Minireview: Alternative Activation Pathways for the Androgen Receptor in Prostate Cancer
Open accessAbstract
Advanced prostate tumors, which are androgen dependent, are often initially treated in the clinic with hormone ablation therapy, either through surgical castration or administration of small-molecule antiandrogens. Most tumors respond favorably to these treatments, exhibiting regression of the tumor, amelioration of symptoms, and a decrease of prostate-specific antigen in patient sera. However, with time, the majority of tumors recur in a more aggressive, castration-resistant (CR) phenotype. Currently, no effective treatment exists for this stage of the cancer, and patients ultimately succumb to metastatic disease. The androgen receptor (AR), which is a member of the nuclear hormone receptor superfamily of proteins, is the transcription factor that is responsible for mediating the effects of androgens upon target tissues, and it has been demonstrated to play a central role in the development and progression of prostate cancer. Despite CR tumor cells being able to continue to grow after hormonal therapy in which testosterone and dihydrotestosterone are markedly reduced, they still require the expression and activity of the AR. The AR can become transactivated in this low-androgen environment through a number of different mechanisms, including amplification and mutation of the receptor, cross talk with other signaling pathways, and altered regulation by coregulatory proteins. This review will summarize the most current data regarding non-ligand-mediated activation of the AR in prostate cancer cells. Developing work in this field aims to more clearly elucidate the signals that drive AR activity independently of androgens in CR disease so that better therapeutic targets can be developed for patients with this stage of highly aggressive prostate carcinoma.
AI snapshot
Written from the paper’s full text.
TL;DR
This minireview summarizes non-ligand-mediated activation of the androgen receptor (AR) in castration-resistant prostate cancer, covering extracellular peptides, intracellular kinases, coregulators, and intrinsic AR mechanisms. It argues that AR remains active in low-androgen conditions through multiple redundant pathways, making combination or more complete AR inhibition a promising therapeutic direction.
Key findings
- After androgen ablation, most tumors regrow after a median of approximately 18–36 months into a castration-resistant phenotype, yet many still require AR expression and activity.
- AR can be transactivated without androgen by IL-6, IL-8, EGF, IGF-I, keratinocyte growth factor, GRP, Src, MAPK/ERK, PI3K/Akt, NF-κB, PKA, Aurora-A, and Ack1, among others; these pathways can modify AR directly or alter coregulators.
- Reported mechanistic details include Src phosphorylation of AR at Tyr-534, Ack1 phosphorylation at Tyr-267, STAT3 interaction with AR amino acids 234–558, and tyrosine-phosphorylated AR in 8 of 18 CR prostate tumor samples correlating with Ack1 expression.
- AR mutations and splice variants also contribute: approximately 70 missense mutations have been described, and variant mRNA was increased in 41 of 69 CR patient metastases versus 10 of 36 normal tissue samples in one study, though another study found variant mRNA at only about 0.1–2.5% relative to full-length AR.
Methods
- Narrative minireview synthesizing published literature on alternative AR activation pathways in prostate cancer; no primary experimental cohort or systematic review protocol is reported.
- Evidence discussed comes from cell lines (e.g., LNCaP, LAPC-4, C4-2, 22Rv1, DU-145, PC-3), xenograft models, and patient tumor samples.
- Main analysis is qualitative, organized into extracellular peptide signaling, intracellular kinase signaling, coregulator augmentation, and intrinsic AR activation via N–C interaction, mutations, and AR variants.
Limitations
- The paper states that the relationship between neuroendocrine cells and CR disease is only vaguely understood and that more basic research is needed; it also notes unclear mechanisms for IL-8 activation, FOXO1 regulation, and NF-κB/p52 action, and says the contribution and predominance of AR variants remain uncertain.
- Evident from the text: as a minireview, it does not perform a systematic search, meta-analysis, or primary validation, and its conclusions rely on heterogeneous cited models and studies.
Model-written summary. Check it against the paper before relying on it.
Integrity signals
Registry
Cites
Statistics
Claims the paper makes
0 of 103 cited sources checked · 0 supported · 0 flagged
- Premisecitation
The expression and activity of the AR is still required for survival and growth of many types of CR prostate cancers.
“It is now a central tenet that the expression and activity of the AR is still required for survival and growth of many types of CR prostate cancers”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [5] Debes, 2002, The role of androgens and the androgen receptor in prostate cancer., Cancer Lett source
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- Premisecitation
IL-6 stimulation of AR activity in this context can be inhibited by the selenium chemopreventative sodium selenite.
“Interestingly, IL-6 stimulation of AR activity in this context can be inhibited by a form of selenium chemopreventative, sodium selenite (25).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [25] Gazi, 2007, Sodium selenite inhibits interleukin-6-mediated androgen receptor activation in prostate cancer cells via upregulation of c-Jun., Clin Chim Acta source
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- Interpretationreasoning
The AR can become transactivated in a low-androgen environment through mechanisms including amplification and mutation of the receptor, cross talk with other signaling pathways, and altered regulation by coregulatory proteins.
“The AR can become transactivated in this low-androgen environment through a number of different mechanisms, including amplification and mutation of the receptor, cross talk with other signaling pathways, and altered regulation by coregulatory proteins.”
Quote in the paperSubstantial claim - Premisereasoning
Growth factors and cytokines stimulate cognate membrane-bound receptors such as receptor tyrosine kinases and G protein-coupled receptors, initiating intracellular signaling cascades that can lead to AR transcriptional activity downstream even at low androgen levels.
“These peptides stimulate the activity of cognate membrane-bound protein receptors, such as receptor tyrosine kinases and G protein-coupled receptors, thus initiating intracellular signaling cascades that can lead to AR transcriptional activity downstream, even in low levels of androgen.”
Quote in the paperSubstantial claim - Premisecitation
First-generation antiandrogens bicalutamide and flutamide inhibit AR transcriptional activity by targeting ligand binding to the AR.
“The first generation of true antiandrogen molecules used in the clinic, including bicalutamide (Casodex) and flutamide, aimed at inhibiting AR transcriptional activity by specifically targeting ligand binding to the AR (8,9).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [8] Scher, 1997, Bicalutamide for advanced prostate cancer: the natural versus treated history of disease., J Clin Oncol source
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- cites [9] Eisenberger, 1998, Bilateral orchiectomy with or without flutamide for metastatic prostate cancer., N Engl J Med source
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- Premisecitation
In the presence of androgen, IL-6 treatment of LNCaP cells impairs transcription of prostate-specific antigen (PSA) via a mechanism that prevents recruitment of the histone acetyltransferase coactivator p300 to the PSA promoter.
“In the presence of androgen, IL-6 treatment of LNCaP cells impairs transcription of prostate-specific antigen (PSA), via a mechanism that prevents recruitment of the histone acetyltransferase coactivator p300 to the PSA promoter (21).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [21] Jia, 2004, Androgen receptor signaling: mechanism of interleukin-6 inhibition., Cancer Res source
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- Premisecitation
IL-6 can be produced in an autocrine manner in CR prostate cells by overexpression of atypical protein kinase C (aPKC).
“Also, IL-6 can be produced in an autocrine manner in CR prostate cells by overexpression of atypical protein kinase C (aPKC/) (18).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [18] Ishiguro, 2009, aPKCγ/ι promotes growth of prostate cancer cells in an autocrine manner through transcriptional activation of interleukin-6., Proc Natl Acad Sci USA source
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- Premisecitation
Despite surgical or chemical castration, very low levels of androgens are still detectable in the tissues and serum of advanced prostate cancer patients.
“However, a paradigm shift occurred upon reports by a number of groups demonstrating that despite being surgically or chemically castrated, very low levels of androgens are still detectable in the tissues and serum of advanced patients (2,3).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [2] Geller, 1995, Prolonging survival in metastatic prostate cancer: the case for adrenal androgens: overview and summary of therapeutic controversies in prostatic cancer., J Clin Endocrinol Metab source
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- cites [3] Mohler, 2008, Castration-recurrent prostate cancer is not androgen-independent., Adv Exp Med Biol source
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- Premisecitation
A large proportion of CR prostate tumors maintain expression of a functional AR.
