A Novel Synthetic Compound That Interrupts Androgen Receptor Signaling in Human Prostate Cancer Cells

Total Page:16

File Type:pdf, Size:1020Kb

A Novel Synthetic Compound That Interrupts Androgen Receptor Signaling in Human Prostate Cancer Cells 2057 A novel synthetic compound that interrupts androgen receptor signaling in human prostate cancer cells Shan Lu,1 Amy Wang,1 Shan Lu,2 Introduction 1 and Zhongyun Dong Prostate cancer is the most common cancer and the second most common cause of cancer death among men in the Departments of 1Internal Medicine and 2Pathology, University of Cincinnati College of Medicine, Cincinnati, Ohio United States (1). As detection techniques improve, more patients are diagnosed with localized disease and can be cured byeither surgeryor radiation therapy. Abstract Metastasis in manypatients, however, still occurs before The purpose of this study was to determine the effects of 6- the initial diagnosis. Hormonal therapies, commonlywith amino-2-[2-(4-tert-butyl-phenoxy)-ethylsulfonyl]-1H-py- combinations of antiandrogens (flutamide, nilutamide, rimidine-4-one (DL3), a novel synthetic compound with or bicalutamide) and androgen deprivation, are the main- small-molecule drug properties, on androgen-regulated staytreatment for advanced diseases. These therapies, gene expression and cell growth in human prostate cancer however, onlydelaytumor progression byan average of cells. LNCaP, 22Rv1, and LAPC-4 cells were used in the <18 months, followed bythe development of hormone- studies. Expression of prostate-specific antigen (PSA) and refractorydisease (2). A discontinuation of an antian- androgen receptor (AR) was determined by ELISA, Western drogen therapyoften results in clinical improvement and blotting, real-time reverse transcription-PCR, nuclear run- a decrease in serum prostate-specific antigen (PSA) in on, and/or promoter luciferase reporter assays. Effects of manypatients with hormone-refractorydisease (i.e., DL3 on cell growth were determined by the 3-(4,5-dime- antiandrogen withdrawal syndrome), which is partially thylthiazol-2-yl)-2,5-diphenyltetrazolium bromide staining. caused bythe intrinsic androgenic activityof the anti- DL3 inhibited dihydrotestosterone (DHT)-induced PSA ex- androgens (3). Therefore, there is an urgent need to iden- pression in a dose-dependent fashion. The inhibitory effects tifyand develop more effective therapeutic agents for of DL3 were more potent than those of flutamide, nilu- prostate cancer. tamide, and bicalutamide. Moreover, DL3 blocked the sti- Androgen receptor (AR), a member of the steroid receptor mulatory effects of nilutamide on PSA expression in LNCaP superfamily, is a ligand-dependent transcription factor cells. Unlike the three classic antiandrogens, DL3 did not that mediates androgen action in cells. AR is composed show intrinsic AR agonist activity. Nuclear run-on and PSA of three major domains: an NH2-terminal transcriptional promoter reporter assays revealed that DL3 blocked DHT- activation domain (NTD), a central DNA-binding domain, induced PSA gene transcription. Consistent with its effects and a COOH-terminal ligand-binding domain (LBD; 4, 5). on PSA expression, DL3 inhibited DHT-stimulated cell AR is associated with cellular chaperones in the cytosol growth with a potency significantly superior to flutamide, in its inactive state (6). After binding to androgens, such nilutamide, or bicalutamide. Furthermore, cells resistant to as testosterone and, more potently, dihydrotestosterone flutamide or nilutamide were as susceptible as their parental (DHT), AR translocates to the nucleus, binds to andro- counterparts to the inhibitory effects of DL3 on both PSA gen response elements of AR target gene promoter, and expression and cell growth. DL3 did not inhibit AR nuclear regulates expression of AR target genes (4, 7). AR hyper- sensitivity, as a result of AR gene mutation and/or localization and the NH2- and COOH-terminal interaction of AR induced by DHT. These data show that