Evidence mapPaperPMID 41501168Full record

ReviewNature reviews. Urology2026

SRD5A2 and emerging therapies in androgen-driven disorders.

Zongwei Wang, Boqing Gu, Christina Sharkey, Rongbin Ge, Aria F Olumi

Abstract readReview
PubMed Publisher
In one paragraph

Review in Nature reviews. Urology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Review
  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Zongwei WangDepartment of Surgery, Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA. zwang12@bidmc.harvard.edu.ORCID http://orcid.org/0000-0002-1215-2912
Boqing GuDepartment of Surgery, Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0009-0005-1521-9608
Christina SharkeyDepartment of Surgery, Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.
Rongbin GeDepartment of Pathology and Immunology, Washington University School of Medicine, St. Louis, MI, USA.
Aria F OlumiDepartment of Surgery, Division of Urology, Beth Israel Deaconess Medical Center, Harvard Medical School, Boston, MA, USA.ORCID http://orcid.org/0000-0001-5356-2558

Funding

Decreased SRD5A2 and Alternative Estrogen Signaling in Prostatic Cell SurvivalR01DK140473 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Aria F Olumi · 2024 to 2026
$2.0M
New Treatment Strategies and Epigenetic Biomarker for Management of BPHR01DK142211 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI Aria F Olumi, HEIDI RAYALA · 2024 to 2026
$1.8M
SRD5A2 as a Marker of Resistance to 5ARI TherapyR01DK124502 · NIDDK · BETH ISRAEL DEACONESS MEDICAL CENTER · PI OLUMI, ARIA F · 2020 to 2024
$1.8M
NIDDK NIH HHS R01 DK124502NIDDK NIH HHS R01 DK140473NIDDK NIH HHS R01 DK142211
6 · The paper itself

Abstract

Benign prostatic hyperplasia (BPH) is one of the most prevalent urological disorders in ageing men. Medical therapies are widely used to treat BPH, but truly effective long-term treatments remain limited. Among the most commonly prescribed drugs are 5α-reductase inhibitors (5ARIs), which alleviate symptoms and slow disease progression by inhibiting steroid 5α-reductase (SRD5A) enzymes, particularly the SRD5A1 and SRD5A2 isoforms. SRD5A2, the dominant isoform in the prostate, has a pivotal role in androgen metabolism by converting testosterone into dihydrotestosterone, a potent driver of prostate growth. Proper regulation of SRD5A2 is essential to maintain the balance between androgenic and oestrogenic signalling, thereby supporting healthy prostate physiology. Emerging evidence links SRD5A2 alterations, such as genetic polymorphisms, epigenetic silencing and inflammation-induced changes to disease risk and progression, positioning these factors as promising biomarkers for personalized therapy. Beyond BPH, SRD5A2 has also been implicated as a potential therapeutic target in prostate cancer and androgenic alopecia. Thus, SRD5A2 has clinical relevance in BPH, prostate cancer and other androgen-mediated conditions. However, limitations of SRD5A2-targeted therapies need to be overcome for future strategies to enhance the efficacy of 5ARI-based treatments.

Indexed as

3-Oxo-5-alpha-Steroid 4-Dehydrogenase5-alpha Reductase InhibitorsAndrogensMembrane ProteinsProstatic HyperplasiaProstatic NeoplasmsAlopeciaAnimalsHumansMale3-Oxo-5-alpha-Steroid 4-Dehydrogenase5-alpha Reductase InhibitorsAndrogensMembrane ProteinsSRD5A2 protein, human

Identifiers

What Socratic holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.