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Pippione et al.                                                                                                                                                             Steroidogenic enzymes in prostate cancer





































           Figure 6: Close-up view of the AKR1C3 ligand-binding pocket. Illustrating the different compartments (the oxyanion site, the steroid channel
                                                                        +
           and subpockets SP1, SP2 and SP3) that can be targeted with small molecules. NADP  molecule is represented by a yellow square
           structure of AKR1C3 was reported by Lovering et al. [47]   with respect to AKR1C1 and AKR1C2, enzymes
           and revealed AKR1C3 as a typical aldo-keto reductase   that have more than 86% of identity with AKR1C3,
           structure, with a catalytic pocket consisting mainly   but inactivate  DHT  to  3β-androstanediol  and  to
           of loops A (116-143), B (217-238) and C (298-323).   3α-androstanediol respectively [49-51] , thus decreasing
           The ligand-binding pocket of AKR1C3 can be divided   the androgenic signalling. Between AKR1C3 inhibitors,
           into five compartments as follows: an oxyanion site, a   several nonsteroidal anti-inflammatory drugs have
           steroidchannel SC and subpockets SP1, SP2 and SP3   been demonstrated to be very potent in inhibiting this
           [Figure 6].                                        enzyme. Some of them also exhibited good selectivity
                                                              for the C3 isoform, e.g. indomethacin (10, Figure 7)
                                                      +
           The oxyanion site consists of the cofactor NADP  and   and their binding mode within the ligand pocket has
           the catalytic residues Tyr55 and His117, which are   been investigated through X-ray crystallography [48] .
           conserved among all AKR1C enzymes. The steroid
           channel is formed by Tyr24, Leu54, Ser129 and      Discussion as to the use of AKR1C3 inhibitors to treat
           Trp227 and is open to solvent, guiding substrates into   CRPC has been described in excellent reviews in 2011
           the oxyanion site. The SP1 pocket is located inside the   and 2013 [51,52] . Since that time, several groups have
           ligand-binding pocket and is surrounded by Ser118,   reported on the discovery of hit and lead compounds,
           Asn167, Phe306, Phe311 and Tyr319. In contrast, the   and these will be briefly reviewed here.
           SP2 pocket is located in a shallow region surrounded
           by Trp86, Leu122, Ser129 and Phe311, while the SP3   Among  natural  inhibitors,  Skarydova  et al. [53]
                                                          +
           pocket is located near the phosphate moiety of NADP    investigated the possible inhibitory effect of diverse
           and is surrounded by Tyr24, Glu192, Ser221 and     types of isoquinoline alkaloids isolated from plant
           Tyr305 [48] .                                      sources against the recombinant form of AKR1C3.
                                                              Nineteen isoquinoline alkaloids were examined for
           The structure of human AKR1C3 has been determined   their ability to inhibit AKR1C3 and as a result, stylopine
           in complex with different substrates and inhibitors,   (11, Figure 7) was demonstrated to be the most potent
           which has enabled an excellent basis for the design of   inhibitor among the tested compounds, demonstrating
           specific inhibitors. Selectivity is even more necessary   moderate selectivity towards AKR1C3.



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