Zoubeidi Amina, Ghosh Paramita M
Department of Urologic Sciences, University of British Columbia, Vancouver, British Columbia, Canada.
Department of Urologic Surgery, School of Medicine, University of California Davis, Sacramento, California, USA.
Endocr Relat Cancer. 2021 Jul 15;28(8):T1-T10. doi: 10.1530/ERC-21-0192.
In this issue of Endocrine-Related Cancer, we are celebrating the 80th anniversary of hormone ablation as treatment for metastatic prostate cancer. Our understanding has evolved from the observation that androgen withdrawal, either surgical or pharmacological, resulted in prostatic atrophy in animal models, to its application in patients, to investigation of the mysterious way in which prostate cancer escapes androgen dependence. We are now in an era of novel AR pathway inhibitors, the combination of androgen ablation with chemotherapy, PARP inhibitors, immunotherapies, guided radiotherapy, and novel drug application based upon genetic testing of individual tumors. In this special issue, we bring together a collection of eight reviews that cover not only the history of 80 years of progress after the initial identification of androgen ablation as an effective treatment of prostate cancer, but subsequent improvements in the understanding of the biology of the disease, development of novel treatment paradigms, resistance to those treatments and disease progression following that resistance.
在本期《内分泌相关癌症》中,我们正在庆祝激素消融作为转移性前列腺癌治疗方法的80周年。我们的认识已经从观察到手术或药物去雄激素会导致动物模型中的前列腺萎缩,发展到将其应用于患者,再到研究前列腺癌逃避雄激素依赖的神秘方式。我们现在处于一个新型雄激素受体(AR)通路抑制剂、雄激素消融与化疗联合、聚(ADP-核糖)聚合酶(PARP)抑制剂、免疫疗法、精准放疗以及基于个体肿瘤基因检测的新型药物应用的时代。在这个特刊中,我们汇集了八篇综述,这些综述不仅涵盖了自最初确定雄激素消融为前列腺癌有效治疗方法后的80年进展历程,还包括对该疾病生物学认识的后续改进、新型治疗模式的发展、对这些治疗的耐药性以及耐药后的疾病进展情况。