Selective estrogen receptor modulators: tissue specificity and clinical utility

Stephen Martinkovich,* Darshan Shah,* Sonia Lobo Planey, John A ArnottDepartment of Basic Sciences, The Commonwealth Medical College, Scranton, PA, USA*These authors contributed equally to this workAbstract: Selective estrogen receptor modulators (SERMs) are a diverse group of ­nonsteroidal...

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Main Authors: Martinkovich S, Shah D, Planey SL, Arnott JA
Format: Article
Language:English
Published: Dove Medical Press 2014-08-01
Series:Clinical Interventions in Aging
Subjects:
Online Access:https://www.dovepress.com/selective-estrogen-receptor-modulators-tissue-specificity-and-clinical-peer-reviewed-article-CIA
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author Martinkovich S
Shah D
Planey SL
Arnott JA
author_facet Martinkovich S
Shah D
Planey SL
Arnott JA
author_sort Martinkovich S
collection DOAJ
description Stephen Martinkovich,* Darshan Shah,* Sonia Lobo Planey, John A ArnottDepartment of Basic Sciences, The Commonwealth Medical College, Scranton, PA, USA*These authors contributed equally to this workAbstract: Selective estrogen receptor modulators (SERMs) are a diverse group of ­nonsteroidal compounds that function as agonists or antagonists for estrogen receptors (ERs) in a target gene-specific and tissue-specific fashion. SERM specificity involves tissue-specific expression of ER subtypes, differential expression of co-regulatory proteins in various tissues, and varying ER conformational changes induced by ligand binding. To date, the major clinical applications of SERMs are their use in the prevention and treatment of breast cancer, the prevention of osteoporosis, and the maintenance of beneficial serum lipid profiles in postmenopausal women. However, SERMs have also been found to promote adverse effects, including thromboembolic events and, in some cases, carcinogenesis, that have proven to be obstacles in their clinical utility. In this review, we discuss the mechanisms of SERM tissue specificity and highlight the therapeutic application of well-known and emergent SERMs.Keywords: selective estrogen receptor modulators, SERMs, estrogen receptors
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spelling doaj.art-8b4abb87201543409684915d5030ff632022-12-21T22:58:08ZengDove Medical PressClinical Interventions in Aging1178-19982014-08-01Volume 91437145218118Selective estrogen receptor modulators: tissue specificity and clinical utilityMartinkovich SShah DPlaney SLArnott JAStephen Martinkovich,* Darshan Shah,* Sonia Lobo Planey, John A ArnottDepartment of Basic Sciences, The Commonwealth Medical College, Scranton, PA, USA*These authors contributed equally to this workAbstract: Selective estrogen receptor modulators (SERMs) are a diverse group of ­nonsteroidal compounds that function as agonists or antagonists for estrogen receptors (ERs) in a target gene-specific and tissue-specific fashion. SERM specificity involves tissue-specific expression of ER subtypes, differential expression of co-regulatory proteins in various tissues, and varying ER conformational changes induced by ligand binding. To date, the major clinical applications of SERMs are their use in the prevention and treatment of breast cancer, the prevention of osteoporosis, and the maintenance of beneficial serum lipid profiles in postmenopausal women. However, SERMs have also been found to promote adverse effects, including thromboembolic events and, in some cases, carcinogenesis, that have proven to be obstacles in their clinical utility. In this review, we discuss the mechanisms of SERM tissue specificity and highlight the therapeutic application of well-known and emergent SERMs.Keywords: selective estrogen receptor modulators, SERMs, estrogen receptorshttps://www.dovepress.com/selective-estrogen-receptor-modulators-tissue-specificity-and-clinical-peer-reviewed-article-CIASelective Estrogen Receptor ModulatorsSERMsestrogen receptors
spellingShingle Martinkovich S
Shah D
Planey SL
Arnott JA
Selective estrogen receptor modulators: tissue specificity and clinical utility
Clinical Interventions in Aging
Selective Estrogen Receptor Modulators
SERMs
estrogen receptors
title Selective estrogen receptor modulators: tissue specificity and clinical utility
title_full Selective estrogen receptor modulators: tissue specificity and clinical utility
title_fullStr Selective estrogen receptor modulators: tissue specificity and clinical utility
title_full_unstemmed Selective estrogen receptor modulators: tissue specificity and clinical utility
title_short Selective estrogen receptor modulators: tissue specificity and clinical utility
title_sort selective estrogen receptor modulators tissue specificity and clinical utility
topic Selective Estrogen Receptor Modulators
SERMs
estrogen receptors
url https://www.dovepress.com/selective-estrogen-receptor-modulators-tissue-specificity-and-clinical-peer-reviewed-article-CIA
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