Steroid biosynthesis and prostate cancer
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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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”
From Role of aldo-keto reductase family 1 (AKR1) enzymes in human steroid metabolism (2014) · cites this paper as [35]
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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
About these checks
Registry, retraction, Cites and statistics results are computed, not judged, with one exception: a printed reference that no index lists is read once by a model before it counts as a citation error. Claims are extracted by a model and kept only when their quote appears verbatim in the text; each cited source is then checked, with a model’s help, for whether it says what the claim relies on. Those verdicts can be wrong — read the claim’s quote and the cited source before relying on one.
Statistics and arithmetic are recomputed, not judged.
Confidence bands are shown only for fields calibrated on our annotated test set. None is calibrated yet, so no band is shown.
What counts as a claim ›How we measure confidence ›How we check this ›
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