Steroid Hormone Receptors in Prostate Cancer: A Hard Habit to Break?

被引:210
作者
Attard, Gerhardt [1 ,2 ]
Cooper, Colin S. [1 ]
de Bono, Johann S. [1 ,2 ]
机构
[1] Inst Canc Res, Sutton SM2 5PT, Surrey, England
[2] Royal Marsden Hosp, Sutton SM2 5PT, Surrey, England
基金
英国医学研究理事会;
关键词
MUTATED ANDROGEN RECEPTOR; LEUKEMIA GROUP-B; ANTIANDROGEN WITHDRAWAL; TRANSCRIPTION FACTOR; ABIRATERONE ACETATE; ADRENAL ANDROGENS; GROWTH-FACTOR; CELL-GROWTH; OPEN-LABEL; PHASE-II;
D O I
10.1016/j.ccr.2009.11.006
中图分类号
R73 [肿瘤学];
学科分类号
100214 ;
摘要
The clinical data from abiraterone acetate and MDV-3100 confirm continued androgen receptor (AR) addiction in a significant proportion of castration-resistant prostate cancers (CRPC). However, patients nearly invariably progress with a rise in prostate-specific antigen, suggesting resumption of transcription of hormone-regulated genes. If CRPC remains addicted to steroid receptor signaling, including, but not exclusive, to AR, how does reactivation occur? Or if cancers lose this addiction, do they remain driven by the same oncogenic mechanisms? The future development of therapeutics for CRPC should be informed by an understanding of the mechanisms underlying disease progression following treatment with these novel agents.
引用
收藏
页码:458 / 462
页数:5
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