgen production) in castration-resistant prostate cancer (4,5) could lead to elevated local androgen concentrations in the setting of low serum androgen levels. Alternatively, the abundance or activity of androgen receptors (ARs) and their various transcriptional coregulators might be modified in castration-resistant prostate cancer cells so that they respond to lower concentrations of androgen or other steroids (6).…”
Section: Introductionmentioning
confidence: 99%
“…However, several likely interconnected mechanisms of castration resistance have been proposed. For example, alterations in intraprostatic androgen production or metabolism ("intracrine" androgen production) in castration-resistant prostate cancer (4,5) could lead to elevated local androgen concentrations in the setting of low serum androgen levels. Alternatively, the abundance or activity of androgen receptors (ARs) and their various transcriptional coregulators might be modified in castration-resistant prostate cancer cells so that they respond to lower concentrations of androgen or other steroids (6).…”
Section: Introductionmentioning
confidence: 99%
“…The mechanisms proposed to contribute to ablation-resistant growth of prostate cancer all involve reactivation of the AR under ablation conditions (reviewed in reference 46). A major mechanistic advance has been the realization that the ablation-resistant phenotype in many tumors is accompanied by the fusion of TMPRSS2 (along with its AR enhancer) and ETS transcription factor genes, allowing AR stimulation of the powerful secondary transcription factor family (46) or by the expression of AR constitutively active splicing variants (40). Furthermore, the involvement of the AR in the ablation-resistant phenotype was clearly demonstrated by the disruption of AR expression, which inhibited the proliferation of ablation-resistant prostate cancer cells in the absence of androgens (48).…”
mentioning
confidence: 99%
“…Pregnenolone and progesterone are converted to 17a-hydroxypregnenolone and 17a-hydroxyprogesterone, respectively, by the 17-hydroxylase activity of CYP17A1, and then to dehydroepiandrosterone (DHEA) and androstenedione by C17,20-lyase activity. DHEA and androstenedione are precursors of testosterone [40]. To obtain the best result in AA treatment, it is necessary to administrate AA together with low-dose of corticosteroids in order to inhibit ACTH stimulation and, as a consequence, to increase mineralocorticoids.…”
Section: Treatment Of Advanced Diseasementioning
confidence: 99%