Non-invasive imaging of castration resistant prostate cancer (CRPC) subtypes remains a challenge in the clinic. CRPC can be subdivided grossly into two phenotypes 1) a morphologically small cell, chemosensitive, and androgen receptor (AR) negative subtype and 2) AR-dependent CRPC characterized by dysregulation of AR signaling. Employing hyperpolarized pyruvate conversion to lactate in vivo as well as lactate measurements ex vivo, we determined the difference in glycolysis between patient derived xenograft (PDX) animal models of these two CRPC subtypes. We have found increased pyruvate to lactate conversion (P <0.04) and higher lactate levels in AR-dependent compared to AR negative PDX models.
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