DL3 is a novel amplification, overexpression of coactivators, and AR inhibitor of the AR signaling axis and a potentially potent cross-talking with other signal transduction pathways, therapeutic agent for the management of advanced human often occurs and plays crucial roles in prostate cancer prostate cancer. [Mol Cancer Ther 2007;6(7):2057–64] development, progression, and androgen-independent growth (7–9). Therefore, AR and its signaling axis are the most important targets for therapies against advanced prostate cancer (7–9). Received 11/28/06; revised 5/17/07; accepted 5/23/07. In the present report, we identified 6-amino-2-[2-(4-tert- Grant support: University of Cincinnati Cancer Center (S. Lu2 and Z. Dong) butyl-phenoxy)-ethylsulfonyl]-1H-pyrimidine-4-one (DL3), and NIH/National Cancer Institute grant CA97099-01 A1 (Z. Dong). a novel synthetic small molecule with potent anti-AR The costs of publication of this article were defrayed in part by the payment of page charges. This article must therefore be hereby marked signaling activities. DL3 inhibited expression of PSA, a advertisement in accordance with 18 U.S.C. Section 1734 solely to widelyused serologic marker for prostate cancer burdens indicate this fact. and an indicator of therapeutic efficacyand recurrence Requests for reprints: Zhongyun Dong, Department of Internal Medicine, (10, 11). DL3 also inhibited androgen-stimulated growth University of Cincinnati College of Medicine, Room 1308, 3125 Eden Avenue, Cincinnati, OH 45267. Phone: 513-558-2176; in prostate cancer cells. Moreover, DL3 did not show any Fax: 513-558-6703. E-mail: [email protected] detectable intrinsic AR agonist activityand inhibited PSA Copyright C 2007 American Association for Cancer Research. expression and in vitro growth of prostate cancer cells doi:10.1158/1535-7163.MCT-06-0735 resistant to flutamide or nilutamide. Mol Cancer Ther 2007;6(7). July 2007 Downloaded from mct.aacrjournals.org on September 24, 2021. © 2007 American Association for Cancer Research. 2058 A Novel AR Signaling Inhibitor Materials and Methods and the cell suspension was gentlyagitated to produce a DL3 Compound single-cell suspension. The cells were washed in HBSS and During a high-throughput screening of a chemical library resuspended in growth medium. Onlysuspensions of (ChemBridge Co.), we identified the novel compound DL3 single cells with viabilityexceeding 95% (ascertained by (Fig. 1A), which selectivelyinhibited expression of genes trypan blue exclusion) were used. regulated byandrogen response element–driven promoter. PSA Detection  4 Tu m o r C e l l s a n d C u l t u r e LNCaP cells were plated into 96-well plates at 2 10 The well-characterized LNCaP (androgen responsive; per well in S-MEM (MEM medium supplemented with refs. 12, 13) and 22Rv1 (androgen weaklyresponsive; 10% charcoal-dextran treated fetal bovine serum) or refs. 13, 14) cell lines were purchased from American Type C-MEM. After 24-h incubation, the cells were treated for Culture Collection. HeLa cells were also obtained from 48 h as detailed in Results. PSA in the culture superna- American Type Culture Collection. The cells were main- tants was quantified with an ELISA kit (United Biotech, tained as a monolayer culture in MEM supplemented with Inc.) following the manufacturer’s instruction. Intracel- 10% fetal bovine serum, nonessential amino acids, sodium lular PSA was detected byWestern blotting as described pyruvate, vitamin A, and glutamine (C-MEM). LAPC-4 below. cells, which express the wild-type AR and are androgen Western Blot Analysis 6 responsive (13, 15), were generouslyprovided byDr. Karen Cells (2  10 per 60-mm dish) were washed and scraped Knudson, with the approval of Dr. Robert Reiter. LAPC-4 into a lysis buffer and analyzed by Western blotting, as cells were maintained in Iscove’s modified Dulbecco’s described in our previous study(16), with PSA and AR- medium supplemented with 10% fetal bovine serum and specific antibodies obtained from DakoCytomation and 