Brief Communication Dutasteride prevents the growth response to testosterone in androgen-sensitive benign and malignant prostate cells
Joseph M. Alisky, Yaqiong Tang, Gabriel K. Habermehl, Kenneth A. Iczkowski
Total Longterm Care, 3551 North Chambers Boulevard, Aurora, Colorado, USA; Department of Pathology, University of Colorado Health Science Center, Aurora, Colorado, USA.
Received June 22, 2010, accepted June, 2010, available online June, 2010
Abstract: We show that the dual 5-α reductase enzyme inhibitor dutasteride prevents enhanced growth of both benign and malignant prostate cell lines, incubated with physiologic to supraphysiologic doses of testosterone. Using androgen-sensitive benign BPH-1 cells, LNCaP cancer cells, their derivative C4-2 cells, or Dunning rat cancer cells, we subjected 30,000 cells/well to concomitant treatment with 10-9, 10-8, or 10-7 M testosterone in the presence of low (0.25 μM) or high (1.0 μM) doses of dutasteride. Both low- and high-dose dutasteride abrogated testosterone-stimulated growth of all 4 cell lines. If the in vitro data mimic conditions in men undergoing testosterone replacement, concomitant dutasteride use might make testosterone safe for men with benign prostatic hypertrophy, latent prostate cancer and perhaps even aggressive prostate cancer. Testosterone might also be used to prevent the rare anti-androgen side effects of dutasteride when used for benign prostatic hypertrophy and baldness. Further clinical investigation is indicated. (IJCEM1006002).
Address all correspondence to: Kenneth A. Iczkowski, MD Pathology—P.O. Box 6511 UCHSC—Campus Mail Stop 8104 Aurora, CO 80010, USA. Tel: 303-724-0155, Fax: 303-724-3712 E-mail: Kenneth.Iczkowski@UCDenver.edu