Novel Target Opportunities in Non-Metastatic Castrate Resistant Prostate Cancer.

Novel Target Opportunities in Non-Metastatic Castrate Resistant Prostate Cancer.
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DOI:
10.3390/cancers13102426
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发表时间:
2021-05-17
期刊:
影响因子:
5.2
通讯作者:
Kotula L
Kotula L
中科院分区:
医学2区
文献类型:
--
作者:
Gleicher S;Porter BA;Nath D;Li G;Khanna R;Goldberg H;Kortylewski M;Bratslavsky G;Kotula L

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在通过手术切除或放疗进行前列腺癌局部治疗后,可能发生生化复发,并在雄激素剥夺治疗(ADT)后进展为去势抵抗(CR)。如果疾病持续存在,男性会发生转移性疾病(mCRPC),导致死亡。在mCRPC之前,存在非转移性状态(nmCRPC),其特征为PSA升高和缺乏可检测的转移。在这里,我们回顾了潜在的治疗策略,以干扰癌症变得致命之前的过渡。近三分之一的男性在治疗局限性前列腺癌后会发生生化复发。雄激素剥夺治疗(ADT)是治疗的主要手段;然而,一些患者会转变为去势抵抗状态(去势抵抗性前列腺癌,CRPC)。CRPC受试者可能发生症状性转移性疾病(mCRPC),并在数年后死亡。然而,在转移性疾病之前,男性获得非转移性CRPC(nmCRPC),这为干预延迟疾病进展和症状提供了独特的机会。本文综述了nmCRPC的当前治疗方法,以及针对nmCRPC男性患者的新型治疗方法和途径策略。
Following local treatment of prostate cancer by surgical removal or radiation, biochemical recurrence may occur and progress to castration resistance (CR) following androgen deprivation therapy (ADT). If disease persists, men develop metastatic disease (mCRPC) which leads to death. Prior to mCRPC, a non-metastatic state exists (nmCRPC) characterized by a rise in PSA and lack of detectable metastases. Here, we review potential therapeutic strategies to interfere with the transition before the cancer becomes deadly. Nearly one third of men will incur biochemical recurrence after treatment for localized prostate cancer. Androgen deprivation therapy (ADT) is the therapeutic mainstay; however, some patients will transition to a castrate resistant state (castrate resistant prostate cancer, CRPC). Subjects with CRPC may develop symptomatic metastatic disease (mCRPC) and incur mortality several years later. Prior to metastatic disease, however, men acquire non-metastatic CRPC (nmCRPC) which lends the unique opportunity for intervention to delay disease progression and symptoms. This review addresses current therapies for nmCRPC, as well as novel therapeutics and pathway strategies targeting men with nmCRPC.
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