Figure 1
Mechanisms of resistance to androgen deprivation therapy. Three main mechanisms of resistance to androgen deprivation therapy
related to androgen receptor (AR) are depicted. Other mechanisms of resistance have been described, such as androgen-independent
activation of AR mediated by oncogenic signaling (see text and Wadosky & Koochekpour 2016). (A) Castration-resistant prostate
cells overexpress AR because of gene amplification; (B) point mutated ARs are constitutively active; (C) AR splice variants
are ligand independent. The AR splice variant 7 (ARv7), one of the most clinically prevalent, is depicted. In any case, ARs
bind to DNA, leading to a deregulated expression of androgen-target genes and, in turn, to aberrant proliferation of prostate
cells. AR, androgen receptor; ARE, androgen-responsive element; DHT, dihydrotestosterone.