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Medical Forum / Diseases and Disorders / Prostate Cancer / March 2006

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Intersting straw in the wind

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Leonard Evens - 06 Mar 2006 15:26 GMT
The note below was reported in a recent issue of Nature.  I'm not sure
what it means, but it seems indirectly, at least, to question the
conventional theory that hormone resistant cells are there from the
beginning.

Cell 124, 615–629 (2006)

Prostate cancer responds at first to drugs that block the action of
androgens, such as testosterone, on which its growth depends. But
resistance to the drugs soon develops.

Now Michael Rosenfeld and David Rose of the University of California,
San Diego, and their colleagues report an unexpected mechanism that may
explain why the drugs stop working.

They traced the effect to a chemical produced by macrophages — immune
cells that infiltrate prostate tumours. The chemical produced, a
cytokine, triggers a chain of reactions that ultimately reactivate the
blocked androgen receptor.

The effect is mediated by a particular domain of the receptor. The same
domain is found in all sex steroid receptors, and may have evolved for
fine-tuning of hormone activity during sensitive events in mammalian
reproduction.
Steve Jordan - 06 Mar 2006 17:30 GMT
> The note below was reported in a recent issue of Nature.  I'm not sure
> what it means, but it seems indirectly, at least, to question the
> conventional theory that hormone resistant cells are there from the
> beginning.
(snip)

I would love to see their peer-reviewed article.

Regards,

Steve J
Alan Meyer - 06 Mar 2006 21:30 GMT
>> The note below was reported in a recent issue of Nature.  I'm not sure what it means,
>> but it seems indirectly, at least, to question the conventional theory that hormone
>> resistant cells are there from the beginning.
> (snip)
>
> I would love to see their peer-reviewed article.

Absolutely.  It's so hard to get anything from news articles.

> They traced the effect to a chemical produced by macrophages - immune cells that
> infiltrate prostate tumours. The chemical produced, a cytokine, triggers a chain of
> reactions that ultimately reactivate the blocked androgen receptor ...

This is an interesting finding that, if true, offers both more information
about what's going on, and new targets for drug development.  However
I wonder what this has to do with LHRH agonist like Lupron or Zoladex.
It is my understanding that these drugs don't block cancer cells from
taking up testosterone, they block the testes from producing it.  That
sounds like the chemical produced by the immune cells will make
anti-androgen drugs like Casodex less effective over time, but not
Lupron.

   Alan
I.P. Freely - 07 Mar 2006 20:06 GMT
> The note below was reported in a recent issue of Nature.  I'm not sure
> what it means, but it seems indirectly, at least, to question the
> conventional theory that hormone resistant cells are there from the
> beginning.

So does that imply that we're to choose our poison, taking ADT and its
SEs to die later of AIPC or going cold turkey to die sooner of ADPC?
THERE'S a Hobbs' choice for us!

I.P.
 
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