Estrogens and prostate cancer: etiology, mediators, prevention, and management

Shuk-Mei Ho1, Ming-Tsung Lee, Hung-Ming Lam

  • 1Department of Environmental Health, College of Medicine, University of Cincinnati, Cincinnati, OH 45267, USA. shuk-mei.ho@uc.edu

Insights

Estrogen plays a key role in prostate cancer (PCa) development. This review explores how estrogens and related compounds influence prostate carcinogenesis and their potential for PCa prevention and treatment.

Area of Science:

  • Oncology
  • Endocrinology
  • Urology

Background:

  • Hormonal therapies for prostate cancer (PCa) primarily target androgen action.
  • Emerging evidence highlights significant roles for estrogens in PCa development and progression.
  • Estrogen metabolism and synthesis exhibit racial, geographic, and age-related variations influencing PCa etiology.

Purpose of the Study:

  • To summarize the contribution of various estrogens, antiestrogens, and estrogen mimics to prostate carcinogenesis.
  • To elucidate the roles of different estrogen mediators in PCa development.
  • To explore the potential of novel estrogenic and antiestrogenic compounds for PCa prevention and treatment.

Main Methods:

  • Literature review and synthesis of epidemiological and experimental data.
  • Analysis of the mechanisms by which estrogens influence prostate cancer.
  • Evaluation of existing and emerging estrogen-related compounds for therapeutic potential.

Main Results:

  • Estrogens, antiestrogens, and estrogen mimics significantly impact prostate carcinogenesis.
  • Specific mediators of estrogen action are crucial in PCa progression.
  • New estrogenic/antiestrogenic compounds show promise for PCa management.

Conclusions:

  • Estrogen pathways are critical targets for prostate cancer intervention.
  • Understanding estrogen's role offers new avenues for PCa prevention and treatment strategies.
  • Further research into estrogenic/antiestrogenic compounds could lead to novel therapies.

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