“Despite being resistant to androgen ablation therapy, it was observed that a large proportion of CR prostate tumors maintain expression of a functional androgen receptor (AR)”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [4] Lamont, 2010, Androgen regulation of gene expression., Adv Cancer Res source
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- Premisecitation
Activated Src can phosphorylate the AR at Tyr-534, thereby promoting its transcriptional activity in LNCaP and LAPC-4 cells.
“Activated Src can phosphorylate AR at Tyr-534, thereby promoting its transcriptional activity in LNCaP and LAPC-4 cells (27,28).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [27] Guo, 2006, Regulation of androgen receptor activity by tyrosine phosphorylation., Cancer Cell source
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- cites [28] Liu, 2010, Dasatinib inhibits site-specific tyrosine phosphorylation of androgen receptor by Ack1 and Src kinases., Oncogene source
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- Premisecitation
Chronic local inflammation in the prostate (proliferative inflammatory atrophy) can promote up-regulation of inflammatory signaling factors that can drive the development and progression of prostate tumors.
“Chronic local inflammation in the prostate (proliferative inflammatory atrophy) can promote up-regulation of inflammatory signaling factors that can drive the development and progression of prostate tumors.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [16] Singh, 2010, Role of chemokines and chemokine receptors in prostate cancer development and progression., J Cancer Sci Ther source
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- Premisecitation
As a transcription factor, the AR regulates the expression of thousands of both coding and noncoding RNA targets.
“As a transcription factor, the AR regulates the expression of thousands of both coding and noncoding RNA targets (4,7).”
Quote in the paperNot a substantial claim0 of 2 sources checked - Premisecitation
The activity of Src on AR transactivation is modulated, at least in part, through its binding partner and associated scaffolding protein receptor for activated C kinase 1 (RACK1).
“The activity of Src on AR transactivation is modulated, at least in part, through its binding partner and associated scaffolding protein receptor for activated C kinase 1 (RACK1) (43).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [43] Kraus, 2006, Receptor for activated C kinase 1 (RACK1) and Src regulate the tyrosine phosphorylation and function of the androgen receptor., Cancer Res source
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- Premisecitation
EGF can induce IL-6 up-regulation in prostate cancer cells.
“EGF can also induce IL-6 up-regulation in prostate cancer cells (24).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [24] Aaronson, 2007, An androgen-IL-6-Stat3 autocrine loop re-routes EGF signal in prostate cancer cells., Mol Cell Endocrinol source
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- Premisecitation
In prostate cancer cells that express endogenous AR, such as LNCaP and LAPC-4, treatment with EGF in the absence of androgen induces phosphorylation of the AR at Tyr-267 and -534 by Src and Ack1 kinases.
“In prostate cancer cells that express endogenous AR, such as LNCaP and LAPC-4, treatment with EGF in the absence of androgen induces phosphorylation of the AR at Tyr-267 and -534 by Src and Ack1 kinases (28).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [28] Liu, 2010, Dasatinib inhibits site-specific tyrosine phosphorylation of androgen receptor by Ack1 and Src kinases., Oncogene source
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- Premisenone given
In many systems, full activation of the AR by androgen requires activation of at least one of these signaling pathways.
“In many systems, full activation of the AR by androgen requires the activation of at least one of these signaling pathways.”
Quote in the paperSubstantial claim - Premisecitation
NF-κB/p52 can activate the AR in the absence of androgen in LAPC-4, LNCaP, and C4-2 cells.
“NF-B/p52 can activate the AR in the absence of androgen in LAPC-4, LNCaP, and C4-2 cells.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [54] Nadiminty, 2010, Aberrant activation of the androgen receptor by NF-κB2/p52 in prostate cancer cells., Cancer Res source
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- Interpretationreasoning
At least in cell culture systems, the contrasting effects of interleukins in androgen-dependent versus CR backgrounds on AR activity suggest that paracrine factors may be significant promoters of AR activity in CR disease.
“At least in cell culture systems, the contrasting effects of IL in AD vs. CR backgrounds on AR activity suggests that these paracrine factors may be significant promoters of AR activity in CR disease.”
Quote in the paperSubstantial claim - Premisecitation
Ectopic expression of FOXO1 in PTEN-null prostate cancer cells inhibits androgen-independent activation of the AR.
“Ectopic expression of FOXO1 in PTEN-null prostate cancer cells inhibits androgen-independent activation of the AR (52).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [52] Liu, 2008, A transcription-independent function of FOXO1 in inhibition of androgen-independent activation of the androgen receptor in prostate cancer cells., Cancer Res source
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- Premisereasoning
Secretions by neuroendocrine cells can promote cancer cell proliferation in a paracrine manner in some tumors.
“What is quite apparent from the literature is that secretions by NE cells can promote cancer cell proliferation in a paracrine manner in some tumors.”
Quote in the paperSubstantial claim - Premisecitation
Heregulin/neuregulin (NRG-1) and growth-arrest specific 6 (Gas-6) treatment also induce AR phosphorylation and activity through activation of the Cdc42-related kinase Ack1.
“This effect is similar to that of other growth factors such as heregulin/neuregulin (NRG-1) and growth-arrest specific 6 (Gas-6) (a ligand for the Mer receptor tyrosine kinase; named for its expression in monocytes and tissues of epithelial and reproductive origin) treatment, which also induce AR phosphorylation and activity, through activation of the Cdc42-related kinase Ack1 (28).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [28] Liu, 2010, Dasatinib inhibits site-specific tyrosine phosphorylation of androgen receptor by Ack1 and Src kinases., Oncogene source
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- Premisecitation
Aurora-A can phosphorylate the AR at Thr-282 and Ser-293, leading to transactivation of the receptor.
“Also, Aurora-A, a kinase involved in mitosis progression, can phosphorylate the AR at Thr-282 and Ser-293, leading to transactivation of the receptor (57).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [57] Shu, 2010, Phosphorylation and activation of androgen receptor by Aurora-A., J Biol Chem source
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- Premisecitation
The expression of both IGF-I and its receptor are increased in advanced cancers, especially in metastases.
“The expression of both IGF-I and its receptor are increased in advanced cancers, especially in metastases (37).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [37] Wu, 2006, Interaction of IGF signaling and the androgen receptor in prostate cancer progression., J Cell Biochem source
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- Premisecitation
siRNA knockdown of endogenous p52 in C4-2 cells abolishes transcription of AR target genes.
“This action of NF-B drives constitutive activity of the AR, because siRNA knockdown of endogenous p52 in C4-2 cells abolished transcription of AR target genes (54).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [54] Nadiminty, 2010, Aberrant activation of the androgen receptor by NF-κB2/p52 in prostate cancer cells., Cancer Res source
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- Interpretationreasoning
The action of IGF and keratinocyte growth factor on AR activity largely appears to be a general phenomenon and not specific to the scenario of CR disease.
“The data reported thus far indicate that the action of IGF and keratinocyte growth factor on AR activity largely appears to be a general phenomenon and not specific to the scenario of CR disease.”
Quote in the paperSubstantial claim - Premisecitation
Aurora-A expression is elevated in prostate tumors compared with normal tissue.
“Aurora-A expression is elevated in prostate tumors compared with normal tissue.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [57] Shu, 2010, Phosphorylation and activation of androgen receptor by Aurora-A., J Biol Chem source
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- Premisecitation
Silencing of AR in LNCaP cells results in a shift to a more neuroendocrine-like phenotype.
“The AR may be a critical factor in maintaining epithelial-like characteristics in tumor cells, because silencing of AR in LNCaP cells results in a shift to a more NE-like phenotype (39).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [39] Wright, 2003, Androgen receptor represses the neuroendocrine transdifferentiation process in prostate cancer cells., Mol Endocrinol source
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- Premisecitation
Akt has both agonistic and antagonistic influence on AR activity, either through direct phosphorylation of the receptor or through the action of downstream effectors, in both the presence and absence of androgen.
“Akt has been shown to have both agonistic and antagonistic influence on AR activity, either through direct phosphorylation of the receptor or through the action of downstream effectors, in both the presence and absence of androgen (49 -51).”
