2012
DOI: 10.1111/iju.12005
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Adaptation and clonal selection models of castration‐resistant prostate cancer: Current perspective

Abstract: Abbreviations & AcronymsAbstract: Prostate cancer is a leading cause of cancer deaths in men worldwide. Management of the disease has remained a great challenge and even more so is the aggressive advanced stage with castration-resistant behavior. The mechanisms and timing of development of castration-resistant prostate cancer are unclear and remain debatable. Progression to castration-resistant prostate cancer is undoubtedly multifactorial, with a number of molecular-genetic aberrations implicated. However, a … Show more

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Cited by 46 publications
(34 citation statements)
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“…These models propose that genomic instability within the primary tumor results in cell diversity due to mutations in subset of tumor cells (e.g. review Ahmed, Li 2013 [48] ). In additional, the cancer stem cell theory has been proposed [38,49,50] .…”
Section: Modern Biochemistry and Post-genomic Technologies In Researcmentioning
confidence: 99%
“…These models propose that genomic instability within the primary tumor results in cell diversity due to mutations in subset of tumor cells (e.g. review Ahmed, Li 2013 [48] ). In additional, the cancer stem cell theory has been proposed [38,49,50] .…”
Section: Modern Biochemistry and Post-genomic Technologies In Researcmentioning
confidence: 99%
“…It is an open question whether castration resistance evolves from selection acting on a small population of CR cells that exist in the tumor before treatment (the selection hypothesis), or whether CR strains arise during treatment (the adaptation hypothesis), or both (28,29,30). The role accommodative changes play is also not well understood.…”
Section: Formulation Of the Mathematical Modelmentioning
confidence: 99%
“…and solutions are independent, so each population grows as in (1). The only constraint will be that the total amount of the carrying capacities is a constant:…”
Section: Two Populations Modelmentioning
confidence: 99%
“…Under the pressure of an anti-androgen drug, the second group becomes gradually dominant and causes the clinical relapse and the emergence of a disseminated castration-resistant prostate cancer. Two main models were developed to depict the evolution of the ratio between the sensitive and resistant cells: the 'adaptation' model and the 'clonal selection' model ( [1], [2], [3]). The adaptation model suggests that prostate cancer is initially composed by homogeneous cells, in terms of their androgen requirement, and castration resistance emerges through genetic or epigenetic switches of androgendependent cells to androgen-independent cells.…”
Section: Introductionmentioning
confidence: 99%