Cancer chemoprevention with the adrenocortical steroid dehydroepiandrosterone and structural analogs
1Fels Institute for Cancer Research and Molecular Biology, Temple University School of Medicine, Philadelphia, PA 19140.
Abstract:
Dehydroepiandrosterone (DHEA) is an adrenocortical steroid that produces broad-spectrum cancer chemopreventive action in mice and rats. In the mouse two-stage skin tumorigenesis model, DHEA treatment inhibits tumor initiation, as well as tumor promoter-induced epidermal hyperplasia and promotion of papillomas. There is considerable evidence that DHEA exerts its anti-proliferative and tumor-preventive action through the inhibition of glucose-6-phosphate dehydrogenase and the pentose phosphate pathway, which generate NADPH (required for mixed-function oxidase activation of chemical carcinogens, as well as for deoxyribonucleotide synthesis) and ribose 5-phosphate (also required for deoxyribonucleotide synthesis). Long-term DHEA treatment of mice also reduces weight gain (apparently by enhancing thermogenesis), and appears to produce many of the beneficial effects of food restriction, which have been shown to inhibit the development of many age-associated diseases, including cancer. Using the mouse two-stage skin tumorigenesis model, we found that adrenalectomy completely reverses the anti-hyperplastic and antitumor-promoting effects of food restriction. It is not unlikely that food restriction stimulates enhanced levels of adrenocortical steroids, such as the anti-inflammatory glucocorticoids and DHEA, which in turn mediate the tumor-inhibitory effect of underfeeding.
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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