Androgens in prostate cancer: A tale that never ends

Androgens play an essential role in prostate cancer. Clinical treatments that target steroidogenesis and the androgen receptor (AR) successfully postpone disease progression. Abiraterone and enzalutamide, the next-generation androgen receptor pathway inhibitors (ARPI), emphasize the function of the...

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Veröffentlicht in:Cancer letters 2021-09, Vol.516, p.1-12
Hauptverfasser: Hou, Zemin, Huang, Shengsong, Li, Zhenfei
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container_title Cancer letters
container_volume 516
creator Hou, Zemin
Huang, Shengsong
Li, Zhenfei
description Androgens play an essential role in prostate cancer. Clinical treatments that target steroidogenesis and the androgen receptor (AR) successfully postpone disease progression. Abiraterone and enzalutamide, the next-generation androgen receptor pathway inhibitors (ARPI), emphasize the function of the androgen-AR axis even in castration-resistant prostate cancer (CRPC). However, with the increased incidence in neuroendocrine prostate cancer (NEPC) showing resistance to ARPI, the importance of androgen-AR axis in further disease management remains elusive. Herein we review the steroidogenic pathways associated with different disease stages and discuss the potential targets for disease management after manifesting resistance to abiraterone and enzalutamide. •The steroidogenic pathways in prostate cancer cells are accommodated to different clinical treatments.•Steroidogenic enzymes are promising targets for further disease treatment.•Supraphysiological testosterone is another innovative strategy to treat prostate cancer.
doi_str_mv 10.1016/j.canlet.2021.04.010
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Clinical treatments that target steroidogenesis and the androgen receptor (AR) successfully postpone disease progression. Abiraterone and enzalutamide, the next-generation androgen receptor pathway inhibitors (ARPI), emphasize the function of the androgen-AR axis even in castration-resistant prostate cancer (CRPC). However, with the increased incidence in neuroendocrine prostate cancer (NEPC) showing resistance to ARPI, the importance of androgen-AR axis in further disease management remains elusive. 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subjects Abiraterone resistance
Adrenal glands
Androgen receptor
Androgen Receptor Antagonists - pharmacology
Androgen receptors
Androgens
Androgens - metabolism
Animals
Biopsy
Bipolar androgen therapy
Castration
Cholesterol
Dehydrogenases
Disease management
Disease resistance
Drug Resistance, Neoplasm - drug effects
Enzalutamide resistance
Enzymes
Humans
Male
Medical research
Metabolites
Mortality
Prostate cancer
Prostatic Neoplasms - drug therapy
Prostatic Neoplasms - metabolism
Receptors, Androgen - metabolism
Steroidogenesis
Testes
Testosterone
title Androgens in prostate cancer: A tale that never ends
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