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Genetic Considerations in the Evolving Treatment Landscape of Hormone-Sensitive and Hormone-Resistant Prostate Cancer

A special issue of International Journal of Molecular Sciences (ISSN 1422-0067). This special issue belongs to the section "Molecular Oncology".

Deadline for manuscript submissions: 28 February 2025 | Viewed by 83

Special Issue Editor

Special Issue Information

Dear Colleagues,

The treatment landscape for hormone-sensitive prostate cancer (HSPC) has evolved rapidly in recent years, with the aim of achieving long-lasting or durable disease control. This is crucial in enhancing the quality of life of affected patients. Historically, the standard of care involved simple androgen deprivation therapy (ADT) using luteinizing hormone-releasing hormone (LHRH) agonists or antagonists. However, since 2015, the therapeutic approach has advanced, introducing the use of Docetaxel as an initial dual therapy with ADT and later incorporating combination therapies with androgen receptor axis-targeted therapy agents (ARATs) such as abiraterone, enzalutamide, apalutamide, and talazoparib. Furthermore, triplet therapies (PEACE-1: abiraterone; ARASENS: darolutamide; + docetaxel +ADT) have emerged as additional treatment options for HSPC. Clinical trials such as STAMPEDE have demonstrated significant improvements in survival for patients with metastatic hormone-sensitive prostate cancer (mHSPC) through the use of targeted therapies such as local radiotherapy. Similarly, cytoreductive radical prostatectomy has been shown to provide a survival advantage in this patient population. The transition to hormone-resistant prostate cancer (HRPC) represents a critical juncture in the disease trajectory, emphasizing the need for the development of improved targeted therapies and enhanced genetic characterization. However, the selection of the optimal therapy for each individual patient remains a challenging task due to the multitude of available options. Genetic profiling through tissue and liquid biopsies is gaining recognition as it contributes to a deeper understanding of the underlying biology and may lead to the more precise and personalized selection of therapy. It is hoped that further advancements in personalized medicine will significantly enhance the treatment outcomes and quality of life for patients with HSPC and HRPC.

Dr. Pierre Tennstedt
Guest Editor

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Keywords

  • prostate cancer
  • hormone-sensitive prostate cancer, HSPC
  • hormone-resistant prostate cancer, HRPC
  • metastasis
  • androgen deprivation therapy
  • docetaxel
  • androgen receptor axis-targeted therapy agents, ARAT
  • abiraterone
  • enzalutamide
  • apalutamide
  • talazoparib
  • genetic
  • biomarker
  • liquid biopsy

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