Open research questions in Prostate Cancer Treatment and Research
223 unresolved questions extracted from the limitations and future-work sections of 635 Prostate Cancer Treatment and Research papers in our library. Each links back to the study that raised it.
What the literature leaves open
Further investigation of the role of AS in PCa, - Exploration of the potential of AS as a biomarker for PCa prognosis
Prognostic alternative mRNA splicing signature and immune infiltration in prostate cancer · 2026 · DOIThe paper identifies a gap in understanding the correlation between AS events and overall survival in prostate cancer patients. The study aims to address this gap by exploring the AS milieu in tumors to identify biological markers with high prognostic significance.
Prognostic alternative mRNA splicing signature and immune infiltration in prostate cancer · 2026 · DOIFurther research is needed to evaluate the cost-effectiveness of medical ADT compared to surgical ADT in different settings, - Research on the long-term effects of medical ADT and surgical ADT on patients with advanced prostate cancer is needed
The cost-effectiveness of medical versus surgical androgen deprivation therapy for advanced prostate cancer in Tanzania: a Markov model-based analysis · 2026 · DOIThe study identifies a need to evaluate the cost-effectiveness of medical androgen deprivation therapy compared to surgical androgen deprivation therapy in Tanzania. There is a gap in knowledge about the cost-effectiveness of these treatments in limited resource settings.
The cost-effectiveness of medical versus surgical androgen deprivation therapy for advanced prostate cancer in Tanzania: a Markov model-based analysis · 2026 · DOIThe paper identifies technical limitations in the clinical translation of spatial transcriptomics in metastatic castration-resistant prostate cancer. The authors note the challenge of integrating the spatial architecture of the tumor microenvironment into routine clinical trial design. The paper highlights the need for further research to overcome the ecological drivers of resistance.
Tumor‑immune spatiotemporal co‑evolution: A new paradigm for understanding and overcoming therapy resistance in metastatic castration‑resistant prostate cancer (Review) · 2026 · DOIThe paper identifies a gap in the current understanding of the mechanisms driving therapy resistance in metastatic castration-resistant prostate cancer. The authors highlight the need for a comprehensive understanding of the ecological drivers of resistance. The paper notes that prior work has not fully considered the spatial and temporal dynamics of the immune ecosystem.
Tumor‑immune spatiotemporal co‑evolution: A new paradigm for understanding and overcoming therapy resistance in metastatic castration‑resistant prostate cancer (Review) · 2026 · DOIInvestigation into the molecular basis for tissue selectivity, - Development of SARMs with estrogenic activity, - Head-to-head trials comparing SARMs to conventional androgens, - Research into the long-term effects of SARMs
The gap in understanding SARMs' tissue selectivity and their potential clinical applications. The lack of head-to-head trials with conventional androgens. The need for further research on the molecular mechanisms underlying SARMs' effects.
Despite the negative regulation of E-cadherin expression by Rac1, the loss of Rac1 was insufficient to reverse the mesenchymal phenotype typical of AR-null PCa cells.
Identifying the GEF(s) responsible for Rac activation in any given model is daunting due to limited knowledge about the spatial and temporal expression of individual members of the large Rac-GEF family and their activation statuses.
Background: Prostate cancer demonstrates significant metabolic heterogeneity, but its role in therapeutic resistance and disease progression remains unclear.
Metabolic subtyping reveals PDIK1L as a dual-functional regulator of progression and PARP inhibitor sensitivity in prostate cancer · 2025 · DOIThe AR/AR-V7 protein is regulated by the E3 ubiquitin ligase STUB1 and a complex involving HSP70, but the precise mechanism remains unclear.
A novel peptide encoded by circSRCAP confers resistance to enzalutamide by inhibiting the ubiquitin-dependent degradation of AR-V7 in castration-resistant prostate cancer · 2025 · DOIFurther research into the underlying biological mechanisms is needed, highlighting the need for safe, targeted therapeutic approaches in PCa treatment.
While ASCs within PPAT influence the tumor stroma, the mechanisms behind their interactions with PCa cells are not fully understood, with studies reporting both inhibitory and promoting effects on cancer progression.
Future studies are required to further characterize the clinical utility of further treatment intensification among men with mHSPC for whom ADT plus enzalutamide fails to achieve undetectable PSA.
Non-Hispanic Black men are poorly represented in precision oncology cohorts, and therefore differences in alterations frequencies between non-Hispanic Black and White men remain poorly characterized.
Somatic Tumor Next-Generation Sequencing in US Veterans With Metastatic Prostate Cancer · 2025 · DOIFinally, a public epigenomic resource was generated using a distinct chromatin marker that has not been widely investigated in prostate cancer.
Plasma Cell–Free DNA Chromatin Immunoprecipitation Profiling Depicts Phenotypic and Clinical Heterogeneity in Advanced Prostate Cancer · 2024 · DOIAlthough many known genetic alterations can predispose tumors to acquiring the NEPC phenotype, it remains unclear what, if any, drivers are essential to this progression.
Nevertheless, our knowledge of NTD structure has been limited to the primary sequence of amino acid chain and a few secondary structure motif, acting as a barrier for computational and pharmaceutical analysis to decipher dynamic conformation and drug-target interaction.
