Androgen Receptor Regulation of Prostate Cancer Progression and Metastasis
Abstract
Prostate cancer (PCa) is the most commonly diagnosed non-cutaneous malignancy and the second most lethal cancer in men amongst the United States. Localized tumors are effectively treated via radical prostatectomy and/or radiation therapy, however disseminated disease contributes greatly to patient morbidity. At present, therapeutic intervention for metastatic disease capitalizes on the addiction of these tumors to the androgen receptor (AR). The AR signaling axis regulates cell growth, proliferation, and migration of cancer cells, which makes understanding the contribution of AR toward these signaling pathways integral for PCa eradication. Several key signaling molecules are currently known to be controlled by AR and promote migration and invasion in castrate-resistant PCa (CRPC). This concept will be explored with regard to the interplay between AR and chemokine receptors, chromosomal fusions, oncogenes, and microRNAs. Additionally, current and preclinical AR-directed therapeutics used for treatment of metastatic PCa, which impinge on these pathways, and overall AR activity, will be discussed.
Keywords
Androgen Receptor Androgen Receptor Expression Abiraterone Acetate Androgen Receptor Signaling Ezrin ExpressionAbbreviations
- Abiraterone
Abiraterone acetate
- ADT
Androgen deprivation therapy
- AR
Androgen receptor
- BC
Bicalutamide (Casodex)
- CDKS
Cyclin-dependent kinases
- CML
Chronic myelogenous leukemia
- CRPC
Castration resistant prostate cancer
- CTCs
Circulating tumor cells
- DHT
5α-dihydrotestosterone
- E-Box
Enhancer box
- ETS
Erythroblast transformation specific transcription factor
- FAK
Focal adhesion kinase
- FISH
Florescence in-situ hybridization
- Flutamide
Hydroxyflutamide
- GnRH
Gonadotropin releasing hormone
- HATs
Histone acetyltransferases
- HSPs
Heat shock proteins
- IHC
Immunohistochemistry
- KLF5
Kruppel-like-factor 5
- LBD
Ligand binding domain
- MMPs
Matrix metalloproteinases
- miRNA
MicroRNA
- MYC
c-Myc
- NCoR1
Nuclear Co-Repressor 1
- PIN
Prostatic intraepithelial neoplasia
- PcG
Polycomb-group
- PCa
Prostate cancer
- PSA
Prostate specific antigen
- SDF-1
Stromal cell-derived factor 1
- SFK
Macrophage inflammatory protein
- SRC
Steroid receptor coactivator
- TRAMP
Transgenic adenocarcinoma of the mouse prostate
- TMPRSS2
Transmembrane protease serine 2
- VCaP
Vertebral-Cancer of the Prostate
Notes
Acknowledgements
We would like to thank all the members of the K. Knudsen lab, especially M. Schiewer, for insightful feedback and critical reading of this chapter.
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