AR signaling in CTCs from CRPC patients treated with abiraterone acetate. AR signaling in CTCs from CRPC patients treated with abiraterone acetate. A,

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AR signaling in CTCs from CRPC patients treated with abiraterone acetate. AR signaling in CTCs from CRPC patients treated with abiraterone acetate. A, pseudocolor density plots of multiparameter immunofluorescence AR signaling profiles of CTCs in a patient (Prost14) with CRPC, showing a decrease in the proportion of PSA+/PSMA− “AR-on” CTCs after the initiation of abiraterone acetate. B, Bar graphs depicting the results for this patient at serial time points following treatment. Corresponding CTC numbers and serum PSA levels are shown for pretreatment (pre) and at weeks following therapy. C, box plots showing composite data for relative proportions of AR signaling phenotypes in CTCs from patients that exhibit stable or declining proportion of “AR-on” CTCs after initiation of therapy (P = 0.56 for PSA+ only; P = 0.12 for PSA+/PSMA+; P = 0.14 for PSMA+ only). D, increase in the proportion of PSA+/PSMA− “AR-on” CTCs observed in a patient (Prost11) with CRPC after treatment with abiraterone acetate. E, bar graphs depicting the results for this patient. F, box plots showing composite data for relative proportions of AR signaling phenotypes in CTCs from patients that exhibit an increasing proportion of “AR-on” CTCs after initiation of therapy (P = 0.67 for PSA+ only; P = 0.67 for PSA+/PSMA+; P = 0.67 for PSMA+ only). G, Kaplan–Meier curves for overall survival in patients with CRPC treated with abiraterone acetate, according to baseline percentage of more than 10% “AR-mixed” CTCs (red) versus less than 10% “AR-mixed” CTCs [(blue) log-rank P = 0.048]. David T. Miyamoto et al. Cancer Discovery 2012;2:995-1003 ©2012 by American Association for Cancer Research