Prostatic hormonal carcinogenesis is mediated by in situ estrogen production and estrogen receptor alpha signaling

William A Ricke1, Stephen J McPherson, Joseph J Bianco

  • 1Department of Urology, James P. Wilmot Cancer Center, University of Rochester Medical Center, Rochester, New York 14642, USA. william_ricke@urmc.rochester.edu

Insights

Antiestrogens show promise in preventing prostate cancer (PRCA). Estrogen receptor alpha (ER alpha) signaling is crucial for PRCA development, suggesting ER alpha antagonism as a therapeutic strategy.

Area of Science:

  • Oncology
  • Endocrinology
  • Molecular Biology

Background:

  • Antiestrogens have shown potential in preventing prostate cancer (PRCA).
  • The specific source of estradiol (E2) contributing to PRCA and the involved estrogen receptor (ER) pathway remain unclear.
  • Understanding these factors is crucial for developing effective PRCA prevention strategies.

Purpose of the Study:

  • To investigate the role of endogenous estradiol (E2) production in PRCA development.
  • To determine the specific estrogen receptor (ER) pathway, ER alpha or ER beta, mediating PRCA.
  • To establish a novel mouse model for studying PRCA and evaluating therapeutic interventions.

Main Methods:

  • Developed a novel mouse model of PRCA using testosterone and E2 stimulation.
  • Utilized aromatase-knockout (ArKO) mice to assess the impact of in situ E2 production.
  • Employed ER alpha-knockout (alphaERKO) and ER beta-knockout (betaERKO) mice to differentiate ER pathway roles.

Main Results:

  • ArKO mice exhibited reduced PRCA incidence compared to wild-type mice, implicating local E2 production.
  • Prostates from alphaERKO mice remained free of pathology, while betaERKO mice showed similar carcinogenesis to wild-type.
  • These findings strongly suggest ER alpha is the key mediator of E2-driven PRCA.

Conclusions:

  • In situ E2 production significantly influences PRCA development.
  • Estrogen receptor alpha (ER alpha) signaling is essential for prostate carcinogenesis.
  • Targeting ER alpha, but not ER beta, may be an effective strategy for PRCA prevention and treatment.

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