5-Alpha-reductase inhibition and prostate cancer prevention

Studies of prostate biology support the concept that dihydrotestosterone is the principal androgen responsible for normal and hyperplastic growth of the prostate gland. Cancer is a process of malignant transformation evolving over time, involving cellular growth and division. Therefore, an altered e...

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Veröffentlicht in:Cancer epidemiology, biomarkers & prevention biomarkers & prevention, 1994-03, Vol.3 (2), p.177
Hauptverfasser: Brawley, O W, Ford, L G, Thompson, I, Perlman, J A, Kramer, B S
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container_issue 2
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container_title Cancer epidemiology, biomarkers & prevention
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creator Brawley, O W
Ford, L G
Thompson, I
Perlman, J A
Kramer, B S
description Studies of prostate biology support the concept that dihydrotestosterone is the principal androgen responsible for normal and hyperplastic growth of the prostate gland. Cancer is a process of malignant transformation evolving over time, involving cellular growth and division. Therefore, an altered endocrine state, such as suppression of dihydrotestosterone activity, may have an impact on prostate cells inhibiting carcinogenic transformation. In vitro and in vivo preclinical observations support this hypothesis. A placebo-controlled randomized trial using finasteride, an inhibitor of the enzyme that converts testosterone to dihydrotestosterone, is planned. The endpoint of this trial will be reduction of prostate cancer incidence.
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source MEDLINE; American Association for Cancer Research; EZB Electronic Journals Library
subjects 3-Oxo-5-alpha-Steroid 4-Dehydrogenase - physiology
5-alpha Reductase Inhibitors
Cell Transformation, Neoplastic - drug effects
Cell Transformation, Neoplastic - pathology
Dihydrotestosterone - metabolism
Humans
Male
Neoplasms, Hormone-Dependent - mortality
Neoplasms, Hormone-Dependent - pathology
Neoplasms, Hormone-Dependent - prevention & control
Prostate - pathology
Prostatic Neoplasms - mortality
Prostatic Neoplasms - pathology
Prostatic Neoplasms - prevention & control
Risk Factors
Survival Rate
title 5-Alpha-reductase inhibition and prostate cancer prevention
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