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Steroid sulfatase inhibitors: promising new tools for breast cancer therapy?
Jürgen Geisler1, Hironobu Sasano, Shiuan Chen
1Institute of Clinical Medicine, Division of Clinical Medicine and Laboratory Sciences, University of Oslo, Norway. juergen.geisler@medisin.uio.no
Abstract:
Inhibition of aromatase is currently well-established as the major treatment option of hormone-dependent breast cancer in postmenopausal women. However, despite the effects of aromatase inhibitors in both early and metastatic breast cancer, endocrine resistance may cause relapses of the disease and progression of metastasis. Thus, driven by the success of manipulating the steroidogenic enzyme aromatase, several alternative enzymes involved in steroid synthesis and metabolism have recently been investigated as possible drug targets. One of the most promising targets is the steroid sulfatase (STS) which converts steroid sulfates like estrone sulfate (E1S) and dehydroepiandrosterone sulfate (DHEAS) to estrone (E1) and dehydroepiandrosterone (DHEA), respectively. Estrone and DHEA may thereafter be used for the synthesis of more potent estrogens and androgens that may eventually fuel hormone-sensitive breast cancer cells. The present review summarizes the biology behind steroid sulfatase and its inhibition, the currently available information derived from basic and early clinical trials in breast cancer patients, as well as ongoing research. Article from the Special Issue on Targeted Inhibitors.
Insights
Steroid sulfatase (STS) is a promising target for hormone-dependent breast cancer, offering an alternative to aromatase inhibitors. Inhibiting STS may overcome endocrine resistance and prevent cancer relapse.
Area of Science:
- Endocrinology
- Oncology
- Pharmacology
Background:
- Aromatase inhibitors are standard for postmenopausal hormone-dependent breast cancer.
- Endocrine resistance limits the efficacy of current treatments, leading to disease relapse and metastasis.
Purpose of the Study:
- To review the biology of steroid sulfatase (STS).
- To discuss the potential of STS inhibition as a therapeutic strategy for breast cancer.
- To summarize current research and early clinical trial data on STS inhibitors.
Main Methods:
- Review of existing literature on steroid sulfatase biology and inhibition.
- Analysis of preclinical and early clinical trial data in breast cancer.
Main Results:
- Steroid sulfatase (STS) converts steroid sulfates to active hormones, potentially fueling hormone-sensitive breast cancer.
- Inhibition of STS represents a novel therapeutic avenue to overcome endocrine resistance.
Conclusions:
- STS is a promising drug target for breast cancer treatment.
- Further research and clinical trials are warranted to evaluate STS inhibitors.
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