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17beta-hydroxysteroid dehydrogenase type 1 stimulates breast cancer by dihydrotestosterone inactivation in addition
Juliette A Aka1, Mausumi Mazumdar, Chang-Qing Chen
1Research Center of the Laval University Hospital Center (CHUQ-CHUL) and Laval University, Québec, Canada.
Abstract:
The active estrogen estradiol (E2) stimulates breast cancer cell (BCC) growth, whereas the androgen dihydrotestosterone (DHT) has shown an antiproliferative effect. The principal product synthesized by the 17beta-hydroxysteroid dehydrogenase type 1 (17beta-HSD1) is E2, although we have demonstrated that the purified enzyme also inactivates DHT. However, the direct roles of 17beta-HSD1 in sex-hormone regulation and BCC proliferation have not been completely established. Here, we show that 17beta-HSD1 inhibition suppresses DHT catabolism by 19%, whereas knockdown of the gene expression increases the concentration of DHT by 41% in the T47D BCC line. The 17beta-HSD1/DHT complex crystal structure reveals that DHT binds in both normal and reverse modes, but the latter mode leading to O3 reduction is preferred with stronger interactions. Using RNA interference and an inhibitor of 17beta-HSD1, we demonstrate that 17beta-HSD1 expression is negatively correlated to DHT levels in BCC but positively correlated to estrone reduction, E2 levels, and cell proliferation. 17beta-HSD1 inhibition reduces DHT inactivation, increasing the antiproliferative effect by DHT in T47D cells after 8 d treatment. Thus, 17beta-HSD1 up-regulates BCC growth by a dual action on estradiol synthesis and DHT inactivation. We have further demonstrated that 17beta-HSD1 can enhance the E2-induced expression of the endogenous estrogen-responsive gene pS2, providing an important information regarding the modulation of the estrogen responsiveness by 17beta-HSD1 that may also contribute to BCC growth. These results strongly support the rationale for inhibiting 17beta-HSD1 in breast cancer therapy to eliminate estrogen activation via the sulfatase pathway while avoiding the deprivation of DHT.
Insights
Inhibiting 17beta-hydroxysteroid dehydrogenase type 1 (17beta-HSD1) reduces breast cancer cell growth by increasing active androgen dihydrotestosterone (DHT) levels and decreasing estradiol (E2) synthesis. This dual action supports 17beta-HSD1 inhibition as a breast cancer therapy.
Area of Science:
- Endocrinology
- Molecular Biology
- Cancer Research
Background:
- Estradiol (E2) stimulates breast cancer cell (BCC) growth, while dihydrotestosterone (DHT) exhibits antiproliferative effects.
- 17beta-hydroxysteroid dehydrogenase type 1 (17beta-HSD1) primarily synthesizes E2 but also inactivates DHT.
- The precise roles of 17beta-HSD1 in sex hormone regulation and BCC proliferation require further elucidation.
Purpose of the Study:
- To investigate the direct roles of 17beta-HSD1 in sex hormone metabolism and its impact on breast cancer cell proliferation.
- To elucidate the mechanism by which 17beta-HSD1 influences estradiol and dihydrotestosterone levels in breast cancer cells.
- To evaluate the therapeutic potential of 17beta-HSD1 inhibition in breast cancer treatment.
Main Methods:
- Utilized RNA interference (gene knockdown) and a specific 17beta-HSD1 inhibitor in the T47D BCC line.
- Determined DHT catabolism and concentration changes following 17beta-HSD1 inhibition or knockdown.
- Performed crystal structure analysis of the 17beta-HSD1/DHT complex to understand binding modes.
- Assessed the correlation between 17beta-HSD1 expression, hormone levels, and cell proliferation.
- Measured the effect of 17beta-HSD1 inhibition on E2-induced pS2 gene expression.
Main Results:
- 17beta-HSD1 inhibition suppressed DHT catabolism by 19%, while gene knockdown increased DHT concentration by 41%.
- Crystal structure revealed DHT binds to 17beta-HSD1 in both normal and reverse modes, with a preference for the latter.
- 17beta-HSD1 expression negatively correlated with DHT levels but positively correlated with E2 levels and BCC proliferation.
- Inhibition of 17beta-HSD1 increased DHT's antiproliferative effect and enhanced E2-induced pS2 gene expression.
Conclusions:
- 17beta-HSD1 promotes BCC growth through dual actions: enhancing estradiol synthesis and inactivating dihydrotestosterone.
- 17beta-HSD1 inhibition increases DHT levels, augmenting its antiproliferative effect and potentially offering a therapeutic strategy.
- Targeting 17beta-HSD1 may be a viable approach for breast cancer therapy, balancing estrogen modulation with DHT's beneficial effects.
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