Bone metastases of prostate cancer: Molecular mechanisms, targeted diagnosis and targeted therapy (Review)

Oncol Rep. 2025 Apr;53(4):46. doi: 10.3892/or.2025.8879. Epub 2025 Feb 21.

Abstract

Prostate cancer (PCa) is second only to lung cancer in terms of death among men worldwide. Advanced PCa frequently results in bone metastases, which occur in ~90% of patients and frequently result in severe skeleton‑related events. Currently, the treatment for this disease is limited to alleviating its clinical symptoms and cannot provide a complete cure. Therefore, the development of novel treatment strategies is particularly important. In recent years, numerous novel strategies for the diagnosis and treatment of PCa have emerged, resulting in good clinical efficacy. For example, strategies targeting prostate specific membrane antigen, poly ADP‑ribose polymerase and programmed cell death protein 1 have been applied to PCa‑induced bone metastasis, and have shown initial efficacy and great potential. Therefore, understanding the molecular mechanisms underlying the formation of bone metastases in patients with PCa is of importance for the effective management of this disease. The purpose of the present review is to comprehensively outline the roles of protein‑coding genes and non‑coding RNAs in the development of bone metastases of PCa to elucidate their significance in the management of PCa. The aim is to offer clinicians and researchers a comprehensive understanding of this topic.

Keywords: bone metastases; molecular mechanism; non‑coding RNAs; prostate cancer; protein‑coding genes; targeted diagnosis; targeted therapy.

Publication types

  • Review

MeSH terms

  • Biomarkers, Tumor / antagonists & inhibitors
  • Biomarkers, Tumor / genetics
  • Bone Neoplasms* / diagnosis
  • Bone Neoplasms* / drug therapy
  • Bone Neoplasms* / genetics
  • Bone Neoplasms* / secondary
  • Bone Neoplasms* / therapy
  • Humans
  • Male
  • Molecular Targeted Therapy / methods
  • Prostatic Neoplasms* / diagnosis
  • Prostatic Neoplasms* / drug therapy
  • Prostatic Neoplasms* / genetics
  • Prostatic Neoplasms* / pathology

Substances

  • Biomarkers, Tumor