CYP17 inhibitors for prostate cancer treatment--an update

V M Moreira1, J A R Salvador, T S Vasaitis

  • 1Laboratório de Química Farmacêutica, Faculdade de Farmácia, Universidade de Coimbra, Rua do Norte, 3000-295 Coimbra, Portugal.

Insights

This review explores cytochrome 17alpha-hydroxylase-C(17,20)-lyase (CYP17) inhibitors for prostate cancer (PC) treatment. It highlights advancements in developing steroidal and nonsteroidal inhibitors to target PC progression.

Area of Science:

  • Oncology
  • Medicinal Chemistry
  • Biochemistry

Background:

  • Androgens are crucial for prostate cancer (PC) growth, a fact known for nearly 70 years.
  • Ketoconazole has been used for PC therapy for approximately 30 years.
  • Cytochrome 17alpha-hydroxylase-C(17,20)-lyase (CYP17) inhibition is a key strategy in PC management.

Purpose of the Study:

  • To review the development of CYP17 inhibitors for prostate cancer treatment.
  • To explore both steroidal and nonsteroidal inhibitor candidates.
  • To provide insight into PC pathophysiology and treatment strategies.

Main Methods:

  • Literature review spanning nearly four decades.
  • Focus on identifying prospective CYP17 inhibitors.
  • Analysis of achievements in the absence of a 3D enzyme structure.

Main Results:

  • Significant progress has been made in identifying potential CYP17 inhibitors.
  • Development of both steroidal and nonsteroidal compounds targeting CYP17.
  • Understanding of PC pathophysiology has advanced.

Conclusions:

  • CYP17 inhibition represents a promising therapeutic avenue for prostate cancer.
  • Continued research into novel CYP17 inhibitors is essential for improving PC management.
  • This review offers insights into PC treatment options and future directions.

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