Intracrine androgen biosynthesis and drug resistance

被引:4
作者
Penning, Trevor M. [1 ]
Asangani, Irfan A. [2 ]
Sprenger, Cynthia [3 ]
Plymate, Stephen [3 ,4 ]
机构
[1] Univ Penn, Perelman Sch Med, Dept Syst Pharmacol & Translat Therapeut, 1315 BRB 2-3,421 Curie Blvd, Philadelphia, PA 19104 USA
[2] Univ Penn, Perelman Sch Med, Dept Canc Biol, Philadelphia, PA 19104 USA
[3] Univ Washington, Dept Med, Div Gerontol & Geriatr Med, Seattle, WA 98109 USA
[4] VA Puget Sound Hlth Care Syst, Geriatr Res Educ & Clin Ctr GRECC, Seattle, WA 98108 USA
关键词
Prostate cancer; abiraterone acetate; enzalutamide; aldo-keto reductase 1C3; androgen biosynthesis; ALDO-KETO REDUCTASE; STEROIDOGENIC ENZYME AKR1C3; METASTATIC PROSTATE-CANCER; IN-VITRO METABOLISM; DEPRIVATION THERAPY; ABIRATERONE ACETATE; RECEPTOR GENE; 3-BETA-HYDROXYSTEROID DEHYDROGENASE; SELECTIVE INHIBITORS; ANTITUMOR-ACTIVITY;
D O I
10.20517/cdr.2020.60
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
Castration-resistant prostate cancer is the lethal form of prostate cancer and most commonly remains dependent on androgen receptor (AR) signaling. Current therapies use AR signaling inhibitors (ARSI) exemplified by abiraterone acetate, a P450c17 inhibitor, and enzalutamide, a potent AR antagonist. However, drug resistance to these agents occurs within 12-18 months and they only prolong overall survival by 3-4 months. Multiple mechanisms can contribute to ARSI drug resistance. These mechanisms can include but are not limited to germline mutations in the AR, post-transcriptional alterations in AR structure, and adaptive expression of genes involved in the intracrine biosynthesis and metabolism of androgens within the tumor. This review focuses on intracrine androgen biosynthesis, how this can contribute to ARSI drug resistance, and therapeutic strategies that can be used to surmount these resistance mechanisms.
引用
收藏
页码:912 / 929
页数:18
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