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

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 d...

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Veröffentlicht in:Trends in endocrinology and metabolism 2010-05, Vol.21 (5), p.315-324
Hauptverfasser: Knudsen, Karen E, Penning, Trevor M
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creator Knudsen, Karen E
Penning, Trevor M
description 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.
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Urinary tract diseases</subject><subject>Prostate - metabolism</subject><subject>Prostatic Neoplasms - genetics</subject><subject>Prostatic Neoplasms - pathology</subject><subject>Prostatic Neoplasms - physiopathology</subject><subject>Receptors, Androgen - drug effects</subject><subject>Receptors, Androgen - physiology</subject><subject>Tumors</subject><subject>Tumors of the urinary system</subject><subject>Urinary tract. 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subjects Androgen Antagonists - therapeutic use
Androgens - biosynthesis
Biological and medical sciences
Castration
Endocrinology & Metabolism
Fundamental and applied biological sciences. Psychology
Gynecology. Andrology. Obstetrics
Humans
Male
Male genital diseases
Medical sciences
Nephrology. Urinary tract diseases
Prostate - metabolism
Prostatic Neoplasms - genetics
Prostatic Neoplasms - pathology
Prostatic Neoplasms - physiopathology
Receptors, Androgen - drug effects
Receptors, Androgen - physiology
Tumors
Tumors of the urinary system
Urinary tract. Prostate gland
Vertebrates: endocrinology
title Partners in crime: deregulation of AR activity and androgen synthesis in prostate cancer
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