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The Multifaceted Role of Androgen Receptor Signaling in Immunity: Implications for Oncology
Patrick Lee1,2,3, Peter S Nelson1,2,3
1Division of Human Biology, Fred Hutchinson Cancer Center, Seattle, Washington.
Abstract:
Whereas the androgen receptor (AR) is canonically known for its role in the prostate and testis, AR signaling exerts broad immunomodulatory effects through direct and indirect signaling in multiple immune cell compartments and contributes significantly to sex differences in autoimmunity, infection, and cancer. Mouse model perturbations of androgen signaling through castration, testicular feminization, and cell type-specific Ar knockout have provided important insights into cell-intrinsic and -extrinsic mechanisms by which AR signaling affects innate and adaptive immunity. However, the precise molecular underpinnings of these effects remain largely unknown. Moreover, despite convincing epidemiologic and correlative observations that highlight the importance of AR signaling in human immune function, it remains unclear how reliably findings in mice will translate to humans. A better understanding of how to augment immune function through androgen signaling modulation could have significant clinical relevance for the treatment of cancer, as well as other disease states involving immune dysregulation. In this review, we discuss the current evidence for the functional effects of AR signaling within the major immune cell compartments of the innate and adaptive immune systems. We also review ongoing clinical efforts that modify AR signaling for the purpose of enhancing antitumor immunity.
Insights
Androgen receptor (AR) signaling impacts immunity beyond the reproductive system, influencing autoimmune diseases, infections, and cancer. Understanding AR
Area of Science:
- Immunology
- Endocrinology
- Oncology
Background:
- Androgen receptor (AR) signaling is traditionally linked to prostate and testis functions.
- AR signaling exerts significant immunomodulatory effects across various immune cell types.
- AR signaling contributes to sex-based differences observed in autoimmunity, infections, and cancer.
Purpose of the Study:
- To review the functional effects of AR signaling in innate and adaptive immune cells.
- To discuss the clinical relevance of modulating AR signaling for immune enhancement, particularly in cancer treatment.
- To assess the translatability of mouse model findings to human immune function.
Main Methods:
- Review of existing literature on AR signaling in immune cells.
- Analysis of data from mouse models with altered androgen signaling (castration, testicular feminization, cell-specific AR knockout).
- Examination of epidemiological and correlative human studies.
Main Results:
- AR signaling influences both innate and adaptive immunity through direct and indirect mechanisms.
- Mouse models provide insights into cell-intrinsic and -extrinsic AR effects on immunity.
- The precise molecular mechanisms of AR's immunomodulatory effects require further elucidation.
Conclusions:
- Modulating AR signaling holds potential for augmenting immune function and treating immune-related diseases, including cancer.
- Further research is needed to clarify molecular mechanisms and confirm human relevance of findings from animal models.
- Clinical efforts are underway to leverage AR signaling modulation for enhanced antitumor immunity.
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