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Androgen receptor variant-driven prostate cancer: clinical implications and therapeutic targeting

Open access
Antonarakis, E S, Armstrong, A J, Dehm, S M, Luo, J·2016·Prostate Cancer and Prostatic Diseases

Abstract

While there are myriad mechanisms of primary and acquired resistance to conventional and next-generation hormonal therapies in prostate cancer, the potential role of androgen receptor splice variants (AR-Vs) has recently gained momentum. AR-Vs are abnormally truncated isoforms of the androgen receptor (AR) protein that lack the COOH-terminal domain but retain the NH2-terminal domain and DNA-binding domain and are thus constitutively active even in the absence of ligands. Although multiple preclinical studies have previously implicated AR-Vs in the development of castration resistance as well as resistance to abiraterone and enzalutamide, recent technological advances have made it possible to reliably detect and quantify AR-Vs from human clinical tumor specimens including blood samples. Initial clinical studies have now shown that certain AR-Vs, in particular AR-V7, may be associated with resistance to abiraterone and enzalutamide but not taxane chemotherapies when detected in circulating tumor cells. Efforts are now underway to clinically validate AR-V7 as a relevant treatment-selection biomarker in the context of other key genomic aberrations in men with metastatic castration-resistant prostate cancer. Additional efforts are underway to therapeutically target both AR and AR-Vs either directly or indirectly. Whether AR-Vs represent drivers of castration-resistant prostate cancer, or whether they are simply passenger events associated with aggressive disease or clonal heterogeneity, will ultimately be answered only through these types of clinical trials.

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Metadata

Authors
Antonarakis, E. S., Armstrong, A. J., Dehm, S. M., & Luo, J.
Venue
Prostate Cancer and Prostatic Diseases
Published
2016-05-17
Volume
19
Issue
3
Pages
231-241
ISSN
  • 1365-7852 (ISSN-L)
  • 1476-5608
OpenAlex
W2402183197
Cited by
177
References
10
FWCI
21.72
Type
journal article
Language
en
Open access
green

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CoChat. (2026). Citation check: Androgen receptor variant-driven prostate cancer: clinical implications and therapeutic targeting. https://app.cochat.ai/papers/10.1038/pcan.2016.17
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Antonarakis, E. S., Armstrong, A. J., Dehm, S. M., & Luo, J. (2016). Androgen receptor variant-driven prostate cancer: clinical implications and therapeutic targeting. Prostate Cancer and Prostatic Diseases. https://doi.org/10.1038/pcan.2016.17

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Semantic Scholar’s data is described in: Kinney, R., et al. (2023). The Semantic Scholar Open Data Platform. arXiv:2301.10140.