Targeting intratumoral androgens: statins and beyond

While initially effective, androgen deprivation therapy (ADT) is not curative, and nearly all men with advanced prostate cancer will eventually progress to the more resistant, and ultimately lethal form of the disease, so called castration-resistant prostate cancer (CRPC). The maintenance of androge...

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Main Authors: Michael T. Schweizer, Evan Y. Yu
Format: Article
Language:English
Published: SAGE Publishing 2016-09-01
Series:Therapeutic Advances in Medical Oncology
Online Access:https://doi.org/10.1177/1758834016647962
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author Michael T. Schweizer
Evan Y. Yu
author_facet Michael T. Schweizer
Evan Y. Yu
author_sort Michael T. Schweizer
collection DOAJ
description While initially effective, androgen deprivation therapy (ADT) is not curative, and nearly all men with advanced prostate cancer will eventually progress to the more resistant, and ultimately lethal form of the disease, so called castration-resistant prostate cancer (CRPC). The maintenance of androgens within the prostate cancer microenvironment likely represents one of the key mechanisms by which this transition from hormone-sensitive to CRPC occurs. This can be accomplished either through intratumoral androgen biosynthesis or the active transport of androgens and androgenic precursors into the tumor microenvironment. More recently, preclinical and clinical data supported therapeutic strategies that seek to target these two mechanisms, either through the use of drugs that impair androgen biosynthesis (e.g. inhibiting the steroidogenic enzymes CYP17 and AKR1C3 with abiraterone and indomethacin, respectively) or drugs that inhibit the SLCO transporters responsible for importing androgens (e.g. statins).
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spelling doaj.art-ba4c712c65c5485fbedf171a949b750c2022-12-22T01:18:41ZengSAGE PublishingTherapeutic Advances in Medical Oncology1758-83401758-83592016-09-01810.1177/1758834016647962Targeting intratumoral androgens: statins and beyondMichael T. SchweizerEvan Y. YuWhile initially effective, androgen deprivation therapy (ADT) is not curative, and nearly all men with advanced prostate cancer will eventually progress to the more resistant, and ultimately lethal form of the disease, so called castration-resistant prostate cancer (CRPC). The maintenance of androgens within the prostate cancer microenvironment likely represents one of the key mechanisms by which this transition from hormone-sensitive to CRPC occurs. This can be accomplished either through intratumoral androgen biosynthesis or the active transport of androgens and androgenic precursors into the tumor microenvironment. More recently, preclinical and clinical data supported therapeutic strategies that seek to target these two mechanisms, either through the use of drugs that impair androgen biosynthesis (e.g. inhibiting the steroidogenic enzymes CYP17 and AKR1C3 with abiraterone and indomethacin, respectively) or drugs that inhibit the SLCO transporters responsible for importing androgens (e.g. statins).https://doi.org/10.1177/1758834016647962
spellingShingle Michael T. Schweizer
Evan Y. Yu
Targeting intratumoral androgens: statins and beyond
Therapeutic Advances in Medical Oncology
title Targeting intratumoral androgens: statins and beyond
title_full Targeting intratumoral androgens: statins and beyond
title_fullStr Targeting intratumoral androgens: statins and beyond
title_full_unstemmed Targeting intratumoral androgens: statins and beyond
title_short Targeting intratumoral androgens: statins and beyond
title_sort targeting intratumoral androgens statins and beyond
url https://doi.org/10.1177/1758834016647962
work_keys_str_mv AT michaeltschweizer targetingintratumoralandrogensstatinsandbeyond
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