The role of 5α-reductase type 1 associated with intratumoral dihydrotestosterone concentrations in human endometrial carcinoma
Abstract
Endometrial carcinoma, especially endometrioid endometrial adenocarcinoma, is an estrogen-dependent tumor that is similar to breast cancer. Androgen is closely associated with other steroid hormones, but its correlation with endometrioid endometrial adenocarcinoma remains largely unclear. We previously demonstrated the expression of the androgen receptor, 5α-reductase type 1, and 5α-reductase type 2 in endometrioid endometrial adenocarcinoma tissue, but androgen action and its correlation with prognosis are unknown. In this study, we measured the tissue and serum concentrations of androgen and performed immunohistochemical analyses of androgen-associated factors in 41 patients. In 86 additional patients, we performed the same immunohistochemical analyses to identify correlations associated with prognosis. We found that 5α-reductase type 1 was associated with intratumoral dihydrotestosterone concentrations, and it was an independent prognostic factor in endometrioid endometrial adenocarcinoma. The poor prognosis of patients negative for both androgen receptor and 5α-reductase type 1 suggests that androgens have inhibitory effects on tumor growth.
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Expression of 5αR1 (in 65% of samples) is positively correlated with histological grade in endometrial cancer.
“concluding that expression of 5αR1 (65% of samples) was positively correlated with histological grade (but not clinical grade).”
From Endometrial Intracrinology: Oestrogens, Androgens and Endometrial Disorders (2018) · cites this paper as [87]
Women immunonegative for both androgen receptor (AR) and 5αR1 have a poorer prognosis.
“They found that women immunonegative for both AR and 5αR1 had a poorer prognosis [87]”
From Endometrial Intracrinology: Oestrogens, Androgens and Endometrial Disorders (2018) · cites this paper as [87]
Expression of 5αR1 is not correlated with clinical grade in endometrial cancer.
“concluding that expression of 5αR1 (65% of samples) was positively correlated with histological grade (but not clinical grade).”
From Endometrial Intracrinology: Oestrogens, Androgens and Endometrial Disorders (2018) · cites this paper as [87]
Endometrial cancer tissues have an 8-fold elevation in dihydrotestosterone (DHT) compared with normal endometrial tissues.
“it is notable that a study by the same group revealed that EC tissues had an 8-fold elevation in DHT compared with that in normal endometrial tissues [87].”
From Endometrial Intracrinology: Oestrogens, Androgens and Endometrial Disorders (2018) · cites this paper as [87]
Cites
Labrie, F., Bélanger, A., Cusan, L., & Candas, B. (1997) · The Journal of Clinical Endocrinology & Metabolism · doi:10.1210/jcem.82.8.4161 · Cited by 350 · see citing works
Sex steroid-producing enzymes in human breast cancer
Suzuki, T., Miki, Y., Nakamura, Y., Moriya, T., Ito, K., Ohuchi, N., & Sasano, H. (2005) · Endocrine Related Cancer · doi:10.1677/erc.1.00834 · Cited by 182 · see citing works
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Androgens and endometrium: new insights and new targets
Simitsidellis, I., Saunders, P. T. K., & Gibson, D. A. (2018) · Molecular and Cellular Endocrinology · doi:10.1016/j.mce.2017.09.022 · Cited by 107 · see citing works
Androgens, oestrogens and endometrium: a fine balance between perfection and pathology
Gibson, D. A., Simitsidellis, I., Collins, F., & Saunders, P. T. K. (2020) · Journal of Endocrinology · doi:10.1530/joe-20-0106 · Cited by 76 · see citing works
Endometrial Intracrinology: Oestrogens, Androgens and Endometrial Disorders
Gibson, D. A., Simitsidellis, I., Collins, F., & Saunders, P. T. K. (2018) · International Journal of Molecular Sciences · doi:10.3390/ijms19103276 · Cited by 70 · see citing works
“They found that women immunonegative for both AR and 5αR1 had a poorer prognosis [87], consistent with other studies that have suggested androgens can be anti-proliferative for EC cells.”
BackgroundResultKonings, G. F., Cornel, K. M., Xanthoulea, S., Delvoux, B., Skowron, M. A., Kooreman, L., Koskimies, P., Krakstad, C., Salvesen, H. B., van Kuijk, K., et al. (2018) · The Journal of Pathology · doi:10.1002/path.5004 · Cited by 26 · see citing works
- Authors
- Tanaka, S., Miki, Y., Hashimoto, C., Takagi, K., Doe, Z., Li, B., Yaegashi, N., Suzuki, T., & Ito, K.
- Affiliations
- Tohoku University (JP)
- Corresponding author
- Miki, Yasuhiro
- Venue
- Molecular and Cellular Endocrinology
- Publisher
- Elsevier BV
- Published
- 2015-02
- Volume
- 401
- Pages
- 56-64
- ISSN
- 0303-7207 (ISSN-L)
- OpenAlex
- W2025629716
- Cited by
- 38
- References
- 2
- Citations by year
- 2026: 3 · 2025: 2 · 2024: 2 · 2023: 4 · 2022: 6 · 2021: 1 · 2020: 2 · 2019: 4 · 2018: 7 · 2017: 3 · 2016: 3 · 2015: 1
- FWCI
- 2.48
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Molecular and Cellular Endocrinology (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Health Sciences › Medicine › Obstetrics and Gynecology › Endometrial and Cervical Cancer Treatments
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Genetics › Estrogen and related hormone effects
- Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Breast Cancer Treatment Studies
- Keywords
- endometrial cancer, endometrioid endometrial cancer, 5α-reductase type 1, dihydrotestosterone, androgen receptor, 5α-reductase type 2, androgen signaling, prognostic factors, tumor growth inhibition, estrogen-dependent tumors
- MeSH terms
- Adult, Aged, Aged, 80 and over, Androgens, Female, Humans, Membrane Proteins, Middle Aged, Prognosis, Dihydrotestosterone, Testosterone, 3-Oxo-5-alpha-Steroid 4-Dehydrogenase, Survival Analysis, Endometrial Neoplasms, Carcinoma, Endometrioid
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