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Current therapy and drug resistance in metastatic castration-resistant prostate cancer

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机构: [1]Department of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong, PR China [2]The Third Clinical College, Southern Medical University, Guangzhou 510630, Guangdong, PR China [3]Zhanjiang Institute of Clinical Medicine, Central People’s Hospital of Zhanjiang, Zhanjiang 524045, Guangdong, PR China [4]Department of Radiotherapy, Affiliated Cancer Hospital & Institute of Guangzhou Medical University, Guangzhou 510095, Guangdong, PR China [5]School of Basic Medical Sciences, Guangzhou Medical University, Guangzhou 511436, Guangdong, PR China [6]Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, PR China [7]New York College of Traditional Chinese Medicine, Mineola 11501, NY, USA
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关键词: Metastatic castration-resistance prostate cancer (mCRPC) Drug resistance Chemotherapy Androgen receptor signaling inhibitors (ARSIs) Poly (ADP-ribose) polymerase (PARP) inhibitors (PARPi)

摘要:
Castration-resistant prostate cancer (CRPC), especially metastatic castration-resistant prostate cancer (mCRPC) is one of the most prevalent malignancies and main cause of cancer-related death among men in the world. In addition, it is very difficult for clinical treatment because of the natural or acquired drug resistance of CRPC. Mechanisms of drug resistance are extremely complicated and how to overcome it remains an urgent clinical problem to be solved. Thus, a comprehensive and thorough understanding for mechanisms of drug resistance in mCRPC is indispensable to develop novel and better therapeutic strategies. In this review, we aim to review new insight of the treatment of mCRPC and elucidate mechanisms governing resistance to new drugs: taxanes, androgen receptor signaling inhibitors (ARSIs) and poly (ADP-ribose) polymerase (PARP) inhibitors (PARPi). Most importantly, in order to improve efficacy of these drugs, strategies of overcoming drug resistance are also discussed based on their mechanisms respectively.Copyright © 2023 The Authors. Published by Elsevier Ltd.. All rights reserved.

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出版当年[2022]版
大类 | 1 区 医学
小类 | 1 区 药学
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大类 | 1 区 医学
小类 | 1 区 药学
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第一作者机构: [1]Department of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong, PR China [2]The Third Clinical College, Southern Medical University, Guangzhou 510630, Guangdong, PR China [3]Zhanjiang Institute of Clinical Medicine, Central People’s Hospital of Zhanjiang, Zhanjiang 524045, Guangdong, PR China
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通讯机构: [1]Department of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong, PR China [2]The Third Clinical College, Southern Medical University, Guangzhou 510630, Guangdong, PR China [6]Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong, PR China [*1]Department of Urology, The Third Affiliated Hospital of Southern Medical University, Guangzhou 510630, Guangdong, PR China
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