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Published on: November 15, 2013
Regulation of 17β-hydroxysteroid dehydrogenases in cancer: regulating steroid receptor at pre-receptor stage
Mirja Rotinen1, Joaquín Villar, Ignacio Encío
1Department of Health Sciences, Universidad Pública de Navarra, Avda. Barañain, 31008 Pamplona, Spain.
Abstract:
Increased intracelullar hormone concentration levels have been shown to be the cause of several endocrine-related cancers including breast, prostate, endometrial, ovarian, cervix, testicular, thyroid, and osteosarcoma. Deregulated expression of steroidogenic enzymes in these tumors seems to be the source of a positive balance in active steroids that bind to the corresponding nuclear receptor, thus ultimately stimulating cell proliferation. Among these enzymes, 17β-hydroxysteroid dehydrogenases catalyze the interconversion between 17-ketosteroids and 17-hydroxysteroids on the last steps of sex hormones biosynthesis and metabolism. To date, 14 isoforms have been identified in vertebrates although only 13 are present in humans. Development and clinical evaluation of specific inhibitors to block their activity is currently under progress especially against the best characterized members 1 to 5. Selectivity and potency of these drugs constitute the main challenge in this new approach to cancer and steroid-dependent diseases treatment at the "pre-receptor level". Here we review the current state of knowledge regarding the deregulation of the expression of some of these enzymes in endocrine-related tumors.
Insights
Elevated hormone levels drive endocrine cancers by altering steroidogenic enzymes. Targeting these enzymes offers a novel "pre-receptor" treatment strategy for hormone-dependent diseases.
Area of Science:
- Endocrinology
- Oncology
- Biochemistry
Background:
- Increased intracellular hormone concentrations are linked to endocrine-related cancers like breast, prostate, and thyroid.
- Deregulated steroidogenic enzymes create an imbalance of active steroids, promoting tumor cell proliferation.
- 17β-hydroxysteroid dehydrogenases (17β-HSDs) are key enzymes in sex hormone biosynthesis and metabolism.
Purpose of the Study:
- To review the current understanding of 17β-HSD enzyme deregulation in endocrine-related tumors.
- To highlight the role of these enzymes in hormone-dependent cancer development.
- To discuss the potential of targeting 17β-HSDs as a therapeutic strategy.
Main Methods:
- Literature review of studies on 17β-HSDs and endocrine cancers.
- Analysis of enzyme expression patterns in tumor tissues.
- Examination of preclinical and clinical data on 17β-HSD inhibitors.
Main Results:
- 17β-HSDs play a critical role in the final steps of sex hormone production and inactivation.
- Aberrant expression of specific 17β-HSD isoforms is observed in various endocrine tumors.
- Inhibitors targeting 17β-HSDs show promise for cancer treatment at the 'pre-receptor' level.
Conclusions:
- Targeting 17β-HSDs represents a promising therapeutic avenue for endocrine cancers.
- Developing selective and potent inhibitors is crucial for successful clinical application.
- Further research is needed to fully elucidate the role of all 17β-HSD isoforms in tumorigenesis.
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