Cancer chemoprevention with the adrenocortical steroid dehydroepiandrosterone and structural analogs

A G Schwartz1, L L Pashko

  • 1Fels Institute for Cancer Research and Molecular Biology, Temple University School of Medicine, Philadelphia, PA 19140.

Insights

Dehydroepiandrosterone (DHEA) inhibits cancer development in mice by impacting key metabolic pathways. This steroid also mimics beneficial effects of food restriction, suggesting a role in mediating its anti-cancer properties.

Area of Science:

  • Endocrinology
  • Cancer Biology
  • Metabolic Research

Background:

  • Dehydroepiandrosterone (DHEA) is an adrenocortical steroid with demonstrated broad-spectrum cancer chemopreventive effects in animal models.
  • DHEA inhibits tumor initiation, epidermal hyperplasia, and papilloma promotion in mouse skin tumorigenesis models.
  • Evidence suggests DHEA's anti-proliferative action stems from inhibiting glucose-6-phosphate dehydrogenase and the pentose phosphate pathway.

Purpose of the Study:

  • To investigate the mechanisms underlying DHEA's chemopreventive actions.
  • To explore the relationship between DHEA, food restriction, and cancer prevention.
  • To determine the role of adrenal steroids in mediating the effects of food restriction.

Main Methods:

  • Utilized the mouse two-stage skin tumorigenesis model to assess DHEA's effects.
  • Administered DHEA to mice and monitored tumor initiation, epidermal hyperplasia, and papilloma promotion.
  • Performed adrenalectomy in mice to evaluate the role of adrenal steroids in food restriction's effects.

Main Results:

  • DHEA treatment inhibited tumor initiation, epidermal hyperplasia, and papilloma promotion in the mouse skin model.
  • Long-term DHEA administration reduced weight gain in mice, potentially via enhanced thermogenesis.
  • Adrenalectomy completely reversed the anti-hyperplastic and antitumor-promoting effects of food restriction in mice.

Conclusions:

  • DHEA exhibits significant cancer chemopreventive properties by inhibiting key metabolic pathways essential for cell proliferation.
  • DHEA may mediate some of the beneficial, anti-cancer effects of food restriction.
  • Adrenocortical steroids, including DHEA, likely play a crucial role in mediating the tumor-inhibitory effects observed with underfeeding.

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