PMID- 24717975 OWN - NLM STAT- MEDLINE DCOM- 20150223 LR - 20181202 IS - 1879-1220 (Electronic) IS - 0960-0760 (Linking) VI - 145 DP - 2015 Jan TI - Reconsideration of progression to CRPC during androgen deprivation therapy. PG - 164-71 LID - S0960-0760(14)00086-7 [pii] LID - 10.1016/j.jsbmb.2014.03.015 [doi] AB - Androgen blockade-naive prostate cancer (PCa) develops into CRPC during androgen deprivation therapy (ADT) by various genetic actions. The androgen-AR signaling axis plays a key role in this development. PCa cells mainly adapt themselves to the environment of lower androgen concentrations and change into androgen-hypersensitive cells or androgen-independent cells. Androgens of adrenal origin and their metabolites synthesized in the microenvironment in an intracrine/paracrine fashion act on surviving PCa cells and secrete prostate specific antigen (PSA). Total androgen deprivation (TAD) (castration, antiandrogen, and CYP17A1 inhibitor) can become an effective therapeutic strategy concerning the androgen signaling axis-related pathway. However, it is important to ascertain whether elevation of serum PSA results from AR activation or from an androgen-independent tumor volume effect. Then, clinicians can judge it adequately using the imaging studies such as CT or bone scan as well as PSA and bone metabolic markers, an approach which is necessary to judge which treatment is most suitable for the CRPC patients. This article is part of a Special Issue entitled 'Essential role of DHEA'. CI - Copyright (c) 2014 Elsevier Ltd. All rights reserved. FAU - Mizokami, Atsushi AU - Mizokami A AD - Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Sciences, 13-1 Takaramachi, Kanazawa, Ishikawa 920-8640, Japan. Electronic address: mizokami@med.kanazawa-u.ac.jp. FAU - Namiki, Mikio AU - Namiki M AD - Department of Integrative Cancer Therapy and Urology, Kanazawa University Graduate School of Medical Sciences, 13-1 Takaramachi, Kanazawa, Ishikawa 920-8640, Japan. LA - eng PT - Journal Article PT - Review DEP - 20140406 PL - England TA - J Steroid Biochem Mol Biol JT - The Journal of steroid biochemistry and molecular biology JID - 9015483 RN - 0 (AR protein, human) RN - 0 (Androgen Antagonists) RN - 0 (Androgens) RN - 0 (Receptors, Androgen) RN - 0 (Steroids) RN - 0 (Taxoids) RN - 15H5577CQD (Docetaxel) RN - 459AG36T1B (Dehydroepiandrosterone) RN - EC 3.4.21.77 (Prostate-Specific Antigen) SB - IM MH - Androgen Antagonists/therapeutic use MH - Androgens/*metabolism MH - Dehydroepiandrosterone/*metabolism MH - Disease Progression MH - Docetaxel MH - Humans MH - Male MH - Prostate-Specific Antigen/metabolism MH - Prostatic Neoplasms/*drug therapy/pathology MH - Prostatic Neoplasms, Castration-Resistant/*drug therapy/pathology MH - Receptors, Androgen/metabolism MH - Signal Transduction MH - Steroids/metabolism MH - Taxoids/therapeutic use OTO - NOTNLM OT - Androgen deprivation therapy OT - CRPC OT - DHEA OT - Mechanism EDAT- 2014/04/11 06:00 MHDA- 2015/02/24 06:00 CRDT- 2014/04/11 06:00 PHST- 2014/02/14 00:00 [received] PHST- 2014/03/19 00:00 [revised] PHST- 2014/03/28 00:00 [accepted] PHST- 2014/04/11 06:00 [entrez] PHST- 2014/04/11 06:00 [pubmed] PHST- 2015/02/24 06:00 [medline] AID - S0960-0760(14)00086-7 [pii] AID - 10.1016/j.jsbmb.2014.03.015 [doi] PST - ppublish SO - J Steroid Biochem Mol Biol. 2015 Jan;145:164-71. doi: 10.1016/j.jsbmb.2014.03.015. Epub 2014 Apr 6.