Inhibitors of aldo-keto reductases AKR1C1-AKR1C4

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This paper reviews the physiological roles, structural properties, and recent inhibitor development strategies for AKR1C1-AKR1C4 enzymes, which regulate steroidal hormones and are targets for various diseases.

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This paper reviews the physiological roles and structural properties of the aldo-keto reductase AKR1C isoforms (AKR1C1–AKR1C4), which interconvert steroidal hormones and thereby influence androgen, estrogen, and progesterone receptor activity, as well as neurosteroid and prostaglandin metabolism. It also outlines how these enzymes regulate xenobiotic metabolism and describes why AKR1C inhibitors are considered drug targets, covering recent inhibitor development strategies based on natural compounds, non-steroidal anti-inflammatory drugs, substrate-inspired steroidal and nonsteroidal designs, and computer-assisted structure-based design. A major limitation explicitly inherent to the article is that it is an overview/review rather than new experimental data. Relevance to endometriosis: the paper explicitly lists endometriosis among the hormone- and prostaglandin-related diseases targeted for AKR1C inhibitor development, though the manuscript’s main focus is a broad inhibitor landscape and drug-discovery strategies.

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Abstract

The AKR1C aldo-keto reductases (AKR1C1-AKR1C4) are enzymes that interconvert steroidal hormones between their active and inactive forms. In this manner, they can regulate the occupancy and trans-activation of the androgen, estrogen and progesterone receptors. The AKR1C isoforms also have important roles in the production and inactivation of neurosteroids and prostaglandins, and in the metabolism of xenobiotics. They thus represent important emerging drug targets for the development of agents for the treatment of hormone-dependent forms of cancer, like breast, prostate and endometrial cancers, and other diseases, like premenstrual syndrome, endometriosis, catamenial epilepsy and depressive disorders. We present here the physiological roles of these enzymes, along with their structural properties and an overview of the recent developments regarding their inhibitors. The most important strategies of inhibitor design are described, which include the screening of banks of natural compounds (like cinnamic acids, flavonoids, jasmonates, and related compounds), the screening of and structural modifications to non-steroidal anti-inflammatory drugs, the substrate-inspired design of steroidal and nonsteroidal inhibitors, and computer-assisted structure-based inhibitor design.
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Abstract

Keywords: Aldo-keto reductases, cancer, drug discovery, enzyme inhibitors, flavonoids, non-steroidal anti-inflammatory drugs, steroids, synergistic, steroidal hormones, prostaglandins Current Medicinal Chemistry Title: Inhibitors of Aldo-Keto Reductases AKR1C1-AKR1C4 Volume: 18 Issue: 17 Author(s): P. Brozic, S. Turk, T. Lanisnik Rizner and S. Gobec Affiliation:

Keywords

Aldo-keto reductases, cancer, drug discovery, enzyme inhibitors, flavonoids, non-steroidal anti-inflammatory drugs, steroids, synergistic, steroidal hormones, prostaglandins

Abstract

The AKR1C aldo-keto reductases (AKR1C1-AKR1C4) are enzymes that interconvert steroidal hormones between their active and inactive forms. In this manner, they can regulate the occupancy and trans-activation of the androgen, estrogen and progesterone receptors. The AKR1C isoforms also have important roles in the production and inactivation of neurosteroids and prostaglandins, and in the metabolism of xenobiotics. They thus represent important emerging drug targets for the development of agents for the treatment of hormone-dependent forms of cancer, like breast, prostate and endometrial cancers, and other diseases, like premenstrual syndrome, endometriosis, catamenial epilepsy and depressive disorders. We present here the physiological roles of these enzymes, along with their structural properties and an overview of the recent developments regarding their inhibitors. The most important strategies of inhibitor design are described, which include the screening of banks of natural compounds (like cinnamic acids, flavonoids, jasmonates, and related compounds), the screening of and structural modifications to non-steroidal anti-inflammatory drugs, the substrate-inspired design of steroidal and nonsteroidal inhibitors, and computer-assisted structure-based inhibitor design. Export Options About this article Cite this article as: Brozic P., Turk S., Lanisnik Rizner T. and Gobec S., Inhibitors of Aldo-Keto Reductases AKR1C1-AKR1C4, Current Medicinal Chemistry 2011; 18 (17) . https://dx.doi.org/10.2174/092986711795933713 | DOI https://dx.doi.org/10.2174/092986711795933713 | Print ISSN 0929-8673 | | Publisher Name Bentham Science Publishers | Online ISSN 1875-533X | Call for Papers in Thematic Issues Advance in Novel Drug and combined Therapies for Chronic Diseases Chronic diseases such as malignant tumors and rheumatoid arthritis have long plagued a large number of patients. Currently, the management of chronic diseases has entered a new stage of targeted regulation, precise intervention and integrated treatment. 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Condition tags

endometriosis

MeSH descriptors

20-Hydroxysteroid Dehydrogenases Enzyme Inhibitors 20-Hydroxysteroid Dehydrogenases 20-Hydroxysteroid Dehydrogenases Amino Acid Sequence Anti-Inflammatory Agents, Non-Steroidal Anti-Inflammatory Agents, Non-Steroidal Catalytic Domain Cinnamates Cinnamates Drug Design Drug Discovery Enzyme Inhibitors Flavonoids Flavonoids Gonadal Steroid Hormones Gonadal Steroid Hormones Humans Models, Molecular Neurotransmitter Agents

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