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17ß-hydroxysteroid dehydrogenase inhibitors.

J M Day1, H J Tutill, A Purohit

  • 1Department of Endocrinology and Metabolic Medicine, Imperial College London, St. Mary's Hospital, Winsland Street, London, UK. joanna.day@imperial.ac.uk

Minerva Endocrinologica
|July 3, 2010
PubMed
Summary

17ß-hydroxysteroid dehydrogenases (17ß-HSDs) are key enzymes in hormone regulation. This review highlights recent progress in developing specific 17ß-HSD inhibitors for treating steroid-dependent diseases like cancer.

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Area of Science:

  • Biochemistry
  • Enzymology
  • Molecular Biology

Background:

  • 17ß-hydroxysteroid dehydrogenases (17ß-HSDs) are crucial enzymes requiring NAD(P)(H) for redox activity.
  • They regulate active hormone levels, impacting steroid metabolism and disease progression.
  • Fifteen 17ß-HSDs exist, varying in substrate specificity and homology, with 17ß-HSD Type 5 being an aldo-keto reductase.

Purpose of the Study:

  • To review recent advances in developing specific inhibitors for 17ß-HSD1, 17ß-HSD3, and 17ß-HSD5.
  • To discuss the evaluation models used for these enzyme inhibitors.
  • To explore therapeutic potential for steroid-dependent diseases.

Main Methods:

  • Literature review focusing on recent research in 17ß-HSD inhibitor development.
  • Analysis of in vivo disease models for evaluating inhibitor efficacy.
  • Discussion of enzyme kinetics and structural studies related to inhibitor design.

Main Results:

  • Significant progress in developing specific inhibitors for 17ß-HSD1, 3, and 5.
  • Demonstrable efficacy of these inhibitors in preclinical in vivo models for steroid-dependent diseases.
  • Identification of key structural features and mechanisms for targeted inhibition.

Conclusions:

  • Targeting 17ß-HSD enzymes offers a promising therapeutic strategy for steroid-dependent diseases.
  • Further development and clinical trials are warranted for 17ß-HSD inhibitors.
  • Specific inhibitors show potential for treating breast cancer, prostate cancer, and endometriosis.