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孤儿核受体作为去势抵抗性前列腺癌肿瘤内雄激素生物合成的调节因子。

Orphan nuclear receptors as regulators of intratumoral androgen biosynthesis in castration-resistant prostate cancer.

作者信息

Zhou Jianfu, Wang Yuliang, Wu Dinglan, Wang Shusheng, Chen Zhiqiang, Xiang Songtao, Chan Franky Leung

机构信息

Department of Urology, The Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou, China.

The Second Clinical College, Guangzhou University of Chinese Medicine, Guangzhou, China.

出版信息

Oncogene. 2021 Apr;40(15):2625-2634. doi: 10.1038/s41388-021-01737-1. Epub 2021 Mar 9.

Abstract

Castration-resistant prostate cancer (CRPC) almost invariably occurs after androgen-deprivation therapy (ADT) for the advanced metastatic disease. It is generally believed that among multiple mechanisms and signaling pathways, CRPC is significantly driven by the reactivation of androgen receptor (AR) signaling in ADT-treated patients with castrate levels of androgen, partially at least mediated by the androgen biosynthesis within the tumor, also known as intratumoral or intraprostatic androgen biosynthesis. Steroidogenic enzymes, such as CYP11A1, CYP17A1, HSD3B1, AKR1C3 and SRD5A, are essential to catalyze the conversion of the initial substrate cholesterol into potent androgens that confers the CRPC progression. Accumulating evidences indicate that many steroidogenic enzymes are upregulated in the progression setting; however, little is known about the dysregulation of these enzymes in CRPC. Orphan nuclear receptors (ONRs) are members of the nuclear receptor superfamily, of which endogenous physiological ligands are unknown and which are constitutively active independent of any physiological ligands. Studies have validated that besides AR, ONRs could be the potential therapeutic targets for prostate cancer, particularly the lethal CRPC progression. Early studies reveal that ONRs play crucial roles in the transcriptional regulation of steroidogenic enzyme genes. Notably, we and others show that three distinct ONRs, including liver receptor homolog-1 (LRH-1, NR5A2), steroidogenic factor 1 (SF-1, AD4BP, NR5A1) and estrogen-related receptor α (ERRα, NR3B1), can contribute to the CRPC progression by promotion of the intratumoral androgen synthesis via their direct transcriptional regulation on multiple steroidogenic enzymes. This review presents an overview of the current understanding on the intratumoral androgen biosynthesis in CRPC, with a special focus on the emerging roles of ONRs in this process.

摘要

去势抵抗性前列腺癌(CRPC)几乎总是在对晚期转移性疾病进行雄激素剥夺治疗(ADT)后出现。人们普遍认为,在多种机制和信号通路中,CRPC在接受ADT治疗且雄激素水平处于去势状态的患者中,至少部分是由雄激素受体(AR)信号的重新激活显著驱动的,这一过程至少部分由肿瘤内的雄激素生物合成介导,也称为肿瘤内或前列腺内雄激素生物合成。类固醇生成酶,如CYP11A1、CYP17A1、HSD3B1、AKR1C3和SRD5A,对于催化初始底物胆固醇转化为强效雄激素至关重要,而强效雄激素会导致CRPC进展。越来越多的证据表明,许多类固醇生成酶在疾病进展过程中上调;然而,对于这些酶在CRPC中的失调情况知之甚少。孤儿核受体(ONRs)是核受体超家族的成员,其内源生理性配体未知,并且独立于任何生理性配体而组成性激活。研究已经证实,除了AR之外,ONRs可能是前列腺癌的潜在治疗靶点,尤其是对于致命的CRPC进展。早期研究表明,ONRs在类固醇生成酶基因的转录调控中起关键作用。值得注意的是,我们和其他人表明,三种不同的ONRs,包括肝受体同源物-1(LRH-1,NR5A2)、类固醇生成因子1(SF-1,AD4BP,NR5A1)和雌激素相关受体α(ERRα,NR3B1),可以通过对多种类固醇生成酶的直接转录调控促进肿瘤内雄激素合成,从而导致CRPC进展。本综述概述了目前对CRPC中肿瘤内雄激素生物合成的理解,特别关注ONRs在此过程中的新作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cd4d/8049868/617ba0840e84/41388_2021_1737_Fig1_HTML.jpg

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