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Steroid sulfatase inhibitors for estrogen- and androgen-dependent cancers
1Oncology Drug Discovery Group, Section of Investigative Medicine, Imperial College London, Hammersmith Hospital, London W12 0NN, UK.
Abstract:
Estrogens and androgens are instrumental in the maturation of many hormone-dependent cancers. Consequently, the enzymes involved in their synthesis are cancer therapy targets. One such enzyme, steroid sulfatase (STS), hydrolyses estrone sulfate, and dehydroepiandrosterone sulfate to estrone and dehydroepiandrosterone respectively. These are the precursors to the formation of biologically active estradiol and androstenediol. This review focuses on three aspects of STS inhibitors: 1) chemical development, 2) biological activity, and 3) clinical trials. The aim is to discuss the importance of estrogens and androgens in many cancers, the developmental history of STS inhibitor synthesis, the potency of these compounds in vitro and in vivo and where we currently stand in regards to clinical trials for these drugs. STS inhibitors are likely to play an important future role in the treatment of hormone-dependent cancers. Novel in vivo models have been developed that allow pre-clinical testing of inhibitors and the identification of lead clinical candidates. Phase I/II clinical trials in postmenopausal women with breast cancer have been completed and other trials in patients with hormone-dependent prostate and endometrial cancer are currently active. Potent STS inhibitors should become therapeutically valuable in hormone-dependent cancers and other non-oncological conditions.
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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