N-terminal domain of androgen receptor is a major therapeutic barrier and potential pharmacological target for treating castration resistant prostate cancer: a comprehensive review · 2024 · DOIHowever, it remains unclear how the expression of putative lineage markers, particularly cell surface molecules, varies in the process of lineage plasticity, wherein tumor cells alter their identity and acquire new oncogenic properties.
Single-cell analysis of treatment-resistant prostate cancer: Implications of cell state changes for cell surface antigen–targeted therapies · 2024 · DOIHow inflammation contributes to prostate enlargement and/or BPH symptoms and the underlying mechanisms remain unclear.
Inflammation impacts androgen receptor signaling in basal prostate stem cells through interleukin 1 receptor antagonist · 2024 · DOIINTRODUCTION: Visceral metastasis is an important predictor for poor outcomes in prostate cancer, however, the prognostic significance surrounding the specific sites of visceral metastasis remains unclear.
Impact of different visceral metastatic sites on survival in metastatic prostate cancer patients · 2024 · DOIThe molecular mechanisms driving the onset and metastasis of prostate cancer remain poorly understood.
The use of androgen receptor pathway inhibitors (ARPIs) has led to an increase in the proportion of AR-null prostate cancer, including neuroendocrine prostate cancer (NEPC) and double-negative prostate cancer (DNPC), but the mechanism underlying this lineage transition has not been elucidated.
However, the agent that is more effective against nonmetastatic CRPC remains unclear.
Enzalutamide versus Abiraterone Plus Prednisolone for Nonmetastatic Castration-Resistant Prostate Cancer: A Sub-Analysis from the ENABLE Study for PCa · 2024 · DOI
Most-cited papers in Prostate Cancer Treatment and Research
- Docetaxel plus Prednisone or Mitoxantrone plus Prednisone for Advanced Prostate Cancer · New England Journal of Medicine · 2004 · 4,833 citations
- Sipuleucel-T Immunotherapy for Castration-Resistant Prostate Cancer · New England Journal of Medicine · 2010 · 4,779 citations
- Increased Survival with Enzalutamide in Prostate Cancer after Chemotherapy · New England Journal of Medicine · 2012 · 3,921 citations
- Biochemical Outcome After Radical Prostatectomy, External Beam Radiation Therapy, or Interstitial Radiation Therapy for Clinically Localized Prostate Cancer · JAMA · 1998 · 3,753 citations
- Abiraterone and Increased Survival in Metastatic Prostate Cancer · New England Journal of Medicine · 2011 · 3,739 citations
- Recurrent Fusion of TMPRSS2 and ETS Transcription Factor Genes in Prostate Cancer · Science · 2005 · 3,310 citations
- Docetaxel and Estramustine Compared with Mitoxantrone and Prednisone for Advanced Refractory Prostate Cancer · New England Journal of Medicine · 2004 · 3,042 citations
- Alpha Emitter Radium-223 and Survival in Metastatic Prostate Cancer · New England Journal of Medicine · 2013 · 2,952 citations
- Prednisone plus cabazitaxel or mitoxantrone for metastatic castration-resistant prostate cancer progressing after docetaxel treatment: a randomised open-label trial · The Lancet · 2010 · 2,742 citations
- Natural History of Progression After PSA Elevation Following Radical Prostatectomy · JAMA · 1999 · 2,617 citations
Most recent work
- Trial Design and Objectives for Patients With Prostate Cancer: Recommendations From the Prostate Cancer Working Group 4 · Journal of Clinical Oncology · 2026
- IL-6/STAT3 signaling in prostate cancer: CAF-driven immune evasion and therapeutic opportunities · Frontiers in Immunology · 2026
- Transdermal Estradiol Patches in Locally Advanced Prostate Cancer · New England Journal of Medicine · 2026
- Systemic Therapy in Patients With Metastatic Castration-Resistant Prostate Cancer: ASCO Living Guideline, Version 2026.1 · Journal of Clinical Oncology · 2026
- Differential response to LSD1 inhibition in prostate cancer reveals a YAP1 vulnerability in the neuroendocrine subtype · bioRxiv · 2026
- EAU-EANM-ESTRO-ESUR-ISUP-SIOG Guidelines on Prostate Cancer. Part II—2026 Update:Treatment of Relapsing and Metastatic Prostate Cancer · EUR Research Repository (Erasmus University Rotterdam) · 2026
- Radiographic Progression With and Without Prostate-Specific Antigen Rise in Patients With Advanced Prostate Cancer Treated With Enzalutamide · Journal of Clinical Oncology · 2026
- TALAPRO-3: Talazoparib (TALA) + enzalutamide (ENZA) compared with placebo (PBO) + ENZA for the treatment of patients (pts) with metastatic castration-sensitive prostate cancer (mCSPC) harboring homologous recombination repair (HRR) gene alterations. · Journal of Clinical Oncology · 2026
- Perioperative Apalutamide in High-Risk Localized Prostate Cancer · New England Journal of Medicine · 2026
- Increasing Cancer Stemness Drives Prostate Cancer Progression, Plasticity, Therapy Resistance and Poor Patient Survival · bioRxiv · 2026
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