Quote in the paperSubstantial claim0 of 3 sources checked- cites [49] Lin, 2001, Akt suppresses androgen-induced apoptosis by phosphorylating and inhibiting androgen receptor., Proc Natl Acad Sci USA source
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- cites [50] Mellinghoff, 2004, HER2/neu kinase-dependent modulation of androgen receptor function through effects on DNA binding and stability., Cancer Cell source
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- cites [51] Wen, 2000, HER-2/neu promotes androgen-independent survival and growth of prostate cancer cells through the Akt pathway., Cancer Res
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- Premisecitation
Blocking NF-κB by small interfering RNA-mediated knockdown of the IκBα inhibitor inhibits AR activation in prostate cancer cells in vitro.
“Blocking of NF-B by small interfering RNA (siRNA)mediated knockdown of the IB␣ (nuclear factor of light polypeptide gene enhancer in B-cells inhibitor, ␣) inhibitor inhibits AR activation in prostate cancer cells in vitro (53).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [53] Jin, 2008, The nuclear factor-κB pathway controls the progression of prostate cancer to androgen-independent growth., Cancer Res source
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- Premisecitation
Protein kinase A, whose activity is regulated by intracellular cAMP levels, can modulate AR activity in the absence of androgens.
“Protein kinase A, whose activity is regulated by intracellular cAMP levels, also can modulate AR activity in the absence of androgens.”
Quote in the paperSubstantial claim - Premisecitation
Treatment of androgen-dependent LNCaP and CR 22Rv1 cells with recombinant IL-8 in the absence of serum results in cell growth in the absence and presence of androgen, concomitant with increased PSA mRNA expression.
“Treatment of androgen-dependent LNCaP and CR 22Rv1 cells with recombinant IL-8 in the absence of serum resulted in cell growth in the absence and presence of androgen, concomitant with increased PSA mRNA expression (30).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [30] Seaton, 2008, Interleukin-8 signaling promotes androgen-independent proliferation of prostate cancer cells via induction of androgen receptor expression and activation., Carcinogenesis source
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- Premisecitation
Mitogenic growth factors such as EGF and IGF stimulate intracellular signaling that cross talks with AR signaling.
“The ability of mitogenic growth factors such as EGF and IGF to stimulate intracellular signaling that cross talks with those of the AR has been extensively reviewed elsewhere (33).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [33] Zhu, 2008, Androgen receptor and growth factor signaling cross-talk in prostate cancer cells., Endocr Relat Cancer source
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- Premisecitation
Treatment of LNCaP and C4-2 cells with the MAPK kinase inhibitor UO126 strongly reduces the amount of AR protein in both the presence and absence of androgen.
“The expression of the AR itself is regulated, in part, by this branch of the MAPK pathway, because treatment of LNCaP and C4-2 cells with the MAPK kinase inhibitor UO126 strongly reduces the amount of AR protein in both the presence and absence of androgen (45).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [45] Agoulnik, 2008, Target gene-specific regulation of androgen receptor activity by p42/p44 mitogen-activated protein kinase., Mol Endocrinol source
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- Premisecitation
MAPK signaling after IL-6 induction leads in part to phosphorylation of the AR coregulator steroid receptor coregulator-1 (SRC-1), which is required for optimal ligand-independent activation of the AR by IL-6.
“MAPK signaling after IL-6 induction also leads in part to phosphorylation of another AR coregulator, steroid receptor coregulator-1 (SRC-1), which is required for optimal ligand-independent activation of the AR by IL-6 (29).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [29] Ueda, 2002, Ligand-independent activation of the androgen receptor by interleukin-6 and the role of steroid receptor coactivator-1 in prostate cancer cells., J Biol Chem source
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- Premisecitation
SET9 was recently identified as a novel coregulator of the androgen receptor.
“The histone methyltransferase SET-domain containing protein-9 (SET9) was very recently identified as a novel coregulator of the AR (65).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [65] Gaughan, 2011, Regulation of the androgen receptor by SET9-mediated methylation., Nucleic Acids Research source
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- Premisecitation
Silencing of HDAC6 in C4-2 cells inhibits androgen-dependent and androgen-independent cell growth in vitro and in a castrated nude mouse xenograft model.
“Furthermore, silencing of HDAC6 in these cells inhibits androgen-dependent and -independent cell growth, both in vitro and in a castrated nude mouse xenograft model (63).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [63] Ai, 2009, HDAC6 regulates androgen receptor hypersensitivity and nuclear localization via modulating Hsp90 acetylation in castration-resistant prostate cancer., Mol Endocrinol source
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- Premisecitation
Nullifying mutations in Tau-1 and Tau-5 in full-length androgen receptor make it completely inactive even in the presence of androgen.
“However, when nullifying mutations are introduced into Tau-1 and Tau-5 in full-length AR, it is completely inactive, even in the presence of androgen (68).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [68] Callewaert, 2006, Interplay between two hormone-independent activation domains in the androgen receptor., Cancer Res source
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- Premisecitation
The majority of androgen receptor variants described to date are characterized by loss of significant portions of the DNA-binding domain and ligand-binding domain, meaning they lose key motifs for ligand-dependent regulation and for degradation.
“As reviewed in Ref. 79, the majority of the variants described to date are characterized by the loss of significant portions of the DBD and LBD (C-terminal), which means that in addition to losing motifs for ligand-dependent regulation, they also lose key motifs for degradation.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [79] Nacusi, 2009, Androgen receptor abnormalities in castration-recurrent prostate cancer., Expert Rev Endocrinol Metab source
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- Premisecitation
MDV3100 demonstrated clinical efficacy in a phase I/II trial of patients with castration-recurrent tumors.
“The ability of these molecules to inhibit AR transcriptional activity and demonstrate clinical efficacy in a phase I/II trial of patients with CR tumors, in the case of MDV 3100, suggests that ligand-directed therapeutics might still have a place in future treatment regimes.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [81] Tran, 2009, Development of a second-generation antiandrogen for treatment of advanced prostate cancer., Science source
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- Premisecitation
Comparison of the transcriptome of androgen receptor variants with that of full-length AR suggests a significant amount of target specificity for each variant.
“Interestingly, comparison of the transcriptome of variants with that of full-length AR suggests a significant amount of target specificity for each variant (76 -78).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [76] Sun, 2010, Castration resistance in human prostate cancer is conferred by a frequently occurring androgen receptor splice variant., J Clin Invest source
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- cites [77] Watson, 2010, Constitutively active androgen receptor splice variants expressed in castration-resistant prostate cancer require full-length androgen receptor., Proc Natl Acad Sci USA source
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- cites [78] Guo, 2009, A novel androgen receptor splice variant is up-regulated during prostate cancer progression and promotes androgen depletion-resistant growth., Cancer Res source
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- Interpretationreasoning
Abolishing the transactivation potential of the androgen receptor N-terminal domain has putative consequences in curtailing AR-driven castration-recurrent growth.
“Thus, abolishing the transactivation potential of the AR NTD has putative consequences in curtailing AR-driven CR growth.”
Quote in the paperSubstantial claim - Premisecitation
Early evidence suggests that expression of some androgen receptor variant in prostate tumors is associated with poor clinical outcome.
“Early evidence suggests that expression of some AR variant in prostate tumors is associated with poor clinical outcome (75).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [75] Hu, 2009, Ligand-independent androgen receptor variants derived from splicing of cryptic exons signify hormone-refractory prostate cancer., Cancer Res source
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- Premisecitation
Treatment of prostate cancer cells with the Ack1-specific inhibitor AIM-100 after stimulation with EGF prevents phosphorylation of AR at Tyr-267 as well as binding of AR to PSA, NK3 homeobox 1, and transmembrane protease, serine 2 promoters in the absence of androgen.
“Treatment of prostate cancer cells with the Ack1-specific inhibitor AIM-100 after stimulation with EGF prevents phosphorylation of AR at Tyr-267 as well as binding of AR to PSA, NK3 homeobox 1, and transmembrane protease, serine 2 promoters in the absence of androgen (60).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [60] Mahajan, 2010, Effect of Ack1 tyrosine kinase inhibitor on ligand-independent androgen receptor activity., Prostate source
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- Premisecitation
Histone deacetylase 3 cooperates with FOXO1 to inhibit androgen receptor-mediated transcription in LNCaP cells.
