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Cited by 204

The DOI matches its Crossref record; 19 of the 19 references it cites were found in a registry or an index.

Mechanisms mediating androgen receptor reactivation after castration

Open access
Yuan, Xin, Balk, Steven P.·2009·Urologic Oncology: Seminars and Original Investigations

Abstract

SUMMARY Androgen deprivation is still the standard systemic therapy for metastatic prostate cancer (PCa), but patients invariably relapse with a more aggressive form of PCa termed hormone refractory, androgen independent, or castration resistant PCa (CRPC). Significantly, the androgen receptor (AR) is expressed at high levels in most cases of CRPC, and these tumors resume their expression of multiple AR-regulated genes, indicating that AR transcriptional activity becomes reactivated at this stage of the disease. The molecular basis for this AR reactivation remains unclear, but possible mechanisms include increased AR expression, AR mutations that enhance activation by weak androgens and AR antagonists, increased expression of transcriptional coactivator proteins, and activation of signal transduction pathways that can enhance AR responses to low levels of androgens. Recent data indicate that CRPC cells may also carry out intracellular synthesis of testosterone and DHT from weak adrenal androgens and may be able to synthesize androgens from cholesterol. These mechanisms that appear to contribute to AR reactivation after castration are further outlined in this review.

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Metadata

Authors
Yuan, X., & Balk, S. P.
Venue
Urologic Oncology: Seminars and Original Investigations
Publisher
Elsevier BV
Published
2009-01
Volume
27
Issue
1
Pages
36-41
ISSN
1078-1439 (ISSN-L)
OpenAlex
W2024304133
Cited by
204
References
19
FWCI
16.42
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Mechanisms mediating androgen receptor reactivation after castration. https://app.cochat.ai/papers/10.1016/j.urolonc.2008.03.021
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Yuan, X., & Balk, S. P. (2009). Mechanisms mediating androgen receptor reactivation after castration. Urologic Oncology: Seminars and Original Investigations. https://doi.org/10.1016/j.urolonc.2008.03.021

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