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Publication : Targeting androgen receptor versus targeting androgens to suppress castration resistant prostate cancer.

First Author  Guo C Year  2017
Journal  Cancer Lett Volume  397
Pages  133-143 PubMed ID  28323036
Mgi Jnum  J:242155 Mgi Id  MGI:5904555
Doi  10.1016/j.canlet.2017.03.022 Citation  Guo C, et al. (2017) Targeting androgen receptor versus targeting androgens to suppress castration resistant prostate cancer. Cancer Lett 397:133-143
abstractText  Prostate cancer (PCa) is the 2nd leading cause of cancer-related death among men in the United States and its progression is tightly associated with the androgen/androgen receptor (AR) signals. Men castrated before puberty (eunuchs) or men with inherited deficiency of type II 5alpha-reductase (with failure to convert testosterone to the more potent dihydrotestosterone) (DHT) do not develop PCa. To date, androgen deprivation therapy (ADT) with anti-androgen treatments to reduce or prevent androgens from binding to the AR remains the main therapeutic option for advanced PCa since its discovery by Huggins and Hodges in 1941. Multiple strategies related to surgical/chemical castration with combinations of various anti-androgens, including Cyproterone Acetate, Flutamide, Nilutamide, Bicalutamide (Casodex) and Enzalutamide, as well as some androgen synthesis blockers, including Abiraterone, have been used to control PCa progression. However, patients on ADT with anti-androgen treatment eventually develop resistance, which might be accompanied with the unwanted side effects of enhanced metastasis. New therapeutic approaches via directly targeting the AR with ASC-J9(R), Cisplatin, EPI-001, Niclosamide, and VPC compounds as well as silencing AR with siRNAs or non-coding RNAs have been developed to further suppress PCa at the castration resistant stages.
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