You have accessJournal of UrologyProstate Cancer: Basic Research (II)1 Apr 2013331 ANDROGEN DEPRIVATION PROMOTES INTRATUMORAL SYNTHESIS OF DIHYDROTESTOSTERONE FROM ANDROGEN METABOLITES IN PROSTATE CANCER Fumio Ishizaki, Tsutomu Nishiyama, Takashi Kawasaki, Yoshimichi Miyashiro, Noboru Hara, Itsuhiro Takizawa, Makoto Naito, and Kota Takahashi Fumio IshizakiFumio Ishizaki Nagaoka, Japan More articles by this author , Tsutomu NishiyamaTsutomu Nishiyama Niigata, Japan More articles by this author , Takashi KawasakiTakashi Kawasaki Niigata, Japan More articles by this author , Yoshimichi MiyashiroYoshimichi Miyashiro Kawasaki, Japan More articles by this author , Noboru HaraNoboru Hara Niigata, Japan More articles by this author , Itsuhiro TakizawaItsuhiro Takizawa Niigata, Japan More articles by this author , Makoto NaitoMakoto Naito Niigata, Japan More articles by this author , and Kota TakahashiKota Takahashi Niigata, Japan More articles by this author View All Author Informationhttps://doi.org/10.1016/j.juro.2013.02.1716AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookTwitterLinked InEmail INTRODUCTION AND OBJECTIVES Dihydrotestosterone (DHT) is reduced by aldo-keto reductase 1C2 and 1C1 (AKR1C2 and AKR1C1) and is metabolized to 5α-androstane-3α/β,17β-diol (3α/β-diol), respectively. 3α-diol can be converted back to DHT via oxidative 3α-hydroxysteroid dehydrogenase (HSD) activity. On the other hand, it has been reported that synthesis of DHT from 3β-diol is prevented. The significance of the back conversion in humans during androgen deprivation therapy (ADT) has barely been studied, despite evidence that the balance between DHT synthesis and metabolization determines intratumoral DHT concentrations. METHODS Intracellular androgen levels under incubation with the addition of 3α- or 3β-diol into LNCaP and VCaP cells were measured by the liquid chromatography tandem mass spectrometry (LC/MS). LNCaP was cultured in steroid hormone-depleted medium with 1 nM dehydroepiandrosterone (DHEA) for 70 passages (LNCaP-ADT). Transcriptome expression were analyzed by real-time PCR. Expression scores for 17β-HSD type 6 (HSD17B6) in radical prostatectomy specimens treated with or without ADT were evaluated using immunohistochemistry. We prospectively analyzed blood samples of 72 patients receiving ADT to reveal the in vivo kinetics of 3α-diol. RESULTS Our studies showed the synthesis of DHT from 3β-diol in both prostate cancer cell lines and culture medium. Different from the results of 3α-diol, we found a lot of other C19 androgens such as A-dione, A-diol, and DHEA in prostate cancer (PCa) cells and the culture medium. Additionally, long-term culture in androgen-deprived media increased mRNA expression of HSD17B6 in PCa cells. Conversely, AKR1C1·2 was down-regulated at the beginning of androgen deprivation. The expression score for HSD17B6 in prostatectomy specimens of 42 PCa patients undergoing neoadjuvant ADT was about 2-fold higher than that in tissues of 100 untreated individuals (p<0.001). In men receiving ADT, patients showing biochemical progression had a higher HSD17B6 score than those without progression (p=0.038). Transfection with HSD17B6 siRNA significantly reduced PSA by 20.6% in LNCaP-ADT cells treated with 3α-diol (P=0.014). Serum 3α-diol glucuronide levels correlated with serum adrenal androgen such as DHEA sulfate (DHEA-S) and A-dione before and after ADT. CONCLUSIONS Our study revealed that 3α- and 3β-diol has a much more significant role in intratumoral androgen metabolism during ADT than previously thought, and the back conversion of DHT from 3α- and 3β-diol can be a promising target for advanced combination hormone therapy. © 2013 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 189Issue 4SApril 2013Page: e134 Advertisement Copyright & Permissions© 2013 by American Urological Association Education and Research, Inc.MetricsAuthor Information Fumio Ishizaki Nagaoka, Japan More articles by this author Tsutomu Nishiyama Niigata, Japan More articles by this author Takashi Kawasaki Niigata, Japan More articles by this author Yoshimichi Miyashiro Kawasaki, Japan More articles by this author Noboru Hara Niigata, Japan More articles by this author Itsuhiro Takizawa Niigata, Japan More articles by this author Makoto Naito Niigata, Japan More articles by this author Kota Takahashi Niigata, Japan More articles by this author Expand All Advertisement Advertisement PDF downloadLoading ...