Title |
Novel Insights into Molecular Indicators of Response and Resistance to Modern Androgen-Axis Therapies in Prostate Cancer
|
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Published in |
Current Urology Reports, February 2016
|
DOI | 10.1007/s11934-016-0584-4 |
Pubmed ID | |
Authors |
John L. Silberstein, Maritza N. Taylor, Emmanuel S. Antonarakis |
Abstract |
While androgen ablation remains a mainstay for advanced prostate cancer therapy, nearly all patients will inevitably develop disease escape with time. Upon the development of castration-resistant prostate cancer, other androgen-axis-targeted treatments may be added in an effort to starve the disease of its androgen signaling. Nevertheless, additional androgen-pathway resistance usually develops to these novel hormonal therapies. In this review, we will discuss the resistance mechanisms to modern androgen-axis modulators and how these alterations can influence a patient's response to novel hormonal therapy. We conceptualize these resistance pathways as three broad categories: (1) reactivation of androgen/AR-signaling, (2) AR bypass pathways, and (3) androgen/AR-independent mechanisms. We highlight examples of each, as well as potential therapeutic approaches to overcome these resistance mechanisms. |
Mendeley readers
Geographical breakdown
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Demographic breakdown
Readers by professional status | Count | As % |
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Student > Ph. D. Student | 6 | 16% |
Professor > Associate Professor | 4 | 11% |
Researcher | 4 | 11% |
Other | 3 | 8% |
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Unknown | 9 | 24% |
Readers by discipline | Count | As % |
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Arts and Humanities | 1 | 3% |
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