Prostate cancer is a major cause of cancer-related death in American men, for which finding new therapeutic strategies remains a challenge. Early growth response-1 (EGR1) is a transcription factor involved in cell proliferation and in the regulation of apoptosis. Although it has long been considered a tumor suppressor, a wealth of new evidence shows that EGR1 promotes the progression of prostate cancer. This review addresses the paradoxes of EGR1 function. While EGR1 mediates apoptosis in response to stress and DNA damage by regulating a tumor suppressor network, it also promotes the proliferation of prostate cancer cells by a mechanism that is not fully understood. Thus, EGR1 might be targeted for prostate cancer therapy either by ectopic expression in combination with radiotherapy or chemotherapy, or by direct inhibition for systemic treatment. Possible strategies to antagonize EGR1 function in a therapeutic setting are discussed.
KeywordsEGR1; oncogene; prostate cancer; transgenic mouse mode; tumor suppressor Prostate cancer is the most commonly diagnosed cancer in men and the second highest cause of cancer-related death among men in the USA. In 2007, there were an estimated 218,890 new cases of prostate cancer and an estimated 27,050 deaths [1]. Routine use of prostate-specific antigen (PSA) screening enables a better diagnosis, but is still deficient in two ways. First, the correlation between PSA levels and the presence of cancer is indirect, so the presence of cancer must be confirmed by biopsy. Second, current biopsy methodology is diagnostic but not prognostic. Consequently, prostate cancer patients with minimally invasive forms of cancer needlessly undergo an aggressive surgical procedure.The progression of the disease follows multiple steps, from benign hyperplasia to hormoneindependent metastatic disease. Unfortunately, approximately 90% of patients with advanced disease will develop bone metastases, which are associated with severe pain, loss of mobility and spinal cord compression. Other affected organs may include the liver, lungs and brain [2]. Despite extensive research efforts, little hope exists for patients with hormone-refractory