Reason found for failure of hormone deprivation therapy in prostate cancer - Modern Medicare

Reason found for failure of hormone deprivation th

Jayata Sharma | 5 February, 2009 | 04:06 PM

Researchers now know why hormone deprivation therapy is not so successful in prostate cancer patients


Researchers now know why hormone deprivation therapy is not so successful in prostate cancer patients

Researchers now know why hormone deprivation therapy is not so successful in prostate cancer patients. Prostate cancer cells rely on androgens, male hormones that include testosterone, to survive and grow. This hormone deprivation therapy causes tumours to shrink, however, it’s never a cure. They tumours eventually regrow into a stronger form, becoming resistant to treatment.
To understand why this therapy eventually fails, researchers looked at a key player: the androgen receptors on prostate cancer cells. They searched for variations of the nucleic acid RNA that prostate cells use to create androgen receptors, eventually identifying seven RNA sequences different from the ‘normal’ androgen receptor already known.
Looking for these sequences in cells isolated from 124 prostate cancer patients, they found over-production of outlaw variants in prostate cancer cells taken from patients whose disease had become resistant to hormone deprivation therapy. Researchers also found a variation known as AR-V7 that was prevalent in a select group of patients who had never taken hormone therapy, but whose cancer aggressively regrew after surgery to remove their tumours. The results suggest that hormone therapy might encourage prostate cancer cells to overproduce the AR-V7 receptors over time, leading them to survive and grow aggressively even without androgens.

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