Germline HSD3B1 Genetics and Prostate Cancer Outcomes.

Germline HSD3B1 Genetics and Prostate Cancer Outcomes.
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DOI:
10.1016/j.urology.2020.08.028
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发表时间:
2020-11
期刊:
影响因子:
2.1
通讯作者:
Sharifi N
Sharifi N
中科院分区:
医学4区
文献类型:
--
作者:
Thomas L;Sharifi N

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Dihydrotestosterone synthesis in prostate cancer from adrenal DHEA/DHEA-sulfate requires enzymatic conversion in tumor tissues. 3β-hydroxysteroid dehydrogenase-1 (3β-HSD1) is an absolutely necessary enzyme for such dihydrotestosterone synthesis and is encoded by the gene HSD3B1 which comes in two functional inherited forms described in 2013. The adrenal-permissive HSD3B1(1245C) allele allows for rapid dihydrotestosterone synthesis. The adrenal-restrictive HSD3B1(1245A) allele limits androgen synthesis. Studies from multiple cohorts show that adrenal-permissive allele inheritance confers worse outcomes and shorter survival after castration in low-volume prostate cancer and poor outcomes after abiraterone or enzalutamide treatment for castration-resistant prostate cancer. Here, we review the clinical data and implications.
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