10 nmol/L DHT. LNCaP cells were cultured in C-MEM Santa Cruz Biotechnology, Inc., respectively. The immuno- containing 20 Amol/L of flutamide or nilutamide for >2 reactive signals were revealed with the enhanced chemilu- months to derive LNCaP-Flut-R and LNCaP-Nilut-R cells, minescence Western blotting detection system (Michigan respectively. Cells in exponential growth phase were Diagnostic LLC) and visualized in a KODAK Image Station harvested bya 1- to 3-min treatment with a 0.25% IS4000MM Digital Imaging System (Eastman Kodak Co.). trypsin-0.02% EDTA solution. The flasks were tapped to Expression of PSA, AR, and h-actin was quantitated in the detach the cells, MEM-10% fetal bovine serum was added, linear range of exposure. Figure 1. Effects of DL3, flutamide, niluta- mide, and bicalutamide on PSA expression. A, chemical structure of DL3. Androgen-starved LNCaP cells in 96-well plates at 2  104 per well in S-MEM were incubated for 48 h with 1 nmol/L DHT and/or the four drugs (B), with DL3 and/or DHT (C), or with DL3 and/or nilutamide (D). PSA levels, normalized by cell density with the MTT staining, in the culture supernatant were determined by ELISA. *, P < 0.05; **, P < 0.01; ***, P < 0.001, in comparison with the cultures in the absence of inhibitors or DHT. MolCancerTher2007;6(7).July2007 Downloaded from mct.aacrjournals.org on September 24, 2021. © 2007 American Association for Cancer Research. Molecular Cancer Therapeutics 2059 Quantitative Real-time PCR Cells were seeded in 60-mm dishes (2  106 per dish). After treatment as desired, the cells were washed and total RNA was extracted with TRIzol reagent. Expression of PSA and AR was analyzed by real-time reverse transcription- PCR (RT-PCR) as detailed in our previous studies (17). The cycle threshold values were used to calculate the normal- ized gene expression against h-actin using the Q-Gene software. Nuclear Run-On Assay RT-PCR-based nuclear run-on assaywas done as detailed in our previous study(17). Briefly,cells in 15-cm dishes were rinsed with cold PBS and scraped in lysis buffer on ice, followed byaddition of the same volume of 0.6 mol/L sucrose buffer. Cell nucleus pellets, obtained bycentrifu- gation at 500  g for 10 min, were incubated for 30 min at 30jC in 500 AL of transcription reaction buffer (pH 7.9) containing 50 mmol/L Tris, 5 mmol/L MgCl2, 0.1 mmol/L EDTA, and 0.5 mmol/L nucleotide triphosphate.
Recommended publications
  • Prostate Cancer Causes, Risk Factors, and Prevention Risk Factors
    cancer.org | 1.800.227.2345 Prostate Cancer Causes, Risk Factors, and Prevention Risk Factors A risk factor is anything that increases your chances of getting a disease such as cancer. Learn more about the risk factors for prostate cancer. ● Prostate Cancer Risk Factors ● What Causes Prostate Cancer? Prevention There is no sure way to prevent prostate cancer. But there are things you can do that might lower your risk. Learn more. ● Can Prostate Cancer Be Prevented? Prostate Cancer Risk Factors A risk factor is anything that raises your risk of getting a disease such as cancer. Different cancers have different risk factors. Some risk factors, like smoking, can be changed. Others, like a person’s age or family history, can’t be changed. But having a risk factor, or even several, does not mean that you will get the disease. 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 Many people with one or more risk factors never get cancer, while others who get cancer may have had few or no known risk factors. Researchers have found several factors that might affect a man’s risk of getting prostate cancer. Age Prostate cancer is rare in men younger than 40, but the chance of having prostate cancer rises rapidly after age 50. About 6 in 10 cases of prostate cancer are found in men older than 65. Race/ethnicity Prostate cancer develops more often in African-American men and in Caribbean men of African ancestry than in men of other races. And when it does develop in these men, they tend to be younger.
