Molecular Mechanisms of Castrate-Resistant Prostate Cancer

Urol Clin North Am. 2022 Nov;49(4):615-626. doi: 10.1016/j.ucl.2022.07.005. Epub 2022 Oct 7.

Abstract

Despite newer therapies for castrate-resistant prostate cancer (CRPC), many patients do not experience a treatment response, and most eventually experience secondary resistance. Various androgen-receptor-related and alternative mechanisms of resistance in CRPC have been identified. This focus on understanding the molecular basis of therapeutic resistance, including lineage plasticity, neuroendocrine transformation, and a range of other implicated genomic alterations will hopefully inform decision-making in the care of this lethal cancer.

Keywords: Androgen receptor; Castrate resistance; Prostate cancer; Therapeutic resistance.

Publication types

  • Review

MeSH terms

  • Drug Resistance, Neoplasm / genetics
  • Humans
  • Male
  • Prostatic Neoplasms, Castration-Resistant* / drug therapy
  • Prostatic Neoplasms, Castration-Resistant* / genetics