Table 1. Clinical, histological and molecular characteristics of most common CRPC variants.
CRPC variant | Survival | Histology | Molecular aberrations | Ref |
---|---|---|---|---|
| ||||
Neuroendocrine (NEPC) | 1-2 years | chromogranin (+/-),synaptophysin (+/-), AR low/absent | low AR signaling, RB1 loss, TP53 loss, REST, high MYCN, AURKA, EZH2, PEG10, SRRM4, DLL3, epigenetic | [19, 23-27, 33, 49, 50, 52, 60] |
Small cell carcinoma | 7 months | Small blue/oat cells | ||
| ||||
“AR indifferent” castration resistant adenocarcinoma | To be defined | Adenocarcinoma, AR (+), | AR signaling low, RB1 loss, TP53 loss, high EZH2 | [33, 38, 39] |
| ||||
Intermediate atypical | To be defined | To be defined | Mixed/overlapping molecular features with adenocarcinoma and NEPC | [14, 57] |
| ||||
Aggressive variant | 9-17 months | Heterogeneous (Adenocarcinoma or NEPC) | RB1, TP53, PTEN loss | [51, 53-55] |
| ||||
Ductal | 84 months | High Gleason, endometrioid | MMR gene alterations/hypermutation | [60, 61, 63] |