    [Show full text]
  • Investigating Non-Targeted Screening and Accurate Quantitation of Trace Surface Water Contaminants Using High-Resolution Mass Spectrometry
    Western University Scholarship@Western Electronic Thesis and Dissertation Repository 8-8-2018 3:00 PM Investigating non-targeted screening and accurate quantitation of trace surface water contaminants using high-resolution mass spectrometry Lucas M. Morrison The University of Western Ontario Supervisor Sumarah, Mark W. The University of Western Ontario Co-Supervisor Yeung, Ken K-C. The University of Western Ontario Graduate Program in Chemistry A thesis submitted in partial fulfillment of the equirr ements for the degree in Master of Science © Lucas M. Morrison 2018 Follow this and additional works at: https://ir.lib.uwo.ca/etd Part of the Analytical Chemistry Commons, and the Environmental Chemistry Commons Recommended Citation Morrison, Lucas M., "Investigating non-targeted screening and accurate quantitation of trace surface water contaminants using high-resolution mass spectrometry" (2018). Electronic Thesis and Dissertation Repository. 5612. https://ir.lib.uwo.ca/etd/5612 This Dissertation/Thesis is brought to you for free and open access by Scholarship@Western. It has been accepted for inclusion in Electronic Thesis and Dissertation Repository by an authorized administrator of Scholarship@Western. For more information, please contact [email protected]. Abstract The human impact on surface water is a growing concern and the chemical surveying of contaminants including pharmaceuticals and pesticides is currently lacking. Neonicotinoids in particular, are among the most widely used insecticides that have prompted environmental concern and require monitoring. Chemical contaminants in environmental water samples are commonly analyzed by targeted tandem mass spectrometry. However, this requires a prior knowledge of the contaminants in the area of interest. Here, surface water samples were screened by utilizing optimized data-independent acquisition (DIA) methods and the spectra were databased for future retrospective analysis.
    [Show full text]
  • Download PDF File
    Ginekologia Polska 2019, vol. 90, no. 9, 520–526 Copyright © 2019 Via Medica ORIGINAL PAPER / GYNECologY ISSN 0017–0011 DOI: 10.5603/GP.2019.0091 Anti-androgenic therapy in young patients and its impact on intensity of hirsutism, acne, menstrual pain intensity and sexuality — a preliminary study Anna Fuchs, Aleksandra Matonog, Paulina Sieradzka, Joanna Pilarska, Aleksandra Hauzer, Iwona Czech, Agnieszka Drosdzol-Cop Department of Pregnancy Pathology, Department of Woman’s Health, School of Health Sciences in Katowice, Medical University of Silesia, Katowice, Poland ABSTRACT Objectives: Using anti-androgenic contraception is one of the methods of birth control. It also has a significant, non-con- traceptive impact on women’s body. These drugs can be used in various endocrinological disorders, because of their ability to reduce the level of male hormones. The aim of our study is to establish a correlation between taking different types of anti-androgenic drugs and intensity of hirsutism, acne, menstrual pain intensity and sexuality . Material and methods: 570 women in childbearing age that had been using oral contraception for at least three months took part in our research. We examined women and asked them about quality of life, health, direct causes and effects of that treatment, intensity of acne and menstrual pain before and after. Our research group has been divided according to the type of gestagen contained in the contraceptive pill: dienogest, cyproterone, chlormadynone and drospirenone. Ad- ditionally, the control group consisted of women taking oral contraceptives without antiandrogenic component. Results: The mean age of the studied group was 23 years ± 3.23. 225 of 570 women complained of hirsutism.
    [Show full text]
  • CASODEX (Bicalutamide)
    HIGHLIGHTS OF PRESCRIBING INFORMATION • Gynecomastia and breast pain have been reported during treatment with These highlights do not include all the information needed to use CASODEX 150 mg when used as a single agent. (5.3) CASODEX® safely and effectively. See full prescribing information for • CASODEX is used in combination with an LHRH agonist. LHRH CASODEX. agonists have been shown to cause a reduction in glucose tolerance in CASODEX® (bicalutamide) tablet, for oral use males. Consideration should be given to monitoring blood glucose in Initial U.S. Approval: 1995 patients receiving CASODEX in combination with LHRH agonists. (5.4) -------------------------- RECENT MAJOR CHANGES -------------------------- • Monitoring Prostate Specific Antigen (PSA) is recommended. Evaluate Warnings and Precautions (5.2) 10/2017 for clinical progression if PSA increases. (5.5) --------------------------- INDICATIONS AND USAGE -------------------------- ------------------------------ ADVERSE REACTIONS ----------------------------- • CASODEX 50 mg is an androgen receptor inhibitor indicated for use in Adverse reactions that occurred in more than 10% of patients receiving combination therapy with a luteinizing hormone-releasing hormone CASODEX plus an LHRH-A were: hot flashes, pain (including general, back, (LHRH) analog for the treatment of Stage D2 metastatic carcinoma of pelvic and abdominal), asthenia, constipation, infection, nausea, peripheral the prostate. (1) edema, dyspnea, diarrhea, hematuria, nocturia, and anemia. (6.1) • CASODEX 150 mg daily is not approved for use alone or with other treatments. (1) To report SUSPECTED ADVERSE REACTIONS, contact AstraZeneca Pharmaceuticals LP at 1-800-236-9933 or FDA at 1-800-FDA-1088 or ---------------------- DOSAGE AND ADMINISTRATION ---------------------- www.fda.gov/medwatch The recommended dose for CASODEX therapy in combination with an LHRH analog is one 50 mg tablet once daily (morning or evening).
