PMID- 20534728 OWN - NLM STAT- MEDLINE DCOM- 20100908 LR - 20220410 IS - 1945-7170 (Electronic) IS - 0013-7227 (Linking) VI - 151 IP - 8 DP - 2010 Aug TI - 3beta-hydroxysteroid dehydrogenase is a possible pharmacological target in the treatment of castration-resistant prostate cancer. PG - 3514-20 LID - 10.1210/en.2010-0138 [doi] AB - Prostate cancer usually responds to androgen deprivation therapy, although the response in metastatic disease is almost always transient and tumors eventually progress as castration-resistant prostate cancer (CRPC). CRPC continues to be driven by testosterone or dihydrotestosterone from intratumoral metabolism of 19-carbon adrenal steroids from circulation, and/or de novo intratumoral steroidogenesis. Both mechanisms require 3beta-hydroxysteroid dehydrogenase (3betaHSD) metabolism of Delta(5)-steroids, including dehydroepiandrosterone (DHEA) and Delta(5)-androstenediol (A5diol), to testosterone. In contrast, reports that DHEA and A5diol directly activate the androgen receptor (AR) suggest that 3betaHSD metabolism is not required and that 3betaHSD inhibitors would be ineffective in the treatment of CRPC. We hypothesized that activation of AR in prostate cancer by DHEA and A5diol requires their conversion via 3betaHSD to androstenedione and testosterone, respectively. Here, we show that DHEA and A5diol induce AR chromatin occupancy and AR-regulated genes. Furthermore, we show that Delta(5)-androgens undergo 3beta-dehydrogenation in prostate cancer and that induction of AR nuclear translocation, AR chromatin occupancy, transcription of PSA, TMPRSS2, and FKBP5, as well as cell proliferation by DHEA and A5diol, are all blocked by inhibitors of 3betaHSD. These findings demonstrate that DHEA and A5diol must be metabolized by 3betaHSD to activate AR in these models of CRPC. Furthermore, this work suggests that 3betaHSD may be exploited as a pharmacologic target in the treatment of CRPC. FAU - Evaul, Kristen AU - Evaul K AD - Division of Hematology and Oncology, Department of Internal Medicine, University of Texas Southwestern Medical Center, Dallas, Texas 75390-8852, USA. FAU - Li, Rui AU - Li R FAU - Papari-Zareei, Mahboubeh AU - Papari-Zareei M FAU - Auchus, Richard J AU - Auchus RJ FAU - Sharifi, Nima AU - Sharifi N LA - eng GR - Howard Hughes Medical Institute/United States PT - Journal Article PT - Research Support, Non-U.S. Gov't PT - Research Support, U.S. Gov't, Non-P.H.S. DEP - 20100609 PL - United States TA - Endocrinology JT - Endocrinology JID - 0375040 RN - 0 (AR protein, human) RN - 0 (Antineoplastic Agents) RN - 0 (Enzyme Inhibitors) RN - 0 (Receptors, Androgen) RN - 08J2K08A3Y (Dihydrotestosterone) RN - 459AG36T1B (Dehydroepiandrosterone) RN - EC 1.1.- (17-Hydroxysteroid Dehydrogenases) RN - EC 1.1.1.51 (3 (or 17)-beta-hydroxysteroid dehydrogenase) RN - L0FPV48Q5R (trilostane) SB - IM MH - 17-Hydroxysteroid Dehydrogenases/*antagonists & inhibitors/metabolism/physiology MH - Antineoplastic Agents/*administration & dosage/pharmacology MH - Carcinoma/*drug therapy/genetics/pathology/surgery MH - Cell Line, Tumor MH - Cell Nucleus/drug effects/metabolism MH - Dehydroepiandrosterone/metabolism MH - Dihydrotestosterone/administration & dosage/analogs & derivatives/pharmacology MH - Dose-Response Relationship, Drug MH - Drug Delivery Systems MH - Drug Evaluation, Preclinical MH - Enzyme Inhibitors/administration & dosage/pharmacology MH - Humans MH - Male MH - Models, Biological MH - Orchiectomy MH - Prostatic Neoplasms/*drug therapy/genetics/pathology/surgery MH - Receptors, Androgen/metabolism MH - Treatment Failure EDAT- 2010/06/11 06:00 MHDA- 2010/09/09 06:00 CRDT- 2010/06/11 06:00 PHST- 2010/06/11 06:00 [entrez] PHST- 2010/06/11 06:00 [pubmed] PHST- 2010/09/09 06:00 [medline] AID - en.2010-0138 [pii] AID - 10.1210/en.2010-0138 [doi] PST - ppublish SO - Endocrinology. 2010 Aug;151(8):3514-20. doi: 10.1210/en.2010-0138. Epub 2010 Jun 9.