PMID- 12085971 OWN - NLM STAT- MEDLINE DCOM- 20021220 LR - 20191106 IS - 0167-7659 (Print) IS - 0167-7659 (Linking) VI - 20 IP - 3-4 DP - 2001 TI - Signal transduction targets in androgen-independent prostate cancer. PG - 351-62 AB - Prostate cancer (PCa) first manifests as an androgen-dependent disease. Thus, androgen-deprivation therapy is a standard regimen for patients with metastatic PCa. Despite the initial success of androgen-deprivation therapy, PCa inevitably progresses from being androgen dependent (AD) to androgen independent (AI), and this marks the poor prognosis of this disease. Relapse of AIPCa becomes life threatening and accounts for the majority of mortality of PCa patients. Currently, no effective therapy is available for controlling AIPCa. Therefore, the challenge in providing a new intervention is to understand the fundamental changes that occur in AIPCa. Increasing evidence indicates that, under androgen-deprived milieu, several signal networks elicited by peptide growth factors dictate the AI phenotype of PCa. This review covers the latest studies investigating the potential involvement of autocrine growth factors in cell proliferation, survival, metastasis, and the reciprocal interaction with the androgen receptor pathway. In addition, loss of the negative feedback mechanism of the signal cascade further amplifies the effect of growth factors, and thus contributes significantly to the onset of AIPCa. The understanding of the signal target(s) in AIPCa should provide the new markers for prognosis and a new strategy for prevention and therapy. FAU - Zhou, J AU - Zhou J AD - Department of Urology, University of Texas Southwestern Medical Center at Dallas, 75390-9110, USA. FAU - Scholes, J AU - Scholes J FAU - Hsieh, J T AU - Hsieh JT LA - eng GR - DK 4765707/DK/NIDDK NIH HHS/United States PT - Journal Article PT - Research Support, U.S. Gov't, P.H.S. PT - Review PL - Netherlands TA - Cancer Metastasis Rev JT - Cancer metastasis reviews JID - 8605731 RN - 0 (Androgens) RN - 0 (Receptors, Androgen) SB - IM MH - Adenocarcinoma/*metabolism/pathology/therapy MH - Androgens/*therapeutic use MH - Cell Division MH - Disease Progression MH - Humans MH - Male MH - Neoplasms, Hormone-Dependent/*metabolism/pathology/therapy MH - Prostatic Neoplasms/*metabolism/pathology/therapy MH - Receptors, Androgen/metabolism MH - Signal Transduction/*physiology RF - 122 EDAT- 2002/06/28 10:00 MHDA- 2002/12/21 04:00 CRDT- 2002/06/28 10:00 PHST- 2002/06/28 10:00 [pubmed] PHST- 2002/12/21 04:00 [medline] PHST- 2002/06/28 10:00 [entrez] AID - 10.1023/a:1015504015302 [doi] PST - ppublish SO - Cancer Metastasis Rev. 2001;20(3-4):351-62. doi: 10.1023/a:1015504015302.