“Recently, histone deacetylase 3 was demonstrated to cooperate with FOXO1 to inhibit AR-mediated transcription in LNCaP cells and suggests a mechanism by which FOXO1 can promote AR activity in the absence of ligand (52).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [52] Liu, 2008, A transcription-independent function of FOXO1 in inhibition of androgen-independent activation of the androgen receptor in prostate cancer cells., Cancer Res source
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- Premisecitation
Variant mRNA of any form increased in castration-recurrent patient metastases (41 of 69) compared with normal tissue samples (10 of 36).
“In contrast, another study found the expression of variant protein (AR v567es ) to be significantly higher in two of three LuCaP xenografts examined, and variant mRNA of any form increased in CR patient metastases (41 of 69) compared with normal tissue samples (10 of 36) (76).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [76] Sun, 2010, Castration resistance in human prostate cancer is conferred by a frequently occurring androgen receptor splice variant., J Clin Invest source
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- Interpretationcitation
The cooperation of HDAC3 with FOXO1 suggests a mechanism by which FOXO1 can promote androgen receptor activity in the absence of ligand.
“Recently, histone deacetylase 3 was demonstrated to cooperate with FOXO1 to inhibit AR-mediated transcription in LNCaP cells and suggests a mechanism by which FOXO1 can promote AR activity in the absence of ligand (52).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [52] Liu, 2008, A transcription-independent function of FOXO1 in inhibition of androgen-independent activation of the androgen receptor in prostate cancer cells., Cancer Res source
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- Premisecitation
In one study, endogenous expression of variant mRNA in patient samples and xenografts is much lower, about 0.1-2.5%, relative to full-length androgen receptor mRNA.
“In one study, endogenous expression of variant mRNA in patient samples and xenografts is much lower (ϳ0.1-2.5%)relative to full-length AR mRNA (77).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [77] Watson, 2010, Constitutively active androgen receptor splice variants expressed in castration-resistant prostate cancer require full-length androgen receptor., Proc Natl Acad Sci USA source
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- Premisecitation
The WxxLF domain is not necessary for conferring ligand-independent activity of the androgen receptor.
“However, this domain is not necessary for conferring ligand-independent activity (67).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [67] Dehm, 2007, Selective role of an NH2-terminal WxxLF motif for aberrant androgen receptor activation in androgen depletion-independent prostate cancer cells., Cancer Res source
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- Premisecitation
EPI-001 targets the N-terminal domain of the androgen receptor.
“EPI-001 targets the NTD of the AR (80), whereas MDV 3100 binds to the LBD (81), similarly to bicalutamide.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [80] Andersen, 2010, Regression of castrate-recurrent prostate cancer by a small-molecule inhibitor of the amino-terminus domain of the androgen receptor., Cancer Cell source
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- Premisecitation
EPI-001 treatment in androgen-dependent models including LNCaP xenografts in noncastrated hosts and the LTL313 renal capsule xenograft model leads to effective and specific inhibition of androgen receptor activity.
“EPI-001 treatment in AD models including LNCaP xenografts in noncastrated hosts and the LTL313 renal capsule xenograft model leads to effective and specific inhibition of AR activity (80).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [80] Andersen, 2010, Regression of castrate-recurrent prostate cancer by a small-molecule inhibitor of the amino-terminus domain of the androgen receptor., Cancer Cell source
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- Premisecitation
Hsp90 holds the androgen receptor in a permissible conformation that allows efficient binding to DHT.
“Hsp90 has also been demonstrated to hold the AR in a permissible conformation that allows for efficient binding to DHT (62).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [62] Georget, 2002, Mechanism of antiandrogen action: key role of Hsp90 in conformational change and transcriptional activity of the androgen receptor., Biochemistry source
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- Premisecitation
Full-length androgen receptor and the AR v567es variant do interact when coexpressed in AR-null prostate cancer cells.
“Full-length AR and the AR v567es variant do interact when coexpressed in AR-null prostate cancer cells (76).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [76] Sun, 2010, Castration resistance in human prostate cancer is conferred by a frequently occurring androgen receptor splice variant., J Clin Invest source
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- Premisecitation
At least in the CWR22R xenograft model, heterodimers of full-length androgen receptor with variants were not found by coimmunoprecipitation.
“At least in the CWR22R xenograft model, heterodimers of full-length AR with variants was not found by coimmunoprecipitation (78).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [78] Guo, 2009, A novel androgen receptor splice variant is up-regulated during prostate cancer progression and promotes androgen depletion-resistant growth., Cancer Res source
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- Premisecitation
Expression of SET9 is increased in prostate cancer specimens compared with benign prostatic hyperplasia.
“The expression of SET9 is increased in prostate cancer specimens compared with benign prostatic hyperplasia; however, more work is needed to determine whether increased ex-pression of SET9 is exhibited by CR tumors and whether SET9 can promote transactivation of the AR in the absence of DHT.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [65] Gaughan, 2011, Regulation of the androgen receptor by SET9-mediated methylation., Nucleic Acids Research source
Not checked in the free run.
- Premisecitation
Another study found expression of variant protein AR v567es to be significantly higher in two of three LuCaP xenografts examined.
“In contrast, another study found the expression of variant protein (AR v567es ) to be significantly higher in two of three LuCaP xenografts examined, and variant mRNA of any form increased in CR patient metastases (41 of 69) compared with normal tissue samples (10 of 36) (76).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [76] Sun, 2010, Castration resistance in human prostate cancer is conferred by a frequently occurring androgen receptor splice variant., J Clin Invest source
Not checked in the free run.
- Premisecitation
The constitutive activity attributed to some androgen receptor variants may still rely on the presence of full-length AR to mediate binding of AR to DNA and stimulate transcription.
“Moreover, the constitutive activity attributed to some variants may still rely on the presence of the full-length AR to mediate binding of AR to DNA and stimulate transcription (77).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [77] Watson, 2010, Constitutively active androgen receptor splice variants expressed in castration-resistant prostate cancer require full-length androgen receptor., Proc Natl Acad Sci USA source
Not checked in the free run.
- Interpretationnone given
After the emergence of castration-recurrent disease, the androgen receptor can be transactivated in the absence, or in very low levels, of DHT.
“After the emergence of CR disease, the AR can be transactivated in the absence, or in very low levels, of DHT.”
Quote in the paperNot a substantial claim - Interpretationnone given
Transactivation of the androgen receptor leads to regulation of genomic targets in a manner comparable to canonical AR activation.
“Transactivation of the receptor leads to regulation of genomic targets in a manner comparable to that of canonical AR activation.”
Quote in the paperNot a substantial claim - Interpretationreasoning
These mechanisms are able to significantly contribute to the progression of advanced disease, either alone or more likely in concert with each other.
“Thus, these mechanisms, as summarized in Fig. 1, are able to significantly contribute to the progression of advanced disease, either alone or, more likely, in concert with each other.”
Quote in the paperSubstantial claim
- May combine two claims. 47
- Classified as probably not a substantial claim. 5
May combine two claims.
InterpretationreasoningPreventing direct ligand binding inhibits AR-driven gene expression and cell proliferation, but transactivation of the receptor by other factors renders these treatments ineffective in CR disease.
“The prevention of direct ligand binding inhibits AR-driven gene expression and cell proliferation, but transactivation of the receptor by other factors renders these treatments ineffective in CR disease.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe levels of IL-6 and its soluble receptor IL-6sR in circulating plasma are increased in patients with aggressive metastatic disease and can be predictive of recurrence after treatment of localized cancer.
“The levels of IL-6 and its soluble receptor, IL-6sR, in circulating plasma is increased in patients with aggressive metastatic disease and can be predictive of recurrence after treatment of localized cancer (17).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [17] Shariat, 2001, Plasma levels of interleukin-6 and its soluble receptor are associated with prostate cancer progression and metastasis., Urology source
Not checked in the free run.
May combine two claims.
PremisecitationIL-6 treatment is agonistic for AR activity in LAPC-4 cells expressing wild-type AR and in MDA-PCa-2b cells expressing double-mutant AR (L701H and T877A), whereas IL-6 inhibits ligand-independent AR activity in T877A AR-expressing LNCaP cells.
