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Androgen receptor; Glucocorticoid receptor (AR; GR)

Target
AR; GR
Molecular classification
Nuclear receptor, Ligand-activated transcription factor, Steroid hormone receptor, 3-ketosteroid receptor
01

Overview

The Androgen receptor (AR; NR3C4) is a nuclear steroid hormone receptor that, upon binding androgens like testosterone and dihydrotestosterone, translocates to the nucleus, binds to androgen response elements, and regulates genes responsible for the development and maintenance of male characteristics as well as cell growth, particularly in prostate tissue[1][3][4][5]. The AR is modular with an N-terminal transactivation domain, a DNA-binding domain, and a ligand-binding domain, and regulates gene expression by recruiting coactivators or corepressors and initiating chromatin remodeling[1][3][5]. The Glucocorticoid receptor (GR; NR3C1) similarly acts as a ligand-dependent transcription factor, binding natural glucocorticoids such as cortisol. Upon activation, it translocates to the nucleus and regulates genes involved in glucose metabolism, immune response, cell survival, and stress responses. GR has tumor suppressive roles in normal tissues but may act as an oncogene in antiandrogen-resistant cancers[2][4][6]. GR is essential for mediating anti-inflammatory and immunosuppressive effects of steroid drugs[2][4]. Both receptors share a highly conserved DNA-binding domain and can recognize common hormone response elements, but chromatin context and coregulators drive their functional specificity[6][4]. They are clinically significant for therapy in prostate cancer, hormone disorders, inflammation, and immune modulation, but they also carry risks of resistance and systemic side effects[4][7][2].

Other names
NR3C4Androgen receptorNR3C1Glucocorticoid receptor
02

Mechanism of action

AR-targeting drugs: Inhibition of androgen binding; blockade of nuclear translocation; antagonist effects at ligand binding domain; promoting receptor degradation. GR-targeting drugs: Agonism or antagonism at the glucocorticoid binding site; modulation of gene transcription to suppress inflammation, immune responses, or cancer cell adaptation.

03

Biological functions

AR: Regulates gene expression in response to androgensAR: Promotes development and maintenance of male sexual characteristicsAR: Drives cell proliferation and survival especially in prostate tissueGR: Regulates gene expression in response to glucocorticoidsGR: Modulates immune response, inflammation, stress adaptation, liver glucose metabolism, and cell survival/apoptosis
04

Disease associations

AR: Prostate cancerAR: Other hormone-dependent cancersAR: Androgen insensitivity syndromeAR: OsteoporosisAR: Muscle wastingGR: Cancer (notably prostate cancer resistance)GR: Chronic inflammatory diseasesGR: Autoimmune disordersGR: Metabolic syndrome (diabetes/glucose metabolism)GR: Cushing’s syndromeGR: Psychiatric disorders
05

Safety considerations

AR: Resistance to antiandrogen therapy in cancerAR: Off-target hormonal effectsAR: Metabolic and cardiovascular riskGR: Long-term glucocorticoid therapy risks include immunosuppressionGR: OsteoporosisGR: Muscle and bone wastingGR: Metabolic syndromeGR: Psychiatric effects
06

Interacting drugs

AR: Antiandrogens (bicalutamide, enzalutamide)

6 more in the full profile.

07

Biomarkers

AR (prostate cancer): AR expression levelAR (prostate cancer): AR mutations (e.g., T877A, L701H)AR (prostate cancer): AR splice variantsGR: GR expression level (especially in antiandrogen-resistant prostate cancer)GR: GR mutations

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