PMID- 36221879 OWN - NLM STAT- MEDLINE DCOM- 20230519 LR - 20230521 IS - 1874-4702 (Electronic) IS - 1874-4672 (Linking) VI - 16 IP - 5 DP - 2023 TI - Prevalence of Hepatocellular Carcinoma in Men and the Contribution of Androgen and its Receptor in Pathogenesis and Therapy. PG - 559-563 LID - 10.2174/1874467215666221010092825 [doi] AB - BACKGROUND: Hepatocellular carcinoma (HCC) is a solid cancer with high predominance in males. Liver tissue of both genders has saturable specific oestrogen receptors. Androgen and its receptor (AR) have been suggested to contribute to the predominance in men. Anti-oestrogens, like tamoxifen may reduce the expression of oestrogen receptors, sustaining cellular in HCC. In vitro and human, studies confirmed that both testosterone and dihydrotestosterone (DHT) enhanced the growth and proliferation of hepatic normal and tumour cells. Although the activity of AR is escalated by the chemical induction of hepatocarcinogenesis; clinical trials with AR-targeted agents alone failed to generate survival benefits. PURPOSE: This review will outline the possible pathophysiological mechanisms by which both androgen and AR contribute to hepatocarcinogenesis and to which extent this pathway can be responsible for the male prevalence and if they could be pharmacological targets in HCC management. CONCLUSION: Influencing factors that seem to be responsible for male prevalence include testosterone, dihydrotestosterone and androgen receptors, as well as, proteomic deficiency of DNA packaging, nuclear proteins and homeostasis-related functional proteins. Understanding the reasons for males, rather than females the HCC prevalence may help in suggesting new approaches by improving the anti-AR therapies through co-targeting of AR and protein kinase B (Akt)/mammalian target of rapamycin (mTOR) pathway. CI - Copyright(c) Bentham Science Publishers; For any queries, please email at epub@benthamscience.net. FAU - Abdel-Hamid, Nabil Mohie AU - Abdel-Hamid NM AD - Department of Biochemistry, Faculty of Pharmacy, Kafrelsheikh University, Kafrelsheikh, Egypt. FAU - Al-Quzweny, Rawaa Muayad AU - Al-Quzweny RM AD - Department of Medical Lab Technique, Faculty of Pathological Analysis, Al-Farahidi University, Baghdad, Iraq. LA - eng PT - Journal Article PT - Review PL - United Arab Emirates TA - Curr Mol Pharmacol JT - Current molecular pharmacology JID - 101467997 RN - 0 (Androgens) RN - 08J2K08A3Y (Dihydrotestosterone) RN - 0 (Receptors, Estrogen) RN - 0 (Receptors, Androgen) RN - 3XMK78S47O (Testosterone) SB - IM MH - Humans MH - Male MH - Female MH - *Carcinoma, Hepatocellular/drug therapy/epidemiology MH - Androgens/therapeutic use MH - *Liver Neoplasms/drug therapy MH - Dihydrotestosterone/pharmacology/therapeutic use MH - Prevalence MH - Proteomics MH - Receptors, Estrogen/therapeutic use MH - Receptors, Androgen/genetics/metabolism/therapeutic use MH - Testosterone/therapeutic use OTO - NOTNLM OT - Liver cancer OT - androgen receptors OT - anti-androgen therapy OT - incidence OT - oestrogen OT - sex hormoness EDAT- 2022/10/13 06:00 MHDA- 2023/05/19 06:42 CRDT- 2022/10/12 02:33 PHST- 2022/05/22 00:00 [received] PHST- 2022/08/28 00:00 [revised] PHST- 2022/09/09 00:00 [accepted] PHST- 2023/05/19 06:42 [medline] PHST- 2022/10/13 06:00 [pubmed] PHST- 2022/10/12 02:33 [entrez] AID - CMP-EPUB-126866 [pii] AID - 10.2174/1874467215666221010092825 [doi] PST - ppublish SO - Curr Mol Pharmacol. 2023;16(5):559-563. doi: 10.2174/1874467215666221010092825.