Prostate cancer is the second leading cause of cancer death for men in the United States. While most treatment resistant prostate cancers are driven by androgen receptor (AR) signaling, resistance patterns are evolving, and non-AR-driven prostate cancers have risen in incidence. Now representing up to 15-20% of advanced disease, non-AR-driven prostate cancer is associated with highly aggressive disease and pathologic transformation to neuroendocrine prostate cancer (NEPC). NEPC is often underdiagnosed since the current diagnosis is reliant on metastatic tumor biopsy. The expanded capability of the advanced cancer cell detection technology will allow Dr. Himisha Beltran, in collaboration with Dr. Srinivas Viswanathan, to detect and track gene expression patterns associated with AR and non-AR pathway using circulating tumor cells in patients’ blood samples.
The development of a non-invasive approach to detect prostate cancer resistance subtypes including NEPC would lead to more precise and effective treatment strategies.





