Adaptive pathways and treatment resis... - Advanced Prostate...

Advanced Prostate Cancer

23,805 members29,086 posts

Adaptive pathways and treatment resistance

kaptank profile image
3 Replies

G’day Space Cadets

I have attached links to 3 review articles on the mechanisms of treatment resistance. They are technical and hard going (for me anyway). However there is a wealth of interesting stuff even among the few bits I think I understand. They discuss not only mechanisms, but how to disable them and resensitize treatment. There is discussion of some of the supplements familiar to readers, such as Indomethacin, Niclosamide, phytochemicals etc. The first 2, by Armstrong and Gao lists 8 kinds of mechanisms, testament to the adaptive complexity of our critter. Taken together, they are a pretty comprehensive review of what is known about resistance to Enz, Abi and the taxanes. There is a fair bit of crossover resistance, and it seems as if there are common mechanisms of resistance even when there are major differences in the mode of action of the drug. There is a glaring omission in the Armstrong and Gao discussions: high dose Testosterone (HDT, including BAT). The 3rd article by Mahommad et al is a review of what is known about testosterone treatments. I posted it once before but its worth bringing up again. They also identify 8 mechanisms of resistance that HDT could block. They are not quite the same as those identified by A&G but there is a fair bit of crossover. Interesting that HDT attacks over multiple mechanisms. We are dealing with a complex son of a bitch but it has a finite number of adaptive tricks.

Read the abstract, conclusion and the second last section (usually “future directions”) and decide if you want to dive in deeper.

ncbi.nlm.nih.gov/pmc/articl...

ncbi.nlm.nih.gov/pmc/articl...

mdpi.com/2072-6694/9/12/166

Written by
kaptank profile image
kaptank
To view profiles and participate in discussions please or .
Read more about...
3 Replies
kaptank profile image
kaptank

another attempt to send the Mahommad article

mdpi.com/2072-6694/9/12/166

p3d1 profile image
p3d1

"We are dealing with a complex son of a bitch but it has a finite number of adaptive tricks."

That is very true, at some stage in the near future (I hope) they will find a treatment using multiple methods of attack that will wipe this curse out.

Thank you for uploading the links.

j-o-h-n profile image
j-o-h-n

G'day Plebe,

I dealt with a complex son of a bitch for 10 years, then I divorced her...

Good Luck, Good Health and Good Humor.

j-o-h-n Sunday 06/02/2019 2:34 AM DST

Not what you're looking for?

You may also like...

Melatonin - something I haven't seen discussed here, but it should be..

This is well worth reading. It's rather dense and while non-conclusive on the mechanisms at work -...
Don_1213 profile image

"Cancer Prevention and Treatment by 'Wholistic' Nutrition". . . .by T. Colin Campbell

Interesting paper by a well known author. Abstract . . . . . Thus, treatment protocols typically...
cashlessclay profile image

Quercetin targets hnRNPA1 to overcome enzalutamide resistance in prostate cancer cells

"The suppression of AR-V7 by quercetin resensitizes enzalutamide-resistant prostate cancer cells...
George71 profile image

Testosterone & Castration-Resistant PCa.

New paper below. Of great interest to me, but the full text isn't free. -Patrick...
pjoshea13 profile image

ADT enhances the immune system

Recent data are showing that the covid-19 death rate among Italian men is much higher than among...
Tall_Allen profile image

Moderation team

Bethishere profile image
BethishereAdministrator
Number6 profile image
Number6Administrator
Darryl profile image
DarrylPartner

Content on HealthUnlocked does not replace the relationship between you and doctors or other healthcare professionals nor the advice you receive from them.

Never delay seeking advice or dialling emergency services because of something that you have read on HealthUnlocked.