PMID- 28648378 OWN - NLM STAT- MEDLINE DCOM- 20170926 LR - 20231112 IS - 2451-9448 (Electronic) IS - 2451-9456 (Print) IS - 2451-9448 (Linking) VI - 24 IP - 7 DP - 2017 Jul 20 TI - Steroidogenic Metabolism of Galeterone Reveals a Diversity of Biochemical Activities. PG - 825-832.e6 LID - S2451-9456(17)30183-6 [pii] LID - 10.1016/j.chembiol.2017.05.020 [doi] AB - Galeterone is a steroidal CYP17A1 inhibitor, androgen receptor (AR) antagonist, and AR degrader, under evaluation in a phase III clinical trial for castration-resistant prostate cancer (CRPC). The A/B steroid ring (Delta(5),3beta-hydroxyl) structure of galeterone is identical to that of cholesterol, which makes endogenous steroids with the same structure (e.g., dehydroepiandrosterone and pregnenolone) substrates for the enzyme 3beta-hydroxysteroid dehydrogenase (3betaHSD). We found that galeterone is metabolized by 3betaHSD to Delta(4)-galeterone (D4G), which is further converted by steroid-5alpha-reductase (SRD5A) to 3-keto-5alpha-galeterone (5alphaG), 3alpha-OH-5alpha-galeterone, and 3beta-OH-5alpha-galeterone; in vivo it is also converted to the three corresponding 5beta-reduced metabolites. D4G inhibits steroidogenesis and suppresses AR protein stability, AR target gene expression, and xenograft growth comparably with galeterone, and further conversion by SRD5A leads to loss of several activities that inhibit the androgen axis that may compromise clinical efficacy. Together, these findings define a critical metabolic class effect of steroidal drugs with a Delta(5),3beta-hydroxyl structure. CI - Copyright (c) 2017 Elsevier Ltd. All rights reserved. FAU - Alyamani, Mohammad AU - Alyamani M AD - Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Department of Chemistry, Cleveland State University, Cleveland, OH 44115, USA. FAU - Li, Zhenfei AU - Li Z AD - Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA. FAU - Berk, Michael AU - Berk M AD - Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA. FAU - Li, Jianneng AU - Li J AD - Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA. FAU - Tang, Jingjie AU - Tang J AD - CAS Key Laboratory of Systems Biology, CAS Center for Excellence in Molecular Cell Science, Shanghai Institute of Biochemistry and Cell Biology, Chinese Academy of Sciences, Shanghai 200031, P.R. China. FAU - Upadhyay, Sunil AU - Upadhyay S AD - Division of Endocrinology and Metabolism, Department of Internal Medicine and Department of Pharmacology, University of Michigan Medical School, Ann Arbor, MI 48103, USA. FAU - Auchus, Richard J AU - Auchus RJ AD - Division of Endocrinology and Metabolism, Department of Internal Medicine and Department of Pharmacology, University of Michigan Medical School, Ann Arbor, MI 48103, USA. FAU - Sharifi, Nima AU - Sharifi N AD - Department of Cancer Biology, Lerner Research Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Department of Chemistry, Cleveland State University, Cleveland, OH 44115, USA; Department of Urology, Glickman Urological and Kidney Institute, Cleveland Clinic, Cleveland, OH 44195, USA; Department of Hematology and Oncology, Taussig Cancer Institute, Cleveland Clinic, Cleveland, OH 44195, USA. Electronic address: sharifn@ccf.org. LA - eng GR - R01 CA168899/CA/NCI NIH HHS/United States GR - R01 CA172382/CA/NCI NIH HHS/United States GR - R01 CA190289/CA/NCI NIH HHS/United States PT - Journal Article DEP - 20170622 PL - United States TA - Cell Chem Biol JT - Cell chemical biology JID - 101676030 RN - 0 (Androstadienes) RN - 0 (Benzimidazoles) RN - 0 (Receptors, Androgen) RN - 73R90F7MQ8 (Pregnenolone) RN - EC 1.1.- (17-Hydroxysteroid Dehydrogenases) RN - EC 1.1.- (Hydroxysteroid Dehydrogenases) RN - EC 1.1.1.357 (AKR1C2 protein, human) RN - EC 1.1.1.51 (3 (or 17)-beta-hydroxysteroid dehydrogenase) RN - EC 1.14.14.19 (CYP17A1 protein, human) RN - EC 1.14.14.19 (Steroid 17-alpha-Hydroxylase) RN - EC 1.3.99.5 (3-Oxo-5-alpha-Steroid 4-Dehydrogenase) RN - WA33E149SW (3-hydroxy-17-(1H-benzimidazole-1-yl)androsta-5,16-diene) SB - IM CIN - Nat Rev Urol. 2017 Oct;14(10):590-592. PMID: 28786422 MH - 17-Hydroxysteroid Dehydrogenases/genetics/metabolism MH - 3-Oxo-5-alpha-Steroid 4-Dehydrogenase/genetics/metabolism MH - Androstadienes/analysis/*metabolism/therapeutic use MH - Animals MH - Benzimidazoles/analysis/*metabolism/therapeutic use MH - Cell Line, Tumor MH - Chromatography, High Pressure Liquid MH - HEK293 Cells MH - Humans MH - Hydroxysteroid Dehydrogenases/genetics/metabolism MH - Kaplan-Meier Estimate MH - Male MH - Mice MH - Pregnenolone/pharmacology MH - Prostatic Neoplasms/drug therapy/mortality/pathology MH - Receptors, Androgen/genetics/metabolism MH - Signal Transduction/drug effects MH - Steroid 17-alpha-Hydroxylase/antagonists & inhibitors/metabolism MH - Tandem Mass Spectrometry MH - Transplantation, Heterologous PMC - PMC5533090 MID - NIHMS878757 OTO - NOTNLM OT - 3betaHSD OT - CYP17A1 OT - abiraterone OT - androgens OT - galeterone OT - metabolism OT - prostate cancer OT - steroids EDAT- 2017/06/27 06:00 MHDA- 2017/09/28 06:00 PMCR- 2018/07/20 CRDT- 2017/06/27 06:00 PHST- 2017/01/22 00:00 [received] PHST- 2017/04/21 00:00 [revised] PHST- 2017/05/16 00:00 [accepted] PHST- 2017/06/27 06:00 [pubmed] PHST- 2017/09/28 06:00 [medline] PHST- 2017/06/27 06:00 [entrez] PHST- 2018/07/20 00:00 [pmc-release] AID - S2451-9456(17)30183-6 [pii] AID - 10.1016/j.chembiol.2017.05.020 [doi] PST - ppublish SO - Cell Chem Biol. 2017 Jul 20;24(7):825-832.e6. doi: 10.1016/j.chembiol.2017.05.020. Epub 2017 Jun 22.