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Publication : Androgen-responsive FOXP4 is a target for endometrial carcinoma.

First Author  Kayahashi K Year  2024
Journal  Commun Biol Volume  7
Issue  1 Pages  740
PubMed ID  38890503 Mgi Jnum  J:349876
Mgi Id  MGI:7659380 Doi  10.1038/s42003-024-06433-w
Citation  Kayahashi K, et al. (2024) Androgen-responsive FOXP4 is a target for endometrial carcinoma. Commun Biol 7(1):740
abstractText  Although low estrogen is considered to suppress uterine endometrial carcinoma, the most cases occur in the postmenopausal stage. After menopause, the production of androgen level also declines. Therefore, to resolve the above enigma, we hypothesize that the postmenopausal decline of androgen is a trigger of its progression. In the present study, to validate this hypothesis, we examine the pathological roles of androgen/AR by analyzing clinical data, culturing endometrioid cancer cell lines, and using murine models. Clinical data show that androgen receptor (AR) expression and serum dihydrotestosterone (DHT) are associated with lower disease-free survival (DFS). DHT suppresses malignant behaviors in AR-transfected human endometrial cancer cells (ECC). In ovariectomized Pten(ff)/PR(cre/+) mice, DHT decreases the proliferation of spontaneously developed murine ECC. In AR-transfected human ECC and Pten(ff)/PR(cre/+) mice, DHT suppresses FOXP4 expression. FOXP4-overexpressed human ECC increases, while FOXP4-knocked-down ECC shows decreased malignant behaviors. DHT/AR-mediated ECC suppression is restored by FOXP4 overexpression. The high FOXP4 expression is significantly correlated with low postoperative DFS. These findings indicate that the androgen/AR system suppresses the malignant activity of endometrial carcinoma and that downstream FOXP4 is another target molecule. These findings will also impact developments in clinical approaches to elderly health.
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