Prostate cancer (CaP) represents a major leading cause of morbidity and mortality in the Western world. Elevated cholesterol levels, resulting from altered cholesterol metabolism, have been found in CaP cells. Seladin-1 (SELective Alzheimer Disease INdicator-1)/DHCR24 is a recently described gene involved in cholesterol biosynthesis. Here, we demonstrated the androgen regulation of seladin-1/DHCR24 expression, due to the presence of androgen responsive element sequences in its promoter region. In metastatic androgen receptor-negative CaP cells seladin-1/DHCR24 expression and cholesterol amount were reduced compared to androgen receptor-positive cells. In tumor samples from 61 patients who underwent radical prostatectomy the expression of seladin-1/DHCR24 was significantly higher with respect to normal tissues. In addition, in cancer tissues mRNA levels were positively related to T stage. In tumor specimens from 23 patients who received androgen ablation treatment for 3 months before surgery seladin-1/DHCR24 expression was significantly lower with respect to patients treated by surgery only. In conclusion, our study demonstrated for the first time the androgen regulation of the seladin-1/DHCR24 gene and the presence of a higher level of expression in CaP tissues, compared to the normal prostate. These findings, together with the results previously obtained in metastatic disease, suggest an involvement of this gene in CaP. Prostate cancer (CaP) is a major leading cause of male cancer related death, second only to lung cancer, and represents 10% of all cancer deaths in men in the United States. In this country, one in six men will be diagnosed with CaP during their life time. 1 In the past years there has been a strong increase in the proportion of patients diagnosed with CaP confined to the gland, as a consequence of widespread detection strategies based on the measurements of the level of prostate-specific antigen (PSA) in the blood. 2 After radical prostatectomy, the increase of serum PSA is a marker of biochemical recurrence. As PSA is an androgen-regulated gene, biochemical recurrence of CaP by PSA relapse is in itself evidence of the androgen receptor (AR) dependence of the tumor. The key role of androgen signalling has been further highlighted by the chromosomal rearrangements recently identified in the majority of CaP. 3 Following these unbalanced rearrangements, the coding sequences of ERG, a member of ETS transcription factors family, are leaded under the regulatory sequences of the androgen-regulated gene TMPRSS2. 3 The newly formed fusion gene thus becomes a candidate oncogene in CaP. 4 Recently, Hendriksen et al 5 observed that in primary CaP specimens reduced expression levels of AR-related genes, including seladin-1 (for SELective Alzheimer Disease INdicator-1; also known as DHCR24 for 3-b-hydroxysterol-d-24-reductase), correlated with an increased risk to develop metastases. DHCR24 is the enzyme that converts desmosterol into cholesterol. 6 The role of seladin-1/DHCR24 in cholesterol biosynthesis ha...