Toxicity and adverse effects of Tamoxifen and other anti-estrogen drugs

被引:135
作者
Yang, Geniey [1 ]
Nowsheen, Somaira [2 ]
Aziz, Khaled [2 ]
Georgakilas, Alexandros G. [1 ,3 ]
机构
[1] E Carolina Univ, Thomas Harriot Coll Arts & Sci, Dept Biol, Greenville, NC 27858 USA
[2] Mayo Clin, Coll Med, Mayo Grad Sch, Med Scientist Training Program, Rochester, MN 55905 USA
[3] Natl Tech Univ Athens, Sch Appl Math & Phys Sci, Dept Phys, GR-15773 Athens, Greece
关键词
Tamoxifen; DNA damage; Oxidative stress; Anti-estrogen therapy; Breast cancer; ADVANCED BREAST-CANCER; ESTROGEN-RECEPTOR MODULATORS; POSTMENOPAUSAL WOMEN; OXIDATIVE STRESS; POLY(ADP-RIBOSE) POLYMERASE; PROGESTERONE-RECEPTOR; PHYSICAL-ACTIVITY; RANDOMIZED-TRIAL; PARP INHIBITORS; JEWISH WOMEN;
D O I
10.1016/j.pharmthera.2013.05.005
中图分类号
R9 [药学];
学科分类号
1007 ;
摘要
Breast cancer is a heterogeneous disease affecting thousands of people every year. Multiple factors are responsible in causing breast cancer while a number of treatment options are also available for the disease. Tamoxifen is the most widely used anti-estrogen for the treatment of hormone-dependent breast cancer. The specific drug is used as a hormonal therapy for patients who exhibit estrogen receptor positive breast cancer. The pharmacological activity of Tamoxifen is dependent on its conversion to its active metabolite, endoxifen, by CYP2D6. Tamoxifen reduces the risk of recurrence and death from breast cancer when given as adjuvant therapy and provides effective palliation for patients with metastatic breast cancer. In this review we focus on the role of Tamoxifen in breast cancer treatment including mechanisms and side-effects. Finally, we discuss in detail the exciting prospects that lie ahead. (C) 2013 Elsevier Inc. All rights reserved.
引用
收藏
页码:392 / 404
页数:13
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