After extensively reading over blood and urine tests i have found that some show signs of being fast metabolizers, some show slow.
Some show signs of under active 5aR2, some show over.
Some show signs of being estrogen dominant, some have tried to fix this balance and have felt no different.
Basically i am looking for something that has the potential to disrupt everything, from hormone production, to the AR to the degration of hormones.
Background
nar.oxfordjournals.org/content/38/16/5351.full
This study is combined treatment of Finasteride and Quercetin
ncbi.nlm.nih.gov/pubmed/15171697
This could explain why most do alright on finasteride and get worse when quitting, as Finasteride and DHT both inhibit Cyclin D1, there must be a period of time between quiting and the crash where there is no finasteride and no DHT, while 5aR2 regenerates, which would leave Cyclin D1 unregulated.
So that leads into this,
[Size=4]Cyclin D1 Regulates Hepatic Estrogen and Androgen Metabolism[/size]
Discussion
In this study, we provide evidence for a novel interaction between the cell cycle
machinery and sex steroid signaling, whereby cyclin D1 regulates key enzymes involved in the
synthesis and degradation of these hormones. Although previous studies have documented that cyclin D1 controls the activity of ERα and AR through direct binding or by modulating
transcriptional co-regulators, the current experiments suggest that this protein can also regulate the levels of their respective ligands. We found that cyclin D1 affected several different enzymes that play an important role in sex steroid metabolism, suggesting that it may have a coordinated effect on these pathways.
Abnormal regulation of sex steroid metabolism in the setting of liver diseases or resection
is a well-described phenomenon, but the underlying mechanisms have not been established. In
men with cirrhosis, hypogonadism and alterations in the hypothalamic-pituitary axis may explain
some of the features of feminization (40). However, these changes would not likely account for the increased estrogen levels seen in men and post-menopausal women that occur acutely after major liver resection (17, 18, 41), nor the increased levels seen in male mice after PH.
After major hepatectomy, a large number of hepatocytes enter the cell cycle as part of the
regenerative response, and this is accompanied by marked induction of cyclin D1 (15, 34).
Cyclin D1 expression is also elevated in patients with cirrhosis due to ongoing hepatocyte
proliferation that helps to sustain functional liver mass (2, 15, 32). In this study, we provide
evidence that cyclin D1 may account for changes in sex steroid metabolism as follows: (A)
Cyclin D1 regulated the expression of a number of genes involved in steroid synthesis and
degradation in a pattern that would predict increased estrogen and decreased androgen
production in the liver. (B) Short-term cyclin D1 expression in the liver led to increased estrogen levels similar to those seen after PH. © Cyclin D1 promoted expression of estrogen-responsive genes and downregulated androgen-responsive genes in the liver. (D) Cyclin D1 regulated the hepatic activity of key enzymes involved in sex steroid synthesis in a manner that favors increased estrogen and decreased androgen synthesis. (E) PH in mice led to similar changes in gene expression and enzyme activity to those induced by cyclin D1. (F) Knockdown of cyclin D1 expression in the well-differentiated HCC line HuH7 had reciprocal effects on several key genes as compared to cyclin D1 transfection in the liver. While it is highly likely that the hormonal changes seen in the setting of liver disease or PH are regulated by several factors, the data presented here suggest that expression of cyclin D1 in hepatocytes plays an important role.
A handful of prior studies have suggested a link between the cell cycle machinery and
sex steroid metabolism, although a causative role has not been previously established. For
example, in the fetal baboon adrenal gland, cyclin D1 expression decreases during gestation
while 3β-HSD expression increases (14). Treatment of human ovarian cells with the anti-
proliferative agents TGF-β1 and all-trans retinoic acid induces HSD3B1 expression, suggesting
that cell cycle inhibition promotes its expression (36). The data presented here demonstrate that cyclin D1 inhibits 3β-HSD activity (Fig. 3) and down-regulates the expression of key 3β-HSD genes (HSD3B1 and murine HSD3B2, Figs. 1 and 7). In addition, we found that cyclin D1 modulated 17β-HSD mRNA expression and activity in a manner that favors increased estradiol and decreased testosterone synthesis (Figs. 1 and 4). To our knowledge, no previous studies have shown that SRD5A1 varies during the cell cycle, and thus our finding that SRD5A1 was regulated by cyclin D1 in mouse liver and human cancer cells lines is of particular interest.
Previous studies have shown that a central “repressor domain” of cyclin D1 can inhibit
AR function by direct binding to the receptor and by recruiting histone deacetylases to repress
transcription (3). Of note, this mechanism has been established using transfection systems to overexpress cyclin D1, and we are unaware of prior studies looking at knockdown of
endogenous cyclin D1 expression. The data presented here suggest that cyclin D1 may inhibit
AR activity through an additional mechanism, by reducing the availability of androgen ligands.
