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Intracrine androgen synthesis enzymes are a collection of enzymes responsible for converting circulating androgen precursors, primarily dehydroepiandrosterone (DHEA) and androstenedione, into active androgens (testosterone, dihydrotestosterone, and 11-ketotestosterone) within peripheral tissues, without significant release into the circulation. These enzymes include cytochrome P450 enzymes (such as CYP17A1), hydroxysteroid dehydrogenases (such as AKR1C3/17βHSD5, HSD3B1, HSD17B2), and steroid 5α-reductases (SRD5A1, SRD5A2), among others. The activity of these enzymes enables tissues like the prostate, skin, and certain tumors to sustain local androgen action, and is a key mechanism of resistance in androgen deprivation therapy for prostate cancer[1][2][3][5][7][8]. Their dysregulated expression is implicated in the progression of several hormone-dependent diseases and cancers, making them targets for therapeutic inhibition. Because “Intracrine androgen synthesis enzymes” refers to a functionally related group, a more structured approach would catalog each enzyme (e.g., “Aldo-keto reductase family 1 member C3 (AKR1C3)”) as individual targets.
Inhibition of androgen synthesis (e.g., CYP17A1 inhibitors reduce testosterone production in tumors); Decreasing intratumoral androgen availability; Inhibiting local androgen conversion from precursors; Augmenting androgen inactivation (targeting inactivating enzymes such as AKR1C1/C2).
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