Cited by 116Prostate Cancer Treatment and ResearchHormonal and reproductive studiesCancer, Lipids, and Metabolism

Steroid biosynthesis and prostate cancer

Sharifi, Nima, Auchus, Richard J.·2012·Steroids

Abstract

The pathways of androgen biosynthesis in human beings have been studied for decades, and the major pathways and enzymes responsible for testosterone and dihydrotestosterone synthesis are now well described. Minor or alternate pathways, which might contribute substantially to androgen production in specific states, have also emerged. Likewise, the requirement of androgen for prostate formation and growth date back over a half-century, and the dependence of prostate cancer on androgens has been known and exploited for as long. Despite the success of testicular removal or suppression, androgen receptor antagonists, and androgen synthesis inhibitors in the treatment of prostate cancer, the sources of androgen, their routes of synthesis, and the contributions of various routes remain topics of debate, particularly in castration-resistant disease when circulating androgens are very low. Here we review the major pathways of 19-carbon steroid synthesis in the adrenal and gonad, peripheral pathways to active androgens, and recent data charting flux of androgen precursors in prostate cancer. We are far from a unified understanding of androgen generation in prostate cancer, but the similarities and differences from glandular androgen synthesis that have already emerged provide important clues to designing the next generation of treatments for this common and devastating disease.

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Crossref · 10.1016/j.steroids.2012.03.015

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  • AKR1C2 and AKR1C4 play critical roles in the backdoor androgen pathway, in which 5α-reduction occurs at the level of pregnanes.

    “In this manner AKR1C2 and AKR1C4 enzymes play a critical role in the “backdoor pathway” of androgen formation in which 5α-reduction occurs at the levels of the pregnanes”

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Authors
Sharifi, N., & Auchus, R. J.
Affiliations
  • The University of Texas Southwestern Medical Center (US)
  • University of Michigan (US)
Corresponding author
Auchus, Richard J.
Venue
Steroids
Publisher
Elsevier BV
Published
2012-06
Volume
77
Issue
7
Pages
719-726
ISSN
0039-128X (ISSN-L)
OpenAlex
W1996592956
Cited by
116
References
86
Citations by year
2026: 5 · 2025: 3 · 2024: 4 · 2023: 9 · 2022: 11 · 2021: 11 · 2020: 12 · 2019: 6 · 2018: 5 · 2017: 13 · 2016: 10 · 2015: 4 · 2014: 12 · 2013: 9 · 2012: 2
FWCI
1.47
Type
journal article
Language
en
Open access
closed
Locations
  • Steroids (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Pulmonary and Respiratory Medicine › Prostate Cancer Treatment and Research
  • Health Sciences › Medicine › Endocrinology, Diabetes and Metabolism › Hormonal and reproductive studies
  • Life Sciences › Biochemistry, Genetics and Molecular Biology › Cancer Research › Cancer, Lipids, and Metabolism
Keywords
androgen production, prostate cancer, testosterone, dihydrotestosterone, adrenal androgen synthesis, androgen precursors, castration-resistant prostate cancer, androgen receptor antagonists, androgen synthesis inhibitors, prostate development
MeSH terms
Humans, Male, Prostate, Prostatic Neoplasms, Steroids

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