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Ibrahim et al. J Cancer Metastasis Treat 2018;4:1-17                                Journal of
           DOI: 10.20517/2394-4722.2018.07
                                                             Cancer Metastasis and Treatment

                                                                                               www.jcmtjournal.com
            Topic: How does the prostate cancer microenvironment affect the metastatic          Open Access
            process and/or treatment outcome?

           Expression and regulation of aldehyde
           dehydrogenases in prostate cancer




           Ali I. M. Ibrahim , Maria Sadiq , Fiona M. Frame , Norman J. Maitland , Klaus Pors 1
                                                                       3
                                      1
                                                    3
                         1,2
           1 Institute of Cancer Therapeutics, School of Pharmacy and Medical Sciences, Faculty of Life Sciences, University of Bradford, West Yorkshire BD7 1DP, UK.
           2 Department of Pharmacy, Al-Zaytoonah University of Jordan, Amman 11733, Jordan.
           3 Cancer Research Unit, Department of Biology, University of York, Heslington, North Yorkshire YO10 5DD, UK.
           Correspondence to: Dr. Klaus Pors, Institute of Cancer Therapeutics, School of Pharmacy and Medical Sciences, Faculty of Life Sciences, University of
           Bradford, West Yorkshire BD7 1DP, UK. E-mail: k.pors1@bradford.ac.uk
           How to cite this article: Ibrahim AIM, Sadiq M, Frame FM, Maitland NJ, Pors K. Expression and regulation of aldehyde dehydrogenases in prostate
           cancer. J Cancer Metastasis Treat 2018;4:1-17.
                                         ABSTRACT
            Article history:              The functional role of aldehyde dehydrogenases (ALDHs) in prostate cancer remains an
            Received: 3 Feb 2018          area of some controversy. Many studies have used high ALDH functional activity to isolate
            First Decision: 24 Feb 2018   putative cancer stem cells with tumour-initiating and propagating properties, while evidence
            Revised: 9 Apr 2018           is also emerging about the involvement of specific isoforms in migration, invasiveness and
            Accepted: 14 Jul 2018         metastasis. Identification of specific ALDH isoforms, which contribute to both drug resistance
            Published: 21 Aug 2018        and aggressiveness of the disease remains a challenge within the complex heterogeneity of
                                          prostate cancer. The purpose of this perspective is to dissect functional roles for ALDH in
            Key words:                    the tumour microenvironment and to evaluate the potential of the ALDH gene family as
            Aldehyde dehydrogenase,       biomarkers and/or targets for therapeutic intervention.
            retinoic acid,
            prostate cancer,
            castration-resistant prostate cancer,
            cancer stem cells,
            multidrug resistance


           INTRODUCTION                                       however this is not true for all PCa’s. Whilst the
                                                              underlying cause of PCa is not fully understood, the
                                                              initial stages of PCa frequently depend on androgens
           Prostate cancer (PCa) is the most common cancer    for cellular proliferation. If radiotherapy or radical
           affecting men in the developed world. In the UK alone,   prostatectomy cannot be used to eradicate or remove
           over 47,000 new cases are diagnosed and more       the tumour, then it is effectively treated by androgen
           than 11,000 cancer related deaths are registered   deprivation therapy (ADT) [1,2] , especially if the tumour
           every year (Prostate Cancer UK, 2016). PCa is often   has escaped the capsule. However, the tumour
           present in the absence of apparent symptoms for    invariably relapses in most patients after ADT, leading
           many years, and so is considered to be slow-growing,   to an aggressive form of PCa known as castration-

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