Development of Tissue-Selective Estrogen Receptor Modulators

Development of Tissue-Selective Estrogen Receptor Modulators
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组织选择性雌激素受体调节剂的开发

DOI:
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发表时间:
1995
期刊:
影响因子:
--
通讯作者:
J. Norris
J. Norris
中科院分区:
--
文献类型:
--
作者:
D. McDonnell;B. Lieberman;J. Norris

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类固醇激素雌激素是参与女性生殖功能分化、稳态和发育过程的关键细胞内调节剂(Clark和Peck 1979)。在病理状态下,雌激素还参与癌症的维持和进展(桑德兰和Osborne 1991),并与子宫内膜异位症和可能的子宫肌瘤中观察到的子宫功能异常有关(Kettel et al. 1991)。雌激素受体(ER)的药物开发已经见证了抗激素化合物的开发,所述抗激素化合物可以对抗天然激素雌激素的功能(Kedar等,1994;桑德兰和Osborne 1991)。一种这样的化合物,他莫昔芬,已经在临床上广泛用作乳腺癌的辅助激素治疗,其中它作为负责细胞增殖的雌激素调节基因的拮抗剂发挥作用(Kedar等,1994;桑德兰和Osborne 1991)。有趣的是,在骨和心血管系统中,他莫昔芬表现出足够的ER激动剂活性,以维持绝经后妇女的骨量和心血管张力(Love et al. 1992)。由于这些有利的活性,沿着其乳腺选择性拮抗剂活性,目前正在评估他莫昔芬作为乳腺癌高危患者的化学预防剂(亨德森et al. 1993)。不幸的是,根据最近的一项研究,它的应用可能受到不利影响,该研究表明,37%服用他莫昔芬的妇女表现出子宫内膜的组织学变化,表明无对抗性ER激动剂活性(Kedar等,1994)。
The steroid hormone estrogen is a key intracellular modulator of the processes involved in differentiation, homeostasis, and development of female reproductive function (Clark and Peck 1979). In pathological states, estrogen is also involved in the maintenance and progression of cancers (Sunderland and Osborne 1991) and is implicated in the abnormalities of uterine function observed in endometriosis and possibly uterine fibroids (Kettel et al. 1991). The pharmaceutical exploitation of the estrogen receptor (ER) has seen the development of antihormones, compounds which can oppose the function of the natural hormone estrogen (Kedar et al. 1994; Sunderland and Osborne 1991). One such compound, tamoxifen, has found widespread use in the clinic as adjuvant hormonal therapy for breast cancer where it functions as an antagonist of those estrogen-regulated genes responsible for cellular proliferation (Kedar et al. 1994; Sunderland and Osborne 1991). Interestingly, in bone and in the cardiovascular system, tamoxifen exhibits sufficient ER agonist activity to maintain bone mass and cardiovascular tone in postmenopausal women (Love et al. 1992). Because of these favorable activities, along with its breast-selective antagonist activities, tamoxifen is currently being evaluated as a chemopreventative agent in patients who are at high risk for developing breast cancer (Henderson et al. 1993). Unfortunately, its utility for this application may be adversely affected according to a recent study which indicated that 37% of women taking tamoxifen demonstrated histological changes in the endometrium indicative of unopposed ER agonist activity (Kedar et al. 1994).
DOI: 10.1073/pnas.92.8.3132
发表时间: 1995-04-11
影响因子: 11.1
作者:
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通讯作者: CARLSON, M
DOI: 10.1056/nejm199203263261302
发表时间: 1992-03-26
影响因子: 158.5
作者:
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通讯作者: DEMETS, DL
体外雌激素受体功能分析揭示了三种不同类别的抗雌激素。
DOI: 10.1210/mend.9.6.8592512
发表时间: 1995
期刊: Molecular endocrinology (Baltimore, Md.)
影响因子: --
作者:
McDonnell,DP;Clemm,DL;Hermann,T;Goldman,ME;Pike,JW
通讯作者: Pike,JW
DOI: --
发表时间: 1994
影响因子: 14.5
作者:
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通讯作者: Imhof,MO