Steroid sulfatase inhibitors for estrogen- and androgen-dependent cancers

Atul Purohit1, Paul A Foster

  • 1Oncology Drug Discovery Group, Section of Investigative Medicine, Imperial College London, Hammersmith Hospital, London W12 0NN, UK.

Insights

Steroid sulfatase (STS) inhibitors show promise for treating hormone-dependent cancers by blocking estrogen and androgen synthesis. Clinical trials are underway for breast, prostate, and endometrial cancers, indicating a potential future therapeutic role.

Area of Science:

  • Endocrinology
  • Oncology
  • Medicinal Chemistry

Background:

  • Estrogens and androgens are crucial for hormone-dependent cancer development.
  • Steroid sulfatase (STS) is a key enzyme in synthesizing these hormones, making it a therapeutic target.
  • STS hydrolyzes sulfate-conjugated precursors to active androgens and estrogens.

Purpose of the Study:

  • To review the chemical development and biological activity of steroid sulfatase (STS) inhibitors.
  • To assess the current status of clinical trials involving STS inhibitors for hormone-dependent cancers.
  • To highlight the potential of STS inhibitors in cancer therapy and other conditions.

Main Methods:

  • Review of chemical synthesis and development of STS inhibitors.
  • Evaluation of in vitro and in vivo biological activity of STS inhibitors.
  • Analysis of ongoing and completed clinical trials for STS inhibitors.

Main Results:

  • Development of novel in vivo models for pre-clinical testing of STS inhibitors.
  • Completion of Phase I/II clinical trials in postmenopausal women with breast cancer.
  • Active clinical trials in patients with hormone-dependent prostate and endometrial cancer.

Conclusions:

  • STS inhibitors are a promising therapeutic strategy for hormone-dependent cancers.
  • Potent STS inhibitors are expected to be valuable in treating various cancers and non-oncological conditions.
  • Continued research and clinical evaluation are essential for realizing the full therapeutic potential of STS inhibitors.

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