Updates on Overcoming Bicalutamide Resistance: A Glimpse Into Resistance to a Novel Antiandrogen Publisher



Izady M^{1, 2} ; Khatami F¹ ; Ahadi Z¹ ; Roudgari H^{3, 4} ; Aghamir SMK¹ Show Affiliations
Source: ACS Pharmacology and Translational Science Published:2024

Abstract

The standard androgen deprivation therapy for advanced prostate cancer includes the use of bicalutamide, which is a well-known antagonist of androgen receptors. Despite numerous benefits of the drugs in prostate cancer treatment, there is always a risk of developing a resistant phenotype, which paves the way for a more aggressive and low-survival type of prostate cancer. Over the years, many studies have investigated the candidate mechanisms of such resistance and have managed to find possible therapeutic solutions. In this Review, we shed light on the heterogeneous dynamics of progression to resistance against bicalutamide treatment, referring to the most recent studies and the approaches that have been so far discussed. This Review tries to offer a deep and comprehensive understanding about how the resistant cells become sensitive to the drug and what corresponding pathways lead to an appropriate solution for the antiandrogen resistance challenge. © 2024 American Chemical Society