Targeting the androgen receptor signaling axis to reduce testosterone levels in prostate cancer: how low should we go?
نویسندگان
چکیده
Almost three-quarters of a century have elapsed since the Nobel Prize–winning discovery by Huggins and Hodges of the androgen dependence of prostate cancer, and blockade of the androgen receptor (AR)-signaling pathway remains a cornerstone of treatment.[1] As reviewed by Dr. Bastos and his colleagues in this issue of ONCOLOGY, it is now well established that castration-resistant disease can be effectively treated using newer AR-targeting agents such as abiraterone and enzalutamide.[2]
منابع مشابه
A road map to comprehensive androgen receptor axis targeting for castration-resistant prostate cancer.
Gonadal androgen suppression (castration via orchiectomy or gonadotropin-releasing hormone analogues) suppresses circulating testosterone levels but does not achieve adequate androgen ablation within the prostate cancer microenvironment because it does not address adrenal and intratumoral steroid contributions. These residual extragonadal sources of androgens allow prostate cancer cells to surv...
متن کاملHome > Expanding Androgen- and Androgen Receptor Signaling–Directed Therapies for Castration-Resistant Prostate Cancer Expanding Androgen- and Androgen Receptor Signaling– Directed Therapies for Castration-Resistant Prostate Cancer
Since the discovery by Huggins and Hodges in 1941 that prostate cancer is an androgen-dependent disease,[2] the mainstay of therapy for advanced disease has been androgen deprivation therapy (ADT). Unfortunately, after a variable period of time on ADT, patients eventually progress to the lethal form of prostate cancer in the setting of castrate levels of testosterone. During the past several ye...
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Inactivation of the androgen receptor (AR) pathway by androgen deprivation therapy (ADT) is the mainstay of (metastatic) prostate cancer therapy. Ultimately, the AR pathway will be re-activated despite castrate levels of circulating androgens. Thereby, maintaining its role even in castration resistant prostate cancer (CRPC). The recent STAMPEDE and CHAARTED trials showed that docetaxel in combi...
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Androgens play an important role in prostate cancer (PCa) development and progression. Although androgen deprivation therapy remains the front-line treatment for advanced prostate cancer, patients eventually relapse with the lethal form of the disease. The prostate tumor microenvironment is characterised by elevated tissue androgens that are capable of activating the androgen receptor (AR). Inh...
متن کاملCastration-resistant Prostate CanCer
• Objective: To review therapeutics for castrationresistant prostate cancer (CRPC). • Methods: Literature review. • Results: Targeting of androgen-dependent pathways in CRPC post-chemotherapy has been shown to improve survival with the lyase inhibitor abiraterone and lead to PSA and objective responses with an androgen receptor antagonist (MDV3100). However, the addition of bevacizumab to docet...
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عنوان ژورنال:
- Oncology
دوره 28 8 شماره
صفحات -
تاریخ انتشار 2014