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Recent advances in the development of steroid sulphatase inhibitors

A Purohit1, H A Hejaz, L W Woo

  • 1Endocrinology and Metabolic Medicine, Imperial College School of Medicine, St Mary's Hospital, London, UK.

Insights

Researchers developed non-oestrogenic steroid sulphatase inhibitors for breast cancer treatment. Modifications to oestrone and new non-steroidal compounds show promise, advancing potential therapies for endocrine-dependent tumors.

Area of Science:

  • Endocrinology and pharmacology
  • Medicinal chemistry
  • Oncology

Background:

  • Steroid sulphatase inhibition is a key strategy for treating hormone-dependent breast cancers.
  • The initial inhibitor, oestrone-3-O-sulphamate (EMATE), exhibited undesirable oestrogenic activity.
  • Developing non-oestrogenic inhibitors is crucial for safer and more effective therapies.

Purpose of the Study:

  • To design and synthesize novel non-oestrogenic inhibitors of steroid sulphatase.
  • To evaluate the efficacy and oestrogenicity of modified steroid-based and novel non-steroidal sulphamate analogues.
  • To identify potent inhibitors for potential clinical application in breast cancer treatment.

Main Methods:

  • Chemical synthesis of modified oestrone derivatives (e.g., 2-methoxyoestrone-3-O-sulphamate, 17-deoxyoestrone-3-O-sulphamate).
  • Design and synthesis of various sulphamate analogues (single ring, bicyclic, fused ring, isoflavone, and coumarin derivatives).
  • In vitro and in vivo assays to assess sulphatase inhibitory potency and oestrogenic activity (e.g., rat uterine weight gain assay).

Main Results:

  • 2-Methoxyoestrone-3-O-sulphamate showed potent sulphatase inhibition without oestrogenic activity.
  • 17-Deoxyoestrone-3-O-sulphamate was a potent inhibitor but showed oestrogenic effects at higher doses.
  • Isoflavone and coumarin-based sulphamates demonstrated significant in vivo sulphatase inhibition, with some non-steroidal compounds matching EMATE's potency.

Conclusions:

  • Steroid and non-steroidal sulphatase inhibitors can be designed to lack oestrogenic activity.
  • Modified oestrone derivatives and novel non-steroidal compounds offer promising therapeutic candidates.
  • Further investigation into these potent inhibitors could lead to new treatments for endocrine-dependent breast tumours.

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