Profiling steroid hormone landscape of bladder cancer reveals depletion of intratumoural androgens to castration levels: a cross-sectional study

膀胱癌类固醇激素概况分析揭示肿瘤内雄激素耗竭至去势水平:一项横断面研究

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作者:Kimmo Kettunen, Julia Mathlin, Tarja Lamminen, Asta Laiho, Merja R Häkkinen, Seppo Auriola, Laura L Elo, Peter J Boström, Matti Poutanen, Pekka Taimen

Background

Bladder cancer is a highly over-represented disease in males. The involvement of sex steroids in bladder carcinogenesis and the utilisation of steroid hormone action as a therapeutic target have been frequently proposed. However, the intratumoural steroid milieu remains unclear.

Methods

We used mass spectrometry and transcriptomic profiling to determine the levels of 23 steroid hormones and the expression of steroidogenic enzymes in primary tumours from patients who underwent transurethral resection (n = 24), and tumours and adjacent morphologically benign bladder tissues from treatment-naïve patients, who underwent radical cystectomy (n = 20). The corresponding steroids were determined from the patients' sera. Findings: Our

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