Literature DB >> 14716738

Dutasteride, the dual 5alpha-reductase inhibitor, inhibits androgen action and promotes cell death in the LNCaP prostate cancer cell line.

C B Lazier1, L N Thomas, R C Douglas, J P Vessey, R S Rittmaster.   

Abstract

BACKGROUND: Reduction of T to DHT by 5alphaR in the prostate enhances androgenic activity for most targets. Inhibition of 5alphaR activity with finasteride attenuates androgen action in men and animal models. The objective of this study was to compare and contrast the effects of a potent new 5alphaR inhibitor, dutasteride, with finasteride in the LNCaP prostate cancer cell line.
METHODS: LNCaP cells were incubated for varying times with T or DHT in steroid-free medium in the absence or presence of increasing doses of dutasteride or finasteride and the effects on 5alphaR activity, PSA accumulation in the medium, and on cell proliferation were determined. Drug effects on apoptosis were investigated using Annexin V staining and a cell death ELISA assay. Effects of the drugs on AR ligand-binding activity and on AR protein levels were determined.
RESULTS: Dutasteride inhibited (3)H-T conversion to (3)H-DHT and, as anticipated, inhibited T-induced secretion of PSA and proliferation. However the drug also inhibited DHT-induced PSA secretion and cell proliferation (IC(50) approximately 1 microM). Finasteride also inhibited DHT action but was less potent than dutasteride. Dutasteride competed for binding the LNCaP cell AR with an IC(50) approximately 1.5 microM. High concentrations of dutasteride (10-50 microM), but not finasteride, in steroid-free medium, resulted in enhanced cell death, possibly by apoptosis. This was accompanied by loss of AR protein and decreased AR ligand-binding activity. Occupation of AR by R1881 partly protected against cell death and loss of AR protein. PC-3 prostate cancer cells, which do not contain AR, also were killed by high concentrations of dutasteride, as well as by 50 microM finasteride.
CONCLUSIONS: Dutasteride exhibited some inhibitory actions in LNCaP cells possibly related to 5alphaR inhibition but also had antiandrogenic effects at relatively low concentrations and cell death-promoting effects at higher concentrations. Finasteride also was antiandrogenic, but less than dutasteride. The antiandrogenic effects may be mediated by the mutant LNCaP cell AR. Promotion of cell death by dutasteride can be blocked, but only in part, by androgens. Copyright 2003 Wiley-Liss, Inc.

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Year:  2004        PMID: 14716738     DOI: 10.1002/pros.10340

Source DB:  PubMed          Journal:  Prostate        ISSN: 0270-4137            Impact factor:   4.104


  22 in total

1.  5alpha-reductase: history and clinical importance.

Authors:  Leonard S Marks
Journal:  Rev Urol       Date:  2004

2.  The antiandrogenic effect of finasteride against a mutant androgen receptor.

Authors:  Yue Wu; Rishi Raj Chhipa; Haitao Zhang; Clement Ip
Journal:  Cancer Biol Ther       Date:  2011-05-15       Impact factor: 4.742

Review 3.  The rationale for inhibiting 5alpha-reductase isoenzymes in the prevention and treatment of prostate cancer.

Authors:  Donald J Tindall; Roger S Rittmaster
Journal:  J Urol       Date:  2008-02-20       Impact factor: 7.450

4.  A Phase II Trial of Abiraterone Combined with Dutasteride for Men with Metastatic Castration-Resistant Prostate Cancer.

Authors:  Rana R McKay; Lillian Werner; Elahe A Mostaghel; Rosina Lis; Olga Voznesensky; Zhenwei Zhang; Brett T Marck; Alvin M Matsumoto; Liran Domachevsky; Katherine A Zukotynski; Manoj Bhasin; Glenn J Bubley; Bruce Montgomery; Philip W Kantoff; Steven P Balk; Mary-Ellen Taplin
Journal:  Clin Cancer Res       Date:  2016-09-28       Impact factor: 12.531

5.  The direct inhibitory effect of dutasteride or finasteride on androgen receptor activity is cell line specific.

Authors:  Rishi Raj Chhipa; Danny Halim; Jinrong Cheng; Huan Yi Zhang; James L Mohler; Clement Ip; Yue Wu
Journal:  Prostate       Date:  2013-06-28       Impact factor: 4.104

Review 6.  Prostate tissue androgens: history and current clinical relevance.

Authors:  Leonard S Marks; Elahe A Mostaghel; Peter S Nelson
Journal:  Urology       Date:  2008-05-27       Impact factor: 2.649

7.  Prostate cancer cells differ in testosterone accumulation, dihydrotestosterone conversion, and androgen receptor signaling response to steroid 5α-reductase inhibitors.

Authors:  Yue Wu; Alejandro Godoy; Faris Azzouni; John H Wilton; Clement Ip; James L Mohler
Journal:  Prostate       Date:  2013-06-27       Impact factor: 4.104

Review 8.  Targeting cancer using cholesterol conjugates.

Authors:  Awwad A Radwan; Fares K Alanazi
Journal:  Saudi Pharm J       Date:  2013-01-31       Impact factor: 4.330

9.  Effects of the 5 alpha-reductase inhibitor dutasteride on gene expression in prostate cancer xenografts.

Authors:  Lucy J Schmidt; Kevin M Regan; S Keith Anderson; Zhifu Sun; Karla V Ballman; Donald J Tindall
Journal:  Prostate       Date:  2009-12-01       Impact factor: 4.104

Review 10.  Dutasteride: a review of its use in the management of prostate disorders.

Authors:  Susan J Keam; Lesley J Scott
Journal:  Drugs       Date:  2008       Impact factor: 9.546

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