Molecular action of androgens
A model has been devised for the molecular action of androgens within target cells which proposes that the interaction and retention of androgens within target cells is an integrated sequence of molecular events.8 The model is based on the premise that the naturally secreted hormone is further metabolized to active metabolites within the cell. The subsequent events have been identified. An androgen receptor protein complex is formed between DHT and a high-affinity specific cytoplas mic receptor protein. 2 The activated androgen receptor protein complex is translocated in the nucleus. 3 In the nucleus it stimulates many biochemical events for which DNA is a mandatory template and thereby initiates the spectrum of processes responsible for the manifestation of the androgen response.
The androgen receptor protein complex breaks down finally or is displaced from the nucleus. The demonstration of the cytoplasmic receptors for active metabolites other than 5 a-dihydrotestosterone and the demonstration that 'multi-metabolites' are necessary for the full expression of the androgen response do not invalidate this model.9 This latter observation may be one explanation of why some antiandrogens fail to inhibit all the processes mediated by testosterone.