Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic Targeting

Prostate cancer (PCa) is today the second most common cancer in the world, with almost 400,000 deaths annually. Multiple factors are involved in the etiology of PCa, such as older age, genetic mutations, ethnicity, diet, or inflammation. Modern treatment of PCa involves radical surgical treatment or...

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Main Authors: Tomislav Pejčić, Zoran Todorović, Siniša Đurašević, Lazar Popović
Format: Article
Language:English
Published: MDPI AG 2023-02-01
Series:International Journal of Molecular Sciences
Subjects:
Online Access:https://www.mdpi.com/1422-0067/24/3/2939
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author Tomislav Pejčić
Zoran Todorović
Siniša Đurašević
Lazar Popović
author_facet Tomislav Pejčić
Zoran Todorović
Siniša Đurašević
Lazar Popović
author_sort Tomislav Pejčić
collection DOAJ
description Prostate cancer (PCa) is today the second most common cancer in the world, with almost 400,000 deaths annually. Multiple factors are involved in the etiology of PCa, such as older age, genetic mutations, ethnicity, diet, or inflammation. Modern treatment of PCa involves radical surgical treatment or radiation therapy in the stages when the tumor is limited to the prostate. When metastases develop, the standard procedure is androgen deprivation therapy, which aims to reduce the level of circulating testosterone, which is achieved by surgical or medical castration. However, when the level of testosterone decreases to the castration level, the tumor cells adapt to the new conditions through different mechanisms, which enable their unhindered growth and survival, despite the therapy. New knowledge about the biology of the so-called of castration-resistant PCa and the way it adapts to therapy will enable the development of new drugs, whose goal is to prolong the survival of patients with this stage of the disease, which will be discussed in this review.
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spelling doaj.art-2c9f4ebe40ae4c1a9323f4ecd2b599a82023-11-16T17:04:40ZengMDPI AGInternational Journal of Molecular Sciences1661-65961422-00672023-02-01243293910.3390/ijms24032939Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic TargetingTomislav Pejčić0Zoran Todorović1Siniša Đurašević2Lazar Popović3Faculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Biology, University of Belgrade, 11000 Belgrade, SerbiaFaculty of Medicine, University of Novi Sad, 21000 Novi Sad, SerbiaProstate cancer (PCa) is today the second most common cancer in the world, with almost 400,000 deaths annually. Multiple factors are involved in the etiology of PCa, such as older age, genetic mutations, ethnicity, diet, or inflammation. Modern treatment of PCa involves radical surgical treatment or radiation therapy in the stages when the tumor is limited to the prostate. When metastases develop, the standard procedure is androgen deprivation therapy, which aims to reduce the level of circulating testosterone, which is achieved by surgical or medical castration. However, when the level of testosterone decreases to the castration level, the tumor cells adapt to the new conditions through different mechanisms, which enable their unhindered growth and survival, despite the therapy. New knowledge about the biology of the so-called of castration-resistant PCa and the way it adapts to therapy will enable the development of new drugs, whose goal is to prolong the survival of patients with this stage of the disease, which will be discussed in this review.https://www.mdpi.com/1422-0067/24/3/2939prostatecancertherapyantiandrogen resistancenew drugs
spellingShingle Tomislav Pejčić
Zoran Todorović
Siniša Đurašević
Lazar Popović
Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic Targeting
International Journal of Molecular Sciences
prostate
cancer
therapy
antiandrogen resistance
new drugs
title Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic Targeting
title_full Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic Targeting
title_fullStr Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic Targeting
title_full_unstemmed Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic Targeting
title_short Mechanisms of Prostate Cancer Cells Survival and Their Therapeutic Targeting
title_sort mechanisms of prostate cancer cells survival and their therapeutic targeting
topic prostate
cancer
therapy
antiandrogen resistance
new drugs
url https://www.mdpi.com/1422-0067/24/3/2939
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AT lazarpopovic mechanismsofprostatecancercellssurvivalandtheirtherapeutictargeting