“The effect of IL-6 treatment on LAPC-4 cells, which express a wild-type AR and in MDA-PCa-2b cells, which express a double-mutant AR (substitutions at L701H and T877A) is agonistic, whereas IL-6 inhibits ligand-independent AR activity in T877A ARexpressing LNCaP cells (20).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [20] Malinowska, 2009, Interleukin-6 stimulation of growth of prostate cancer in vitro and in vivo through activation of the androgen receptor., Endocr Relat Cancer source
Not checked in the free run.
May combine two claims.
PremisereasoningExtracellular peptide signals in the form of growth factors and cytokines can promote AR activity, although not through the same ligand-binding mechanism as DHT.
“Extracellular peptide signals, in the form of growth factors and cytokines, can promote AR activity, although not through the same ligand-binding mechanism as DHT.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationIL-6 predominantly stimulates Janus kinase signaling and activation of STAT proteins, especially STAT3; MAPK and phosphatidylinositol-3 kinase activation can also occur depending on context.
“The predominant effect of IL-6 in many cell types is the stimulation of Janus kinase (JAK) signaling and activation of signal transducers and activators of transcription (STAT) proteins, especially STAT3; however, activation of MAPK and phosphatidylinositol-3 kinase (PI3K) can also occur depending on the context (13)(14)(15).”
Quote in the paperNot a substantial claim0 of 3 sources checked- cites [13] Blaszczyk, 2004, Osteoblast-derived factors induce androgen-independent proliferation and expression of prostate-specific antigen in human prostate cancer cells., Clin Cancer Res source
Not checked in the free run.
- cites [14] Culig, 2006, Androgen axis in prostate cancer., J Cell Biochem source
Not checked in the free run.
- cites [15] Culig, 2005, Interleukin-6 regulation of prostate cancer cell growth., J Cell Biochem source
Not checked in the free run.
May combine two claims.
PremisecitationCastration-resistant (CR) prostate tumor cells continue to grow after hormonal therapy that markedly reduces testosterone and dihydrotestosterone, but they still require AR expression and activity.
“Despite CR tumor cells being able to continue to grow after hormonal therapy in which testosterone and dihydrotestosterone are markedly reduced, they still require the expression and activity of the AR.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [5] Debes, 2002, The role of androgens and the androgen receptor in prostate cancer., Cancer Lett source
Not checked in the free run.
May combine two claims.
PremisecitationChronic stimulation of LNCaP cells with IL-6 results in stimulation of AR via STAT signaling, inducing PSA expression even in the absence of androgen.
“In contrast, chronic stimulation of LNCaP cells with IL-6 results in stimulation of AR via STAT signaling, thus inducing PSA expression, even in the absence of androgen (22).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [22] Debes, 2005, p300 regulates androgen receptor-independent expression of prostate-specific antigen in prostate cancer cells treated chronically with interleukin-6., Cancer Res source
Not checked in the free run.
May combine two claims.
PremisecitationSTAT3 interacts directly with amino acids 234-558 of the AR, and this interaction is dependent upon phosphorylation of STAT3 at Ser-722.
“STAT3 interacts directly with amino acids 234 -558 of the AR (23), an interaction that is dependent upon phosphorylation of STAT3 at Ser-722 (24).”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [23] Ueda, 2002, Activation of the androgen receptor N-terminal domain by interleukin-6 via MAPK and STAT3 signal transduction pathways., J Biol Chem source
Not checked in the free run.
- cites [24] Aaronson, 2007, An androgen-IL-6-Stat3 autocrine loop re-routes EGF signal in prostate cancer cells., Mol Cell Endocrinol source
Not checked in the free run.
May combine two claims.
PremisereasoningAR transactivation in CR prostate cancer can occur through non-mutually-exclusive mechanisms including increased receptor expression, receptor mutations, altered coregulatory proteins, cross talk with signaling pathways, and constitutively active splice variants.
“This transactivation of the AR can occur through a number of non-mutually-exclusive mechanisms, including increased expression of the receptor; generation of mutations in the receptor, which can change its canonical regulation; and altered action of coregulatory proteins, through cross talk with other signaling pathways or through the action of constitutively active splice variants.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationThe androgen receptor (AR) is a nuclear hormone receptor transcription factor that mediates androgen effects on target tissues and plays a central role in prostate cancer development and progression.
“The androgen receptor (AR), which is a member of the nuclear hormone receptor superfamily of proteins, is the transcription factor that is responsible for mediating the effects of androgens upon target tissues, and it has been demonstrated to play a central role in the development and progression of prostate cancer.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [4] Lamont, 2010, Androgen regulation of gene expression., Adv Cancer Res source
Not checked in the free run.
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Premisenone givenLoss of the regulatory phosphatase activity of PTEN results in unchecked PI3K activity, which generates the secondary messenger PIP3 from PIP2.
“Loss of the regulatory phosphatase activity by PTEN results in unchecked PI3K activity (initiated by a number of transmembrane receptors), which generates the secondary messenger phospholipid phosphatidylinositol 3,5-triphosphate (PIP3) from phosphatidylinositol 4,5-diphosphate (PIP2).”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationOverexpression of GRP is sufficient to confer LNCaP xenograft tumor growth in castrated mice, in accordance with the observed AR transactivation.
“Overexpression of GRP is also sufficient to confer LNCaP xenograft tumor growth in castrated mice, in accordance with the observed AR transactivation (40).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [40] Yang, 2009, Aberrant activation of androgen receptor in a new neuropeptide- autocrine model of androgen-insensitive prostate cancer., Cancer Res source
Not checked in the free run.
May combine two claims.
PremisecitationTreatment of ectopic AR-expressing DU-145 cells with EGF in the absence of androgen induces an androgen-responsive luciferase promoter to a similar extent as androgen treatment, an effect inhibited by the AR antagonist bicalutamide.
“In one study, treatment of ectopic AR-expressing DU-145 cells (CR prostate cancer cells isolated from a brain me-tastasis that do not express an endogenous AR) with EGF in the absence of androgen induces an androgen-responsive luciferase promoter to a similar extent as with androgen treatment, an effect that is inhibited by the AR antagonist bicalutamide (35).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [35] Culig, 1994, Androgen receptor activation in prostatic tumor cell lines by insulin-like growth factor-I, keratinocyte growth factor, and epidermal growth factor., Cancer Res
Not checked in the free run.
May combine two claims.
PremisecitationAck1 promotes cell survival in part by targeting the tumor suppressor Wwox for degradation and activating AKT.
“A downstream mediator of a number of receptor tyrosine kinases, Ack1 promotes cell survival in part by targeting the tumor suppressor Wwox for degradation and activating AKT (58).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [58] Mahajan, 2010, Shepherding AKT and androgen receptor by Ack1 tyrosine kinase., J Cell Physiol source
Not checked in the free run.
May combine two claims.
InterpretationcitationConstitutive NF-κB activity maintains high levels of the AR in the nucleus, which promotes constant transcription of proliferative genes.
“Thus, constitutive NF-B activity maintains high levels of the AR in the nucleus, which promotes constant transcription of proliferative genes.”
Quote in the paperSubstantial claimMay combine two claims.
PremisecitationTreatment of LNCaP and LAPC-4 cells with bombesin/gastrin-releasing peptide (GRP) in the absence of androgen induces AR phosphorylation at Tyr-534 via Src activation and induces subsequent AR-mediated transcription.
“Treatment of LNCaP and LAPC-4 cells with GRP in the absence of androgen induces AR phosphorylation at Tyr-534, via Src activation, and induces subsequent AR-mediated transcription (28).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [28] Liu, 2010, Dasatinib inhibits site-specific tyrosine phosphorylation of androgen receptor by Ack1 and Src kinases., Oncogene source
Not checked in the free run.
May combine two claims.
PremisecitationWhen prostate cancer cells are treated with forskolin, AR-driven transcription is increased from AR-responsive promoters, an effect quenched by the addition of AR antagonists bicalutamide and flutamide.
“When prostate cancer cells are treated with the inhibitor forskolin (a naturally derived molecule that activates adenylyl cyclase, thus increasing the intracellular levels of cAMP and consequently protein kinase A), AR-driven transcription is increased from ARresponsive promoters, an effect that is quenched by the addition of AR antagonists bicalutamide and flutamide (55,56).”
