Partners in crime: deregulation of AR activity and androgen synthesis in prostate cancer

被引:232
作者
Knudsen, Karen E. [1 ,2 ]
Penning, Trevor M. [3 ]
机构
[1] Thomas Jefferson Univ, Kimmel Canc Ctr, Dept Canc Biol, Philadelphia, PA 19107 USA
[2] Thomas Jefferson Univ, Dept Urol, Philadelphia, PA 19107 USA
[3] Univ Penn, Sch Med, Ctr Excellence Environm Toxicol, Dept Pharmacol, Philadelphia, PA 19104 USA
基金
美国国家卫生研究院;
关键词
RECEPTOR GENE AMPLIFICATION; SELECTIVE INHIBITOR; PROTEIN EXPRESSION; SPLICE VARIANT; HORMONE; TRANSCRIPTION; PROGRESSION; RISK; IDENTIFICATION; TESTOSTERONE;
D O I
10.1016/j.tem.2010.01.002
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Prostate cancer remains a leading cause of cancer death, as there are no durable means to treat advanced disease. Treatment of non-organ-confined prostate cancer hinges on its androgen dependence. First-line therapeutic strategies suppress androgen receptor (AR) activity, via androgen ablation and direct AR antagonists, whereas initially effective, incurable, 'castration-resistant' tumors arise as a result of resurgent AR activity. Alterations of AR and/or associated regulatory networks are known to restore receptor activity and support resultant therapy-resistant tumor progression. However, recent evidence also reveals an unexpected contribution of the AR ligand, indicating that alterations in pathways controlling androgen synthesis support castration-resistant AR activity. In this report, the mechanisms underlying the lethal pairing of AR deregulation and aberrant androgen synthesis in prostate cancer progression will be discussed.
引用
收藏
页码:315 / 324
页数:10
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