Although we have not successfully performed SRD5A1 western blot or 5α-reductase enzyme
assays (data not shown), data from mouse liver and human HuH7 cells show that this gene is
inhibited by cyclin D1 expression (Figs. 1 and 6). The down-regulation of SRD5A1 by cyclin D1
does not require the induction of estradiol (Fig. 3) or the activation of cdk4 (Fig. 5). 5α-reductase plays a pivotal role in androgen synthesis, and inhibitors of this enzyme are used for therapy of androgen-responsive prostate cancer. Interestingly, we found that SRD5A1 expression was negligible in cultured HuH7 cells but was induced by DHEA, suggesting that its expression is dependent on steroid ligands. In the presence of DHEA (but not in its absence), cyclin D1 siRNA significantly increased the expression of AR target gene CAR3 (Fig. 7). Thus, modulation of endogenous cyclin D1 levels per se was not sufficient to regulate CAR3, but the combination of a steroid precursor and knockdown of cyclin D1 induced this gene. These data suggest that cyclin D1 may regulate AR activity, in part, by modulating synthesis of androgens at the tissue and cellular level.
In cell culture systems, cyclin D1 has also been shown to regulate the activity of ERα
through at least two different ligand-independent mechanisms (10, 20, 42). The data presented here provide evidence that cyclin D1 also regulates the availability of estradiol, thereby providing an additional potential mechanism by which it can activate ERα. Further study will be required to determine the relative contribution of each mechanism, which may vary between cell types, tissues, and experimental systems. A better understanding of the functional relationship between cyclin D1 and ERα may aid the development of additional therapies for estrogen-responsive malignancies.
The basis for performing the current studies was the unexpected finding that transient
cyclin D1 expression in the liver regulated the expression of a significant number of genes involved in sex steroid metabolism (Table I) (33). We have not yet examined other potentially
relevant enzymes and sex steroids that may be affected by cyclin D1. For example, cyclin D1 downregulated the StARD4 and StARD5 mRNA on the gene array; these encode StAR lipid
transfer proteins that control a rate-limiting step in the biogenesis of steroid hormones.
Similarly, cyclin D1 inhibited expression of GSTA3, which also plays an important role in steroid hormone synthesis. Cyclin D1 also downregulated expression of transcripts encoding glucuronyltransferases (UGT2B1 and UGT2B38) involved in steroid deactivation. Furthermore,
many of these same enzymes are involved in the synthesis of progesterone, which may also be
affected by cyclin D1 expression. Although these findings require further study, they suggest that cyclin D1 significantly regulates these enzyme pathways.
Taken together, our data are consistent with the theme that cyclin D1 regulates hepatic
sex steroid synthesis and degradation at several levels (Fig. 8). Further study is required to
determine the mechanism(s) by which these changes occur, but the findings suggest cyclin D1 may trigger a coordinated response to alter the bioavailability of these ligands in tissues and cells. Relatively little is known about the transcriptional and post-transcriptional mechanisms that regulate key enzymes involved in steroid hormone synthesis (37). Cyclin D1 is known to modulate gene transcription through phosphorylation or direct binding to transcription factors and co-regulators (10), and thus could be inducing a coordinated transcriptional response.
Notably, we found that the cyclin D1-KE mutant, which does not activate cdk4 or promote cell
cycle progression at the time point studied, produced similar changes in serum estradiol and sex steroid metabolism transcript expression. Cdk4-independent actions of cyclin D1 include
transcriptional regulation and modulation of certain metabolic functions (3, 10, 20). Cyclins D2
and D3 also induced serum estrogen levels and regulated key metabolic genes, suggesting that a shared domain may affect the response. The central “repressor domain” of cyclin D1 (which is intact in cyclin D1-KE) is highly homologous to the corresponding regions in cyclins D2 and D3 (3, 13), and thus each of the D-type cyclins may be affecting hormone metabolism through a transcriptional mechanism. However, further investigation will be required to determine the
mechanisms by which cyclin D regulates hormone metabolism in the liver.
In summary, the current studies indicate that cyclin D1 regulates sex steroid metabolism
in the liver and in human cancer cells. Our findings present a potential mechanism for the
increased estrogen and decreased androgen levels seen in males in the setting of liver resection or diseases. Furthermore, these data suggest that cyclin D1 may enhance ERα activity and inhibit AR activity, at least in part, by modulating androgen and estrogen ligands at the tissue or cellular level. These actions of cyclin D1 may be highly relevant to its role in hormone-responsive tissues and cancer.
ajpgi.physiology.org/content/early/2010/03/25/ajpgi.00471.2009.full.pdf