Quote in the paperSubstantial claim0 of 2 sources checked- cites [55] Nazareth, 1996, Activation of the human androgen receptor through a protein kinase A signaling pathway., J Biol Chem source
Not checked in the free run.
- cites [56] Sadar, 1999, Androgen-independent induction of prostate-specific antigen gene expression via cross-talk between the androgen receptor and protein kinase A signal transduction pathways., J Biol Chem source
Not checked in the free run.
May combine two claims.
PremisereasoningPIP3 presence in the cell membrane recruits the pleckstrin homology domains of signaling kinases including Akt/protein kinase B, and recruitment of Akt by PIP3 leads to a conformational change that allows activation by transfer of a phosphate moiety by phosphoinositide-dependent kinase 1 and 2.
“PIP3 presence in the cell membrane recruits the pleckstrin homology domains of a number of signaling kinases, including Akt/protein kinase B. Recruitment of Akt by PIP3 leads to conformational change that allows activation to occur by the transfer of a phosphate moiety by the constitutively active phosphoinositide-dependent kinase 1 and 2.”
Quote in the paperNot a substantial claimMay combine two claims.
PremisecitationLNCaP xenografts that overexpress ectopic Ack1 demonstrate significantly increased growth in castrated mice, which is inhibited by the kinase inhibitor dasatinib.
“LNCaP xenografts that overexpress ectopic Ack1 demonstrate significantly increased growth in castrated mice, which is inhibited by the kinase inhibitor dasatinib (28).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [28] Liu, 2010, Dasatinib inhibits site-specific tyrosine phosphorylation of androgen receptor by Ack1 and Src kinases., Oncogene source
Not checked in the free run.
May combine two claims.
PremisecitationVav3 signaling induces nuclear localization of the AR via activation of Rho guanosine triphosphatase Rac1, whose downstream signaling includes members of the MAPK pathway, including ERK.
“This signaling pathway induces nuclear localization of the AR via the activation Rho guanosine triphosphatase Rac1, whose downstream signaling includes members of the MAPK pathway, including ERK (46).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] Lyons, 2008, Ligand-independent activation of androgen receptors by Rho GTPase signaling in prostate cancer., Mol Endocrinol source
Not checked in the free run.
May combine two claims.
PremisecitationPTEN is one of the most frequently mutated and/or deleted tumor suppressors in human cancers, and its expression is often lost or reduced in advanced metastatic tumors compared with primary prostate tumors.
“PTEN is one of the most frequently mutated and/or deleted tumor suppressors in human cancers, and its expression is often lost or reduced in advanced metastatic tumors compared with primary prostate tumors (48).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [48] Suzuki, 1998, Interfocal heterogeneity of PTEN/MMAC1 gene alterations in multiple metastatic prostate cancer tissues., Cancer Res
Not checked in the free run.
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PremisecitationAt least part of NF-κB/p52 transactivation of the AR is due to NF-κB direct interaction with the NH2 domain of the AR, which allows for recruitment of coactivators like p300 and augmented binding to the promoter regions of AR-targeted genes.
“The exact mechanism for this is not clearly understood; however, it appears that at least part of the transactivation is due to NF-B direct interaction with the NH 2 domain of the AR, which allows for recruitment of coactivators like p300 and augmented binding to the promoter regions of AR-targeted genes (54).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [54] Nadiminty, 2010, Aberrant activation of the androgen receptor by NF-κB2/p52 in prostate cancer cells., Cancer Res source
Not checked in the free run.
May combine two claims.
PremisecitationIn addition to being a target of AR transcriptional activity in prostate epithelial cells, the IGF-I receptor can induce intracellular signaling cascades that regulate phosphorylation of the AR, thus affecting its transcriptional activation both in the presence and absence of androgen.
“In addition to being a target of AR transcriptional activity in prostate epithelial cells, IGF-I receptor can induce intracellular signaling cascades that regulate phosphorylation of the AR, thus affecting its transcriptional activation both in the presence and absence of androgen (37).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [37] Wu, 2006, Interaction of IGF signaling and the androgen receptor in prostate cancer progression., J Cell Biochem source
Not checked in the free run.
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PremisecitationTreatment of C4-2 cells with the Src inhibitor protein phosphatase 2 in androgen-free conditions results in decreased activation of mouse mammary tumor virus and PSA luciferase reporters as well as reduced recruitment of the AR to the endogenous PSA gene enhancer region.
“Treatment of C4-2 cells with the Src inhibitor protein phosphatase 2 in androgen-free conditions results in a decreased activation of mouse mammary tumor virus and PSA luciferase reporters as well as reduced recruitment of the AR to the endogenous PSA gene enhancer region (44).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [44] Asim, 2008, Src kinase potentiates androgen receptor transactivation function and invasion of androgen-independent prostate cancer C4-2 cells., Oncogene source
Not checked in the free run.
May combine two claims.
PremisecitationThe expression of Vav3, a Rho guanosine triphosphate guanine nucleotide exchange factor, is upregulated in prostate cancer and has been demonstrated to enhance EGF/IGF activation of the AR in the absence of androgen.
“The expression of Vav3, a Rho guanos-ine triphosphate guanine nucleotide exchange factor, is upregulated in prostate cancer and has been demonstrated to enhance EGF/IGF activation of the AR in the absence of androgen (46).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [46] Lyons, 2008, Ligand-independent activation of androgen receptors by Rho GTPase signaling in prostate cancer., Mol Endocrinol source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationAlterations to the activity of some kinases, especially those with oncogenic or tumor-suppressive functions, have the potential to promote malignant signaling and drive the development and progression of many kinds of cancers, including prostate cancer.
“Alterations to the activity of some kinases, especially to those with oncogenic or tumor-suppressive functions, has the potential to promote malignant signaling and drive the development and progression of many kinds of cancers, including prostate (42).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [42] Blume-Jensen, 2001, Oncogenic kinase signalling., Nature source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing). May combine two claims.
PremisecitationActivated Akt has a number of downstream effects, including survival/apoptosis evasion, proliferation, and protein synthesis/cell growth.
“Activated Akt has a number of downstream effects, including survival/apoptosis evasion, proliferation, and protein synthesis/cell growth (47).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [47] Sarker, 2009, Targeting the PI3K/AKT pathway for the treatment of prostate cancer., Clin Cancer Res source
Not checked in the free run.
May combine two claims.
PremisecitationSilencing of FOXO1 in PTEN-positive cells increases the basal activity of the AR and can sensitize the receptor to lower levels of androgens and to IL-6.
“Interestingly, silencing of FOXO1 in PTEN-positive cells increases the basal activity of the AR and can sensitize the receptor to lower levels of androgens and by IL-6 (52).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [52] Liu, 2008, A transcription-independent function of FOXO1 in inhibition of androgen-independent activation of the androgen receptor in prostate cancer cells., Cancer Res source
Not checked in the free run.
May combine two claims.
PremisecitationAck1 can directly interact with the AR and specifically phosphorylate the AR at Tyr-267, a modification required for optimal AR recruitment to target genes at low-to no-androgen conditions.
“Ack1 can directly interact with the AR and can specifically phosphorylate the AR at Tyr-267, a modification that has been described to be required for optimal AR recruitment to target genes at low-to no-androgen conditions (59).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [59] Mahajan, 2007, Activated Cdc42-associated kinase Ack1 promotes prostate cancer progression via androgen receptor tyrosine phosphorylation., Proc Natl Acad Sci USA source
Not checked in the free run.
May combine two claims.
PremisecitationThe expression of EGF and its receptor EGFR is increased in patients with advanced, aggressive prostate cancer, and both molecules have been implicated in the development and progression of many other kinds of tumors.
“The expression of EGF and its receptor (EGFR) are increased in patients with advanced, aggressive prostate cancer, and both molecules have been implicated in the development and progression of many other kinds of tumors (33).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [33] Zhu, 2008, Androgen receptor and growth factor signaling cross-talk in prostate cancer cells., Endocr Relat Cancer source
Not checked in the free run.
Probably not a substantial claim: may not pass S3 (load-bearing).
PremisecitationApproximately 70 different missense mutations have been described in patient samples, with varying consequences upon androgen receptor activity.
“Approximately 70 different missense mutations have been described in patient samples, with varying consequences upon AR activity.”
Quote in the paperNot a substantial claim0 of 2 sources checked- cites [71] Brooke, 2009, The role of androgen receptor mutations in prostate cancer progression., Curr Genomics source
Not checked in the free run.
- cites [72] Culig, 2001, Androgen receptor mutations in carcinoma of the prostate: significance for endocrine therapy., Am J Pharmacogenomics source
Not checked in the free run.
May combine two claims.
PremisecitationExpression of androgen receptor N-terminal domain decoy molecules comprising amino acids 1-558 in LNCaP xenografts decreased tumor growth and serum PSA abundance after castration.
“Expression of AR NTD decoy molecules, comprised of an aminoterminal portion of the AR comprising amino acids 1-558 in LNCaP xenografts decreased growth of the tumor and the abundance of serum PSA after castration (69).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [69] Quayle, 2007, Androgen receptor decoy molecules block the growth of prostate cancer., Proc Natl Acad Sci USA source
Not checked in the free run.
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PremisecitationKnockdown of HDAC6 in C4-2 cells inhibits nuclear localization of endogenous androgen receptor and inhibits expression of PSA.
“Knockdown of HDAC6 in C4-2 cells inhibits the nuclear localization of endogenous AR and inhibits expression of PSA (63).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [63] Ai, 2009, HDAC6 regulates androgen receptor hypersensitivity and nuclear localization via modulating Hsp90 acetylation in castration-resistant prostate cancer., Mol Endocrinol source
Not checked in the free run.
Classified as probably not a substantial claim.
InterpretationcitationThe proposed mechanism suggests that N-terminal decoy molecules bind to interacting proteins that inhibit activation of endogenous androgen receptor.
“The proposed mechanism suggests that these N-terminal decoy molecules bind to interacting proteins that inhibit activation of endogenous AR; however, the specific factors retained by the decoys were not identified.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [69] Quayle, 2007, Androgen receptor decoy molecules block the growth of prostate cancer., Proc Natl Acad Sci USA source
Not checked in the free run.
May combine two claims.
PremisecitationThree ligand-binding domain mutations commonly found in patient tumors, H874Y, T877A, and T877S, impart additional capacity for androgen receptor binding to motifs associated with coregulator proteins and stimulate expression of AR target genes, in addition to being activated by selective AR modulators, antiandrogens, and other hormones, compared with wild-type AR.
“Three LBD mutations that are commonly found in patient tumors, H874Y, T877A, and T877S, impart additional capacity for AR binding to motifs associated with coregulator proteins as well as stimulating the expression of AR target genes in addition to being activated by selective AR modulators, antiandrogens, and other hormones when compared with the wild-type AR (73).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [73] Brooke, 2008, Mechanisms of androgen receptor activation in advanced prostate cancer: differential co-activator recruitment and gene expression., Oncogene source
Not checked in the free run.
May combine two claims.
PremisecitationLocalization of AR-V7 is cytoplasmic in many benign and androgen-dependent tissues but is found in the nucleus in castration-recurrent tumors.
“Localization of AR-V7 is cytoplasmic in many benign and AD tissues but is found in the nucleus in CR tumors (78).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [78] Guo, 2009, A novel androgen receptor splice variant is up-regulated during prostate cancer progression and promotes androgen depletion-resistant growth., Cancer Res source
Not checked in the free run.
May combine two claims.
PremisecitationSET9 methylates the androgen receptor on Lys-632, a modification that facilitates N-C interaction of the receptor and promotes recruitment to AR-regulated genes.
“SET9 is able to methylate the AR on Lys-632, a modification that facilitates N-C interaction of the receptor and promotes recruitment to AR-regulated genes.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [65] Gaughan, 2011, Regulation of the androgen receptor by SET9-mediated methylation., Nucleic Acids Research source
Not checked in the free run.
May combine two claims.
PremisecitationWhen ectopically expressed in PC-3 cells, the AR-V7 variant is localized in the nuclei and is constitutively active in the absence of androgen.
“When ectopically expressed in PC-3 cells, the AR-V7 variant is localized in the nuclei and is constitutively active in the absence of androgen (75).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [75] Hu, 2009, Ligand-independent androgen receptor variants derived from splicing of cryptic exons signify hormone-refractory prostate cancer., Cancer Res source
Not checked in the free run.
May combine two claims.
PremisecitationThe N-terminal domain and DNA-binding domain have ligand-independent nuclear import ability, whereas the ligand-binding domain exhibits ligand-dependent activity.
“The NTD and DNA-binding domain (DBD) have ligand-independent nuclear import ability, whereas the LBD exhibits ligand-dependent activity (70).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [70] Kaku, 2008, Characterization of nuclear import of the domain-specific androgen receptor in association with the importin α/β and Ran-guanosine 5′-triphosphate systems., Endocrinology source
Not checked in the free run.
May combine two claims.
InterpretationcitationThe ability of MDV3100 to inhibit androgen receptor transcriptional activity and demonstrate clinical efficacy in a phase I/II trial suggests that ligand-directed therapeutics might still have a place in future treatment regimes.
“The ability of these molecules to inhibit AR transcriptional activity and demonstrate clinical efficacy in a phase I/II trial of patients with CR tumors, in the case of MDV 3100, suggests that ligand-directed therapeutics might still have a place in future treatment regimes.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [81] Tran, 2009, Development of a second-generation antiandrogen for treatment of advanced prostate cancer., Science source
Not checked in the free run.
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PremisecitationHuman AR-V7 and mouse AR-V4 demonstrate ligand-free activation of a 4xARE-Luc promoter as well as promoting castration-recurrent LNCaP tumor growth.
“Two such variants, human AR-V7, identified in CR prostate cancer specimens, and mouse AR-V4, from the murine Myc-CaP cell line, demonstrate ligand-free activation of a 4xARE-Luc promoter as well as promoting CR LNCaP tumor growth.”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [77] Watson, 2010, Constitutively active androgen receptor splice variants expressed in castration-resistant prostate cancer require full-length androgen receptor., Proc Natl Acad Sci USA source
Not checked in the free run.
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PremisecitationThe WxxLF motif is located in Tau-5, and Tau-5 along with Tau-1 are necessary and sufficient for the intrinsic activity of the androgen receptor N-terminal domain and activity of the AR.
“The WxxLF motif is located in a region that was originally identified as Tau-5 (transactivation unit-5), and along with a similar region called Tau-1, it was found that these regions are necessary and sufficient for the intrinsic activity of the AR N-terminal domain (NTD) and activity of the AR (68).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [68] Callewaert, 2006, Interplay between two hormone-independent activation domains in the androgen receptor., Cancer Res source
Not checked in the free run.
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PremisecitationApproximately half of the ligand-independent transcriptional activity of the androgen receptor in castration-recurrent prostate cancer cells is conferred by the amino-terminal WxxLF domain, which can interact with the AR ligand-binding domain.
“Approximately half of the ligandindependent transcriptional activity of the AR in CR prostate cancer cells is conferred by the amino-terminal WxxLF domain, which can interact with the AR LBD.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [67] Dehm, 2007, Selective role of an NH2-terminal WxxLF motif for aberrant androgen receptor activation in androgen depletion-independent prostate cancer cells., Cancer Res source
Not checked in the free run.
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PremisecitationTwo additional nuclear localization signals exist in the N-terminal domain and ligand-binding domain with distinct import pathways: the DBD NLS is Ran and importin alpha/beta dependent, whereas the NTD and LBD NLS are Ran dependent but importin alpha/beta independent.
“Two additional NLS exist in the NTD in LBD with distinct pathways for import: the NLS of the DBD is Ran and importin ␣/ dependent, whereas the NLS of the NTD and LBD are Ran dependent but importin ␣/ independent (70).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [70] Kaku, 2008, Characterization of nuclear import of the domain-specific androgen receptor in association with the importin α/β and Ran-guanosine 5′-triphosphate systems., Endocrinology source
Not checked in the free run.
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PremisecitationMDV3100 binds to the ligand-binding domain of the androgen receptor, similarly to bicalutamide.
“EPI-001 targets the NTD of the AR (80), whereas MDV 3100 binds to the LBD (81), similarly to bicalutamide.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [81] Tran, 2009, Development of a second-generation antiandrogen for treatment of advanced prostate cancer., Science source
Not checked in the free run.
May combine two claims.
PremisecitationActivating mutations of the androgen receptor can create a promiscuous receptor, alter interactions with coregulatory proteins, and impair intramolecular N-C interactions.
“Activating mutations of the AR have the capacity to create a promiscuous receptor, alter interactions with coregulatory proteins, and impair intramolecular N-C interactions (71).”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [71] Brooke, 2009, The role of androgen receptor mutations in prostate cancer progression., Curr Genomics source
Not checked in the free run.
May combine two claims.
PremisecitationMovement of the androgen receptor into the nucleus is largely dependent upon the nuclear localization signal present in the hinge region of the receptor, with a portion of that regulation also found within the N-terminal domain.
“The movement of the AR into the nucleus is largely dependent upon the nuclear localization signal (NLS) present in the hinge region of the receptor; however, a portion of that regulation is also found within the NTD.”
Quote in the paperNot a substantial claim0 of 1 sources checked- cites [70] Kaku, 2008, Characterization of nuclear import of the domain-specific androgen receptor in association with the importin α/β and Ran-guanosine 5′-triphosphate systems., Endocrinology source
Not checked in the free run.
May combine two claims.
PremisecitationThe activity of AR-V7 and AR-V4 variants still depends on the presence of full-length androgen receptor, although treatment with MDV3100 or siRNA knockdown of full-length AR inhibited transcription and androgen-free growth.
“The activity of these variants still depends on the presence of a full-length AR, although treatment with the AR antagonist MDV3100 or siRNA knockdown of full-length AR inhibited transcription and androgen-free growth (77).”
Quote in the paperSubstantial claim0 of 1 sources checked- cites [77] Watson, 2010, Constitutively active androgen receptor splice variants expressed in castration-resistant prostate cancer require full-length androgen receptor., Proc Natl Acad Sci USA source
Not checked in the free run.
May combine two claims.
Interpretationnone givenActivating signals for the androgen receptor in castration-recurrent disease arise from several non-mutually-exclusive mechanisms including extracellular peptide signals such as EGF and IL-6, upregulation of intracellular kinase pathways such as PI3K/Akt and MAPK activation, altered activity of coregulatory proteins, and intrinsic activation of the AR itself through deregulated intramolecularinter
“Activating signals arise from several, non-mutually-exclusive mechanisms including 1) extracellular peptide signals such as EGF and IL-6, 2) upregulation of intracellular kinase pathways, such as PI3K/Akt and MAPK activation, 3) altered activity of coregulatory proteins, and 4) intrinsic activation of the AR itself through deregulated intramolecular interaction or through expression of constitutiv”
Quote in the paperSubstantial claimProbably not a substantial claim: may not pass S4 (based). May combine two claims.
Premisenone givenA new generation of androgen receptor antagonists are reported to be stronger and more durable inhibitors of transcriptional activity than current compounds used in the clinic.
“A new generation of AR antagonists holds much clinical promise because they are reported to be stronger and more durable inhibitors of transcriptional activity than current compounds used in the clinic.”
Quote in the paperNot a substantial claim
The paper relies on this without support.
Most prostate tumors treated with androgen ablation regrow as a more aggressive, castration-resistant phenotype after a median time of approximately 18-36 months.
“However, after a median time of approximately 18 -36 months, most tumors regrow and are characterized by a more aggressive, androgen depletion-independent or castration-resistant (CR) phenotype.”
The paper relies on this without support.
Kinases such as Src, ERK, Ack1, and NF-B directly modify the androgen receptor and promote its activity in castration-recurrent disease.
“Although there is no denying that the ability of kinases such as Src, ERK, Ack1, and NF-B to directly modify the AR and promote its activity in CR disease provides attractive targets for potential intervention, this line of approach may be fraught with pitfalls.”
The paper relies on this without support.
Redundancy between signaling pathways is the norm rather than the exception.
“Redundancy between pathways, which is increasingly understood to be the norm rather than the exception, makes achieving specificity and durable inhibition difficult to achieve.”
The paper relies on this without support.
Many prostate tumors remain dependent on androgen receptor activity after androgen ablation.
“The realization that many prostate tumors are still dependent on AR activity after androgen ablation has provided a paradigm shift in our understanding of the role of the”
The paper relies on this without support.
The first generations of antiandrogen therapies are effective against androgen-dependent disease but lose efficacy once castration resistance is achieved.
“The first generations of antiandrogen therapies have proven to be effective against AD disease; however, their efficacy is nullified once the tumor achieves castration resistance.”
The paper relies on this without support.
The androgen receptor transcriptome regulates proliferation, lipid production, survival, and secretion.
“The AR transcriptome regulates a myriad of cellular processes including proliferation, lipid production, survival, and secretion.”
Claims other papers make about this one
Each is checked against this paper’s own text: does it say what the citing paper says it does?
Androgen receptors can be modulated by specific proteins called coregulators or mediated via activation of membrane-bound protein receptors to initiate intracellular signalling pathways, which can occur even in the presence of low levels of androgens.
“Androgen receptors can be modulated by specific proteins called coregulators [70–72] or mediated via the activation of membrane-bound protein receptors to initiate intracellular signalling pathways [73], which can occur even in the presence of low levels of androgens [74].”
From Integrating Transwomen and Female Athletes with Differences of Sex Development (DSD) into Elite Competition: The FIMS 2021 Consensus Statement (2021) · cites this paper as [74]
Self-check
Percentages, sums and reported differences re-computed from the paper’s own numbers.
Each contradiction between two passages listed here was confirmed by an independent check.
FOXO1 is described as both inhibiting and promoting androgen-independent AR activity
MinorThe paper reports that FOXO1 expression inhibits androgen-independent AR activation and that silencing FOXO1 increases AR activity. It later describes FOXO1 as promoting AR activity in the absence of ligand.
“suggests a mechanism by which FOXO1 can promote AR activity in the absence of ligand (52).”
“Ectopic expression of FOXO1 in PTEN-null prostate cancer cells inhibits androgen-independent activation of the AR (52).Interestingly, silencing of FOXO1 in PTEN-positive cells increases the basal activity of the AR”
The citation lists haven’t been fetched yet
References 84 · Cited by 150
- Authors
- Lamont, K. R., & Tindall, D. J.
- Affiliations
- Mayo Clinic (US)
- Corresponding author
- Tindall, Donald J.
- Venue
- Molecular Endocrinology
- Publisher
- The Endocrine Society
- Published
- 2011-06-01
- Volume
- 25
- Issue
- 6
- Pages
- 897-907
- ISSN
- 0888-8809 (ISSN-L)
- 1944-9917
- PMC
- PMC3100605
- OpenAlex
- W2075014972
- Semantic Scholar
- 220c0fe4dbcdf0b56765a26743bdb690b8dbce35
- Cited by
- 150
- References
- 84
- Citations by year
- 2026: 2 · 2025: 4 · 2024: 4 · 2023: 3 · 2022: 3 · 2021: 4 · 2020: 10 · 2019: 8 · 2018: 4 · 2017: 11 · 2016: 18 · 2015: 12 · 2014: 12 · 2013: 29 · 2012: 18
- FWCI
- 3.48
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Locations
- Molecular Endocrinology (publishedVersion)
- Europe PMC (PubMed Central) (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- T.J. Martell Foundation
- National Cancer Institute (R01CA121277, CA125747, R01CA125747, CA 091956, CA121277, P50CA091956)
- Topics
- Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
- Keywords
- androgen receptor, prostate cancer, castration resistance, nuclear receptors, coregulators, signaling crosstalk, receptor mutations, therapeutic target
- MeSH terms
- Animals, Humans, Male, Mutation, Prostatic Neoplasms, Protein Kinases, Receptors, Androgen, Signal Transduction, Gene Expression Regulation, Neoplastic, Cytokines, Intercellular Signaling Peptides and Proteins
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