Selective modulation of sex steroids

被引:21
作者
Goldstein, JS [1 ]
Sites, CK [1 ]
机构
[1] Univ Vermont, Coll Med, Dept Obstet & Gynecol, Burlington, VT 05405 USA
关键词
steroids; modulation; metabolic;
D O I
10.1016/S0047-6374(01)00367-0
中图分类号
Q2 [细胞生物学];
学科分类号
071009 ; 090102 ;
摘要
Recent evidence suggest that Sex Steroid Therapy involving estrogen while beneficial, may have adverse effects as well. Both of the known estrogen receptors, estrogen receptor-alpha (ER-alpha) and estrogen. receptor-beta (ER-beta) have been found in reproductive tissues as well as bone, liver, and brain. These receptors are important targets for endogenous estrogen, estrogen replacement therapy and pharmacological estrogen agonists allowing specific modulation of sex steroids. This article will review the basic mechanisms of sex steroid biosynthesis and detail our current understanding of the action of these hormones on specific hormone responsive tissues. The properties of tibolone, a synthetic steroid will be outlined and its mechanism reviewed. (C) 2002 Elsevier Science Ireland Ltd. All rights reserved.
引用
收藏
页码:17 / 28
页数:12
相关论文
共 53 条
[1]   ORGANON OD-14 (TIBOLONE) AND MENOPAUSAL DYNAMIC HORMONE PROFILES [J].
ABDALLA, HI ;
HART, DM ;
LINDSAY, R ;
BEASTALL, GH .
MATURITAS, 1986, 8 (01) :81-85
[2]   Hormone replacement therapy, heart disease, and other considerations [J].
Barrett-Connor, E ;
Grady, D .
ANNUAL REVIEW OF PUBLIC HEALTH, 1998, 19 :55-72
[3]   Neuroprotection against oxidative stress by estrogens: Structure-activity relationship [J].
Behl, C ;
Skutella, T ;
Lezoualch, F ;
Post, A ;
Widmann, M ;
Newton, CJ ;
Holsboer, F .
MOLECULAR PHARMACOLOGY, 1997, 51 (04) :535-541
[4]   ESTROGEN INDUCTION OF CYTOCHROME-C-OXIDASE SUBUNIT-III IN RAT HIPPOCAMPUS [J].
BETTINI, E ;
MAGGI, A .
JOURNAL OF NEUROCHEMISTRY, 1992, 58 (05) :1923-1929
[5]   Tibolone: Influence on markers of cardiovascular disease [J].
Bjarnason, NH ;
Bjarnason, K ;
Haarbo, J ;
Bennink, HJTC ;
Christiansen, C .
JOURNAL OF CLINICAL ENDOCRINOLOGY & METABOLISM, 1997, 82 (06) :1752-1756
[6]   Molecular basis of agonism and antagonism in the oestrogen receptor [J].
Brzozowski, AM ;
Pike, ACW ;
Dauter, Z ;
Hubbard, RE ;
Bonn, T ;
Engstrom, O ;
Ohman, L ;
Greene, GL ;
Gustafsson, JA ;
Carlquist, M .
NATURE, 1997, 389 (6652) :753-758
[7]   THE RELATIONSHIP OF ENDOGENOUS ESTROGEