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- •Preface
- •Contents
- •1.1 Introduction
- •1.5 Prostate Cancer
- •References
- •2.3.1 Smoking
- •2.3.2 Height
- •2.3.3 Physical Activity
- •2.1 Introduction
- •2.2.1 Incidence
- •2.2.2 Survival
- •2.2.3 Mortality
- •2.3.4 Coffee
- •References
- •3.1 Introduction
- •References
- •4.1 Introduction
- •4.2 Autophagy Flux
- •4.4 Apoptosis Mechanism
- •4.4.1 Intrinsic Pathway
- •4.4.2 Extrinsic Pathway
- •4.4.3 Perforin/Granzyme Pathway
- •4.6 Ferroptosis Machinery
- •References
- •5.1 Introduction
- •References
- •6.1 Introduction
- •6.8 Conclusion
- •References
- •7.1 Introduction
- •7.2.2 EZH2 Action Modes
- •References
- •8.1 Introduction
- •References
- •9.1 Introduction
- •9.4.1 Oncogenic lncRNAs
- •9.4.2 Tumor-Suppressive lncRNAs
- •References
- •10.1 Introduction
- •10.4 Prostate Cancer TME
- •10.7 Conclusion
- •References
- •11.1 Introduction
- •11.3 Chemoresistant Mediated by AR Axis
- •11.10 Conclusion
- •References
- •12.1 Introduction
- •12.2 Curcumin
- •12.3 Epigallocatechin Gallate (EGCG)
- •12.4 Emodin
- •12.5 Thymoquinone (TQ)
- •12.6 Genistein
- •12.7 Parthenolide
- •12.8 Conclusion
- •References
- •13.1 Introduction
- •13.7 Conclusion
- •References
- •14.1 Introduction
- •14.3.1 Polymer-Based Nanoparticles
- •14.3.2 Liposomes
- •14.3.3 Gold Nanoparticles
- •14.3.4 Quantum Dots (QDs)
- •14.3.5 Magnetic Nanoparticles (MNPs)
- •14.3.6 Mesoporous Silica Nanoparticles (MSNs)
- •14.3.7 Dendritic Polymers
- •14.4 Micelles
- •14.6 Conclusion
- •References

Prostate Cancer:
Molecular Events
and Therapeutic
Modalities
GautamSethi
MiladAshrazadeh
NasimEbrahimi
Editors
123

Prostate Cancer: Molecular Events and Therapeutic
Modalities

Gautam Sethi • Milad Ashrazadeh
Nasim Ebrahimi
Editors
Prostate Cancer: Molecular
Events and Therapeutic
Modalities

Editors
Gautam Sethi
Yong Loo Lin School of Medicine,
Department of Pharmacology
National University of Singapore
Singapore, Singapore
Nasim Ebrahimi
Division of Genetics, Department of Cell
and Molecular Biology and Microbiology,
Faculty of Biological Science and
Technology
University of Isfahan
Isfahan, Iran
Milad Ashrazadeh
Shandong First Medical University and
Shandong Academy of Medical Sciences
Department of Radiation Oncology,
Shandong Cancer Hospital and Institute
Jinan, China
ISBN 978-981-97-4611-8 ISBN 978-981-97-4612-5 (eBook)
https://doi.org/10.1007/978-981-97-4612-5
© The Editor(s) (if applicable) and The Author(s), under exclusive license to Springer Nature Singapore
Pte Ltd. 2024
This work is subject to copyright. All rights are solely and exclusively licensed by the Publisher, whether
the whole or part of the material is concerned, specically the rights of translation, reprinting, reuse of
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This Springer imprint is published by the registered company Springer Nature Singapore Pte Ltd.
The registered company address is: 152 Beach Road, #21-01/04 Gateway East, Singapore 189721,
Singapore
If disposing of this product, please recycle the paper.

Preface
Urological cancers are responsible for high mortality and morbidity around the
world. Prostate cancer is one of the leading causes of death in men, and currently,
surgical resection, chemotherapy, and radiotherapy are utilized for the treatment of
this disease. However, tumor cells can develop resistance to therapy, making surgical resection less relevant in advanced stages. Moreover, several risk factors for the
pathogenesis of prostate cancer include environmental factors, physical activity,
smoking, alcohol consumption, and genomic alterations. Therefore, understanding
the underlying mechanisms involved in prostate cancer progression can provide
new insights into its treatment. This book presents an introduction to the anatomy
of prostate tissue, the pathogenesis of prostate cancer, and the epidemiology of
prostate cancer. Then, the major biological mechanisms dysregulated in prostate
cancer including proliferation, cell cycle, apoptosis, autophagy, metastasis, and
epithelial–mesenchymal transition are covered in this book. In order to better
understand the major molecular pathways involved in prostate cancer progression,
we dedicated some chapters to evaluating the roles of major signaling pathways
including Wnt, STAT3, lncRNAs, miRNAs, and circRNAs, among others.
Understanding the dysregulation of biological and molecular mechanisms can contribute to the development of novel therapeutics for the treatment of prostate cancer. The genomic alterations accumulate during the progression of prostate cancer
and therefore, highlighting their upregulation or downregulation along with interactions with other molecular pathways can improve the knowledge toward the
genomic and epigenetic proles of prostate cancer. The tumor microenvironment
components show interaction in prostate cancer that can determine the biological
prole of this disease. In order to further direct the future therapeutics for prostate
cancer, some chapters were allocated to understand the role of new therapeutics
including natural products, genetic tools, and nanoparticles for the treatment of
prostate cancer. The natural products are biocompatible factors and have multitargeting impact. They can affect different molecular pathways and biological
mechanisms to eliminate prostate cancer. Moreover, genetic tools have been introduced for the treatment of prostate cancer. Furthermore, the development of
v

vi
Preface
nanostructures, especially biomimetic and stimuli-responsive nanoparticles can
pave the way for the treatment of prostate cancer.
Singapore, Singapore GautamSethi
Jinan, China MiladAshrazadeh
Isfahan, Iran NasimEbrahimi

Contents
Part I General Aspects
1 Anatomy and Function of Prostate . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3
Mehrdad Hashemi, Vahid Tavakolipour, Sima Orouei,
Mina Alimohammadi, Saba Asadi, Zeinab Khazaei Koohpar,
Behdokht Jamali, Kiavash Hushmandi, Rasoul Raesi,
Maliheh Entezari, and Mitra Behroozaghdam
2 Epidemiology, Risk Factors and Histopathological Profile
of Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23
Mehrdad Hashemi, Farnaz Azizi, Niloofar AbolfathyNajmabady,
Samira Moradi, Munes Ghorbanalinia, Sima Orouei,
Behdokht Jamali, Rasoul Raesi, Faramarz Khosravi,
Maliheh Entezari, Mina Alimohammadi, Kiavash Hushmandi,
and Mitra Behroozaghdam
Part II Molecular Mechanisms
3 Prostate Cancer and Inflammation . . . . . . . . . . . . . . . . . . . . . . . . . . . . 45
Mehrdad Hashemi, Vahid Tavakolipour, Reza Morovatshoar,
Ali Samadpour, Pezhman Shaei Asheghabadi, Hasti Hadadian,
Ali Bandsariyan, Zivar Ghasemi, Sima Orouei, Niloofar
AbolfathyNajmabady, Mahdieh Bahrami Arz Aghdas,
Shima Hajimazdarany, Behdokht Jamali, Rasoul Raesi,
and Najma Farahani
4 Prostate Cancer, Apoptosis, Autophagy and Ferroptosis:
Cell Death Mechanisms and Their Cross-talk . . . . . . . . . . . . . . . . . . . 71
Mehrdad Hashemi, Atena Sadat Hosseini, Sajad Monjezi,
Saina Hasany, Sara Binaei, Mobina Nejat, Hadis Melyani,
Nader Bashandeh, Arash Matinahmadi, Zoofa Zayani,
Sima Orouei, Seyed Hesamoddin Bidooki, Rasoul Raesi,
Najma Farahani, and Maliheh Entezari
vii

viii
Contents
5 Prostate Cancer and Metastasis: An Emphasis on
EMT Mechanism . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 109
Mehrdad Hashemi, Shima Hajimazdarany, Reza Morovatshoar,
Abbas Amini, Amirsoheil Karami, Alireza Hajimohammad, Zahra
Rahbar Zare, Anis Mashhad Merdasi, Hosein Izadi, Saba Asadi,
Sima Orouei, Behdokht Jamali, Rasoul Raesi, Najma Farahani, and
Maliheh Entezari
Part III Molecular Events
6 Prostate Cancer and WNT/STAT3 Signaling . . . . . . . . . . . . . . . . . . . . 137
Sareh Etemad, Mahdokht Sadat Manavi, Mahsa Haji Heidari
Varnousafaderani, Ferdos Faghihkhorasani, Hajarossadat Ghaderi,
Seddigheh Eslamparast Kordmahalleh, Nasim Ebrahimi,
Mostafa Haji-Fatahaliha, and Amir Reza Aref
7 Prostate Cancer and EZH2 Signaling . . . . . . . . . . . . . . . . . . . . . . . . . . 153
Mohammed Kavei, Siavash Seifollahy Fakhr, Afsaneh Mousaei,
Bita Ghaffari, Nazanin Fatemeh Fadavinia, Tara Noroozi Yeganeh,
Nasim Ebrahimi, Mostafa Haji-Fatahaliha, and Amir Reza Aref
8 Prostate Cancer and PTEN/PI3K/AKT/mTOR Signaling . . . . . . . . . 169
Mahshid Seyed Karimi, Ferdos Faghihkhorasani, Al-Hasnawi
Rasool Riyadh Abdulwahid, Sahar Mohammadi, Atiyeh Tavakoli,
Parisa Osati, Mostafa Haji-Fatahaliha,
and Amir Reza Aref
9 Prostate Cancer and Noncoding RNAs: A Focus on miRNAs,
lncRNAs, and circRNAs . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 183
Ahmad Nazari, Parisa Osati, Siavash Seifollahy Fakhr,
Mahnaz Akhound- Attar, Nazanin Pazhouhesh Far, Morteza Rajabi,
Mahshid Seyed Karimi, Nasim Ebrahimi, Mostafa Haji-Fatahaliha,
and Amir Reza Aref
10 Prostate Cancer and Tumor Microenvironment . . . . . . . . . . . . . . . . . 203
Ahmad Nazari, Parisa Osati, Nazanin Pazhouhesh Far,
Al-Hasnawi Rasool Riyadh Abdulwahid, Ferdos Faghihkhorasani,
Nasim Ebrahimi, Mostafa Haji-Fatahaliha, and Amir Reza Aref
Part IV Treatments and Challenges
11 Chemoresistance, Radioresistance, and Androgen Deprivation
Therapy Resistance in Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . 223
Samaneh Adelian, Amin Soltani, and Michael R. Hamblin
12 Plant-Derived Natural Products in Treatment of
Prostate Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 241
Samaneh Adelian, Amin Soltani, and Michael R. Hamblin

Contents
13 Gene Therapy as a New Emerging Strategy for Prostate
Cancer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 257
Samaneh Adelian, Amin Soltani, and Michael R. Hamblin
14 Nanoparticle-Based Therapeutic Strategies in Prostate
Cancer Suppression . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 273
Samaneh Adelian, Amin Soltani, and Michael R. Hamblin
ix

Part I
General Aspects
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