Targeting the androgen signaling axis in prostate cancer

C Dai, SM Dehm, N Sharifi - Journal of Clinical Oncology, 2023 - ingentaconnect.com
C Dai, SM Dehm, N Sharifi
Journal of Clinical Oncology, 2023ingentaconnect.com
Activation of the androgen receptor (AR) and AR-driven transcriptional programs is central to
the pathophysiology of prostate cancer. Despite successful translational efforts in targeting
AR, therapeutic resistance often occurs as a result of molecular alterations in the androgen
signaling axis. The efficacy of next-generation AR-directed therapies for castration-resistant
prostate cancer has provided crucial clinical validation for the continued dependence on AR
signaling and introduced a range of new treatment options for men with both castration …
Activation of the androgen receptor (AR) and AR-driven transcriptional programs is central to the pathophysiology of prostate cancer. Despite successful translational efforts in targeting AR, therapeutic resistance often occurs as a result of molecular alterations in the androgen signaling axis. The efficacy of next-generation AR-directed therapies for castration-resistant prostate cancer has provided crucial clinical validation for the continued dependence on AR signaling and introduced a range of new treatment options for men with both castration-resistant and castration-sensitive disease. Despite this, however, metastatic prostate cancer largely remains an incurable disease, highlighting the need to better understand the diverse mechanisms by which tumors thwart AR-directed therapies, which may inform new therapeutic avenues. In this review, we revisit concepts in AR signaling and current understandings of AR signaling-dependent resistance mechanisms as well as the next frontier of AR targeting in prostate cancer.
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