AKR1C3 as a target in castrate resistant prostate cancer

Adegoke O Adeniji1, Mo Chen, Trevor M Penning

  • 1Department of Pharmacology, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA 19104-6061, USA.

Insights

Aberrant androgen receptor (AR) activation drives castrate-resistant prostate cancer (CRPC). Targeting Aldo-keto reductase 1C3 (AKR1C3), crucial for androgen biosynthesis, offers a promising therapeutic strategy for CRPC.

Area of Science:

  • Oncology
  • Biochemistry
  • Pharmacology

Background:

  • Aberrant androgen receptor (AR) activation is a primary driver of castrate-resistant prostate cancer (CRPC).
  • CRPC is a fatal condition necessitating novel therapeutic strategies.
  • Targeting the androgen axis, including androgen biosynthesis and AR signaling, is a key approach for CRPC treatment.

Purpose of the Study:

  • To review the critical role of Aldo-keto reductase 1C3 (AKR1C3) in prostate cancer progression.
  • To discuss recent advancements in developing selective AKR1C3 inhibitors for CRPC therapy.

Main Methods:

  • Review of scientific literature on AKR1C3 function in prostate cancer.
  • Analysis of studies investigating AKR1C3 inhibitors.

Main Results:

  • AKR1C3 catalyzes the conversion of androgen precursors to active androgens like testosterone and 5α-dihydrotestosterone.
  • AKR1C3 expression and activity are implicated in CRPC development.
  • Selective inhibition of AKR1C3 is challenging due to closely related isoforms (AKR1C1, AKR1C2).

Conclusions:

  • AKR1C3 is a rational therapeutic target for CRPC.
  • Development of potent and selective AKR1C3 inhibitors is crucial for effective CRPC treatment.