“…These mechanisms include (a) gene amplification and increased expression of the AR protein (6); (b) selection of point mutations in the AR ligand binding that can result in activation by nonandrogenic ligands (7), or mutations in other regions, such as the amino terminus (8) or the DNA-binding domain that confer oncogenic properties to the AR (9); (c) expression of alternatively spliced variants of the AR that lack the ligand-binding domain and are constitutive active (10)(11)(12); the mRNA of two of the most abundant isoforms, AR-V1 and AR-V7, showed an average 20-fold higher expression in HRPC specimens (n = 25) when compared with hormone-naive prostate cancer (n = 82; P < 0.0001; ref. 11); (d) changes in the expression ratios between AR, coactivators, and corepressors (13)(14)(15); (e) changes in the expression of enzymes involved in steroidogenesis (16); and ( f ) changes in signal transduction pathways (epidermal growth factor, insulin-like growth factor, interleukin-6, Wnt signaling, Stat5a/b, Ras/Raf/mitogenactivated protein kinase, phosphatidylinositol 3-kinase/Akt, etc.) that promote post-translational modifications (e.g., phosphorylation) of the AR and potentiate its activity under androgen-depleted conditions (17)(18)(19)(20)(21).…”