    [Show full text]
  • Hormonal Treatment Strategies Tailored to Non-Binary Transgender Individuals
    Journal of Clinical Medicine Review Hormonal Treatment Strategies Tailored to Non-Binary Transgender Individuals Carlotta Cocchetti 1, Jiska Ristori 1, Alessia Romani 1, Mario Maggi 2 and Alessandra Daphne Fisher 1,* 1 Andrology, Women’s Endocrinology and Gender Incongruence Unit, Florence University Hospital, 50139 Florence, Italy; [email protected] (C.C); jiska.ristori@unifi.it (J.R.); [email protected] (A.R.) 2 Department of Experimental, Clinical and Biomedical Sciences, Careggi University Hospital, 50139 Florence, Italy; [email protected]fi.it * Correspondence: fi[email protected] Received: 16 April 2020; Accepted: 18 May 2020; Published: 26 May 2020 Abstract: Introduction: To date no standardized hormonal treatment protocols for non-binary transgender individuals have been described in the literature and there is a lack of data regarding their efficacy and safety. Objectives: To suggest possible treatment strategies for non-binary transgender individuals with non-standardized requests and to emphasize the importance of a personalized clinical approach. Methods: A narrative review of pertinent literature on gender-affirming hormonal treatment in transgender persons was performed using PubMed. Results: New hormonal treatment regimens outside those reported in current guidelines should be considered for non-binary transgender individuals, in order to improve psychological well-being and quality of life. In the present review we suggested the use of hormonal and non-hormonal compounds, which—based on their mechanism of action—could be used in these cases depending on clients’ requests. Conclusion: Requests for an individualized hormonal treatment in non-binary transgender individuals represent a future challenge for professionals managing transgender health care. For each case, clinicians should balance the benefits and risks of a personalized non-standardized treatment, actively involving the person in decisions regarding hormonal treatment.
    [Show full text]
  • U.S. Cancer Statistics: Male Urologic Cancers During 2013–2017, One of Three Cancers Diagnosed in Men Was a Urologic Cancer
    Please visit the accessible version of this content at https://www.cdc.gov/cancer/uscs/about/data-briefs/no21-male-urologic-cancers.htm December 2020| No. 21 U.S. Cancer Statistics: Male Urologic Cancers During 2013–2017, one of three cancers diagnosed in men was a urologic cancer. Of 302,304 urologic cancers diagnosed each year, 67% were found in the prostate, 19% in the urinary bladder, 13% in the kidney or renal pelvis, and 3% in the testis. Incidence Male urologic cancer is any cancer that starts in men’s reproductive or urinary tract organs. The four most common sites where cancer is found are the prostate, urinary bladder, kidney or renal pelvis, and testis. Other sites include the penis, ureter, and urethra. Figure 1. Age-Adjusted Incidence Rates for 4 Common Urologic Cancers Among Males, by Racial/Ethnic Group, United States, 2013–2017 5.0 Racial/Ethnic Group Prostate cancer is the most common 2.1 Hispanic Non-Hispanic Asian or Pacific Islander urologic cancer among men in all 6.3 Testis Non-Hispanic American Indian/Alaska Native racial/ethnic groups. 1.5 Non-Hispanic Black 7.0 Non-Hispanic White 5.7 All Males Among non-Hispanic White and Asian/Pacific Islander men, bladder 21.8 11.4 cancer is the second most common and 29.4 kidney cancer is the third most Kidney and Renal Pelvis 26.1 common, but this order is switched 23.1 22.8 among other racial/ethnic groups. 18.6 • The incidence rate for prostate 14.9 cancer is highest among non- 21.1 Urinary Bladder 19.7 Hispanic Black men.
    [Show full text]
  • OECD Environment Health and Safety Publications Series on Testing and Assessment No
    OECD Environment Health and Safety Publications Series on Testing and Assessment No. 21 Detailed Review Paper Appraisal of Test Methods for Sex Hormone Disrupting Chemicals Environment Directorate ORGANISATION FOR ECONOMIC CO-OPERATION AND DEVELOPMENT Paris May 2001 1 Also Published in the Series Testing and Assessment: No. 1, Guidance Document for the Development of OECD Guidelines for Testing of Chemicals (1993; reformatted 1995) No. 2, Detailed Review Paper on Biodegradability Testing (1995) No. 3, Guidance Document for Aquatic Effects Assessment (1995) No. 4, Report of the OECD Workshop on Environmental Hazard/Risk Assessment (1995) No. 5, Report of the SETAC/OECD Workshop on Avian Toxicity Testing (1996) No. 6, Report of the Final Ring-test of the Daphnia magna Reproduction Test (1997) No. 7, Guidance Document on Direct Phototransformation of Chemicals in Water (1997) No. 8, Report of the OECD Workshop on Sharing Information about New Industrial Chemicals Assessment (1997) No. 9 Guidance Document for the Conduct of Studies of Occupational Exposure to Pesticides During Agricultural Application (1997) No. 10, Report of the OECD Workshop on Statistical Analysis of Aquatic Toxicity Data (1998) No. 11, Detailed Review Paper on Aquatic Testing Methods for Pesticides and industrial Chemicals (1998) No. 12, Detailed Review Document on Classification Systems for Germ Cell Mutagenicity in OECD Member Countries (1998) No. 13, Detailed Review Document on Classification Systems for Sensitising Substances in OECD Member Countries 1998) No. 14, Detailed Review Document on Classification Systems for Eye Irritation/Corrosion in OECD Member Countries (1998) No. 15, Detailed Review Document on Classification Systems for Reproductive Toxicity in OECD Member Countries (1998) No.
    [Show full text]
  • Prostate Cancer and Sexual Function
    Prostate Cancer and Prostatic Diseases (1998) 1, 179 ±184 ß 1998 Stockton Press All rights reserved 1365±7852/98 $12.00 http://www.stockton-press.co.uk/pc Review Prostate cancer and sexual function RS Kirby,1 A Watson2 and DWW Newling3 1St. George's Hospital, London, UK; 2Watson Biomedical, Maidstone, UK; and 3Academisch Ziekenhuis der Vrije Universiteit, Amsterdam, The Netherlands Erectile dysfunction is a condition affecting 1 in every 10 men. Although its occurrence is related to ageing, illness and its necessary therapy can play a major role. Prostate cancer can lead to erectile dysfunction both psychologically through depression and emotional distress, and physically through therapy for the disease. An international quality of life survey involving 401 patients with prostate cancer was conducted. The objectives of the study were to investigate the patients' understanding of the treatment options they received, to explore the importance of the patient±doctor communication in the treatment of prostate cancer and to see what effect treatment had on patient's sexual function. One of the main ®ndings of the survey was that too little counselling or information on treatment options and their effects on sexual function was provided to patients. Patients themselves felt that psychosexual counselling, in particular, would be helpful. In addition, therapy for prostate cancer appears to have a signi®cant impact on patients' lifestyle and also on their libido, sexual function and activity. Keywords: prostate cancer; erectile dysfunction; quality
    [Show full text]
  • Detection of Estrogen Receptor Endocrine Disruptor Potency of Commonly Used Organochlorine Pesticides Using the LUMI-CELL ER Bioassay
    DEVELOPMENTAL AND REPRODUCTIVE TOXICITY Detection of Estrogen Receptor Endocrine Disruptor Potency of Commonly Used Organochlorine Pesticides Using The LUMI-CELL ER Bioassay John D. Gordon1, Andrew C: Chu1, Michael D. Chu2, Michael S. Denison3, George C. Clark1 1Xenobiotic Detection Systems, Inc., 1601 E. Geer St., Suite S, Durham, NC 27704, USA 2Alta Analytical Perspectives, 2714 Exchange Drive, Wilmington, NC 28405, USA 3Dept. of Environmental Toxicology, Meyer Hall, Univ. of California, Davis; Davis, CA 95616 USA Introduction Organochlorine pesticides are found in many ecosystems worldwide as result of agricultural and industrial activities and exist as complex mixtures. The use of these organochlorine pesticides has resulted in the contamination of lakes and streams, and eventually the animal and human food chain. Many of these pesticides, such as pp ’-DDT, pp ’-DDE, Kepone, Vinclozolin, and Methoxychlor (a substitute for the banned DDT), have been described as putative estrogenic endocrine disruptors, and act by mimicking endogenous estrogen 1-3 . Estrogenic compounds can have a significant detrimental effect on the endocrine and reproductive systems of both human and other animal populations 4 . Previous studies have shown a strong association between several EDCs (17p-Estradiol, DES, Zeralanol, Zeralenone, Coumestrol, Genistein, Biochanin A, Diadzein, Naringenin, Tamoxifin) and estrogenic activity via uterotropic assay, cell height, gland number, increased lactoferrin, and a transcriptional activity assay using BG1Luc4E2 cells4 . Some other examples of the effects of these EDCs are: decreased reproductive success and feminization of males in several wildlife species; increased hypospadias along with reductions in sperm counts in men; increase in the incidence of human breast and prostate cancers; and endometriosis 3-5 .
    [Show full text]
  • PROSTATE and TESTIS PATHOLOGY “A Coin Has Two Sides”, the Duality of Male Pathology
    7/12/2017 PROSTATE AND TESTIS PATHOLOGY “A Coin Has Two Sides”, The Duality Of Male Pathology • Jaime Furman, M.D. • Pathology Reference Laboratory San Antonio. • Clinical Assistant Professor Departments of Pathology and Urology, UT Health San Antonio. Source: http://themoderngoddess.com/blog/spring‐equinox‐balance‐in‐motion/ I am Colombian and speak English with a Spanish accent! o Shannon Alporta o Lindsey Sinn o Joe Nosito o Megan Bindseil o Kandace Michael o Savannah McDonald Source: http://www.taringa.net/posts/humor/7967911/Sindrome‐de‐la‐ Tiza.html 1 7/12/2017 The Prostate Axial view Base Apex Middle Apex Sagittal view Reference: Vikas Kundra, M.D., Ph.D. , Surena F. Matin, M.D. , Deborah A. Kuban, M.Dhttps://clinicalgate.com/prostate‐cancer‐4/ Ultrasound‐guided biopsy following a specified grid pattern of biopsies remains the standard of care. This approach misses 21% to 28% of prostate cancers. JAMA. 2017;317(24):2532‐2542. http://www.nature.com/nrurol/journal/v10/n12/abs/nrurol.2013.195.html Prostate Pathology Inflammation / granulomas Categories Adenosis, radiation, atrophy seminal vesicle Biopsy Benign TURP HGPIN Unsuspected carcinoma is seen in 12% of Atypical IHC TURP cases. glands Prostatectomy Subtype, Gleason, Malignant fat invasion, vascular invasion Other malignancies: sarcomas, lymphomas Benign Prostate Remember Malignant Glands Lack Basal Glands Cells Basal cells Secretory cells Stroma 2 7/12/2017 Benign Prostatic Lesions Atrophy Corpora amylacea (secretions) Seminal Vesicle Acute inflammation GMS Basal cell hyperplasia Basal cell hyperplasia Granulomas (BPH) (BPH) coccidiomycosis Mimics of Prostate Carcinoma Atrophy. Benign Carcinoma with atrophic features Prostate Carcinoma 1. Prostate cancer is the most common, noncutaneous cancer in men in the United States.
    [Show full text]
  • Ovarian Cancer Causes, Risk Factors, and Prevention Risk Factors
    cancer.org | 1.800.227.2345 Ovarian Cancer Causes, Risk Factors, and Prevention Risk Factors A risk factor is anything that affects your chance of getting a disease such as cancer. Learn more about the risk factors for ovarian cancer. ● Ovarian Cancer Risk Factors ● What Causes Ovarian Cancer? Prevention There is no known way to prevent most ovarian cancers. But there are things you can do that might lower your risk. Learn more. ● Can Ovarian Cancer Be Prevented? Ovarian Cancer Risk Factors A risk factor is anything that increases your chance of getting a disease like cancer. Different cancers have different risk factors. Some risk factors, like smoking, can be changed. Others, like a person’s age or family history, can’t be changed. But having a risk factor, or even many, does not mean that you will get the disease. And 1 ____________________________________________________________________________________American Cancer Society cancer.org | 1.800.227.2345 some people who get the disease may not have any known risk factors. Researchers have discovered several risk factors that might increase a woman's chance of developing epithelial ovarian cancer. These risk factors don’t apply to other less common types of ovarian cancer like germ cell tumors and stromal tumors. Factors that increase your risk of ovarian cancers Getting older The risk of developing ovarian cancer gets higher with age. Ovarian cancer is rare in women younger than 40. Most ovarian cancers develop after menopause. Half of all ovarian cancers are found in women 63 years of age or older. Being overweight or obese Obesity has been linked to a higher risk of developing many cancers.
    [Show full text]
  • Connecticut Medicaid
    ACNE AGENTS, TOPICAL ‡ ANGIOTENSIN MODULATOR COMBINATIONS ANTICONVULSANTS, CONT. CONNECTICUT MEDICAID (STEP THERAPY CATEGORY) AMLODIPINE / BENAZEPRIL (ORAL) LAMOTRIGINE CHEW DISPERS TAB (not ODT) (ORAL) (DX CODE REQUIRED - DIFFERIN, EPIDUO and RETIN-A) AMLODIPINE / OLMESARTAN (ORAL) LAMOTRIGINE TABLET (IR) (not ER) (ORAL) Preferred Drug List (PDL) ACNE MEDICATION LOTION (BENZOYL PEROXIDE) (TOPICAL)AMLODIPINE / VALSARTAN (ORAL) LEVETIRACETAM SOLUTION, IR TABLET (not ER) (ORAL) • The Connecticut Medicaid Preferred Drug List (PDL) is a BENZOYL PEROXIDE CREAM, WASH (not FOAM) (TOPICAL) OXCARBAZEPINE TABLET (ORAL) listing of prescription products selected by the BENZOYL PEROXIDE 5% and 10% GEL (OTC) (TOPICAL) ANTHELMINTICS PHENOBARBITAL ELIXIR, TABLET (ORAL) Pharmaceutical and Therapeutics Committee as efficacious, BENZOYL PEROXIDE 6% CLEANSER (OTC) (TOPICAL) ALBENDAZOLE TABLET (ORAL) PHENYTOIN CHEW TABLET, SUSPENSION (ORAL) safe and cost effective choices when prescribing for HUSKY CLINDAMYCIN PH 1% PLEGET (TOPICAL) BILTRICIDE TABLET (ORAL) PHENYTOIN SOD EXT CAPSULE (ORAL) A, HUSKY C, HUSKY D, Tuberculosis (TB) and Family CLINDAMYCIN PH 1% SOLUTION (not GEL or LOTION) (TOPICAL)IVERMECTIN TABLET (ORAL) PRIMIDONE (ORAL) Planning (FAMPL) clients. CLINDAMYCIN / BENZOYL PEROXIDE 1.2%-5% (DUAC) (TOPICAL) SABRIL 500 MG POWDER PACK (ORAL) • Preferred or Non-preferred status only applies to DIFFERIN 0.1% CREAM (TOPICAL) (not OTC GEL) (DX CODE REQ.) ANTI-ALLERGENS, ORAL SABRIL TABLET (ORAL) those medications that fall within the drug classes DIFFERIN
    [Show full text]