The majority (75-80%) of breast cancers are hormone-sensitive and their growth is stimulated by the hormones estrogen and progesterone. In premenopausal women, most estrogen is produced by the ovaries, and selective estrogen receptor modulators such as tamoxifen are used to block the cancer-promoting properties of estrogen. In post-menopausal women, however, estrogens are produced largely by the action of aromatase on androgens produced by the adrenal glands, and reversible (anastrazole and letrazole) and irreversible (exemestane) inhibitors of aromatase have become widely used as treatments in these women. Now Dr Debashis Ghosh’s group at the Hauptman-Woodward Medical Research Institute have solved the structure of the aromatase cytochrome P450 enzyme from human placenta at 2.9Å resolution. The work is published in the 8 January 2009 issue of the journal Nature.
Unlike the active sites of many microsomal P450s that metabolise drugs and other xenobiotics, the aromatase, which is anchored in the membrane of the endoplasmic reticulum, has an androgen-specific cleft that forms hydrophobic and polar interactions with the substrate, androstenedione. The group hope that the new structural information will pave the way to improved aromatase inhibitors for the treatment of breast cancer. The group has previously solved the structures of two other enzymes involved in estrogen biosynthesis, estrone sulfatase (2003) and 17β-hydroxysteroid dehydrogenase type 1 (1996).



Protein folding is the process whereby newly synthesised linear polypeptide chains fold into the well-defined 3-dimensional shape of the functional protein. In many cases, molecular chaperones assist in correct protein folding by preventing the newly synthesised protein from aggregating into non-functional structures. A variety of diseases result from misfolded proteins; loss-of-function diseases are often caused by a point mutation in the sequence of the protein which disturbs the normal balance between protein folding and clearance. There has been recent interest in the development of ‘pharmacological chaperones’ which are small molecules that stabilise the correct protein fold.
A
Small molecule inhibitors such as BIBR1532, which inhibits telomerase activity in vitro with an IC50 in the low nanomolar range, have also been identified. The nucleoside analogue AZT, which is used to treat HIV by inhibiting the viral reverse transcriptase, weakly inhibits telomerase activity.

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