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. 2013 Jul 8;24(1):11-3.
doi: 10.1016/j.ccr.2013.06.007.

GEMMs shine a light on resistance to androgen deprivation therapy for prostate cancer

Affiliations

GEMMs shine a light on resistance to androgen deprivation therapy for prostate cancer

Theodoros Karantanos et al. Cancer Cell. .

Erratum in

  • Cancer Cell. 2013 Aug 12;24(2):272

Abstract

Androgen deprivation therapy (ADT) for advanced prostate cancer inexorably leads to resistance, and clinically useful biomarkers are lacking. The value of genetically engineered mice for coclinical studies is clearly demonstrated in a recent publication that reveals XAF1, XIAP, and SRD5A1 as novel predictive biomarkers and therapeutic targets for ADT resistance.

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Conflict of interest statement

The authors have no conflicts of interest.

Figures

Figure 1
Figure 1. The genetic profile of prostate cancers predicts response to ADT and guides therapeutic decisions
Prostate cancers with genetic alterations resulting from PTEN deletion will present initial sensitivity to ADT translated to an early tumor regression, but the acquisition of oncogenic events and alterations will lead to an acquired resistance to ADT and cancer relapse. These tumors demonstrate XAF1 downregulation and XIAP and SRD5A1 upregulation. Prostate cancers with TP53 and ZBTB7A deletions will present initial resistance to ADT while the addition of embelin and dutasteride will increase their sensitivity to ADT and eventually lead to tumor regression. The potential sensitivity of tumors with initial resistance related to this XAF1, XIAP, and SRD5A1 genetic profile to embelin and dutasteride may provide a second-line therapy for cancers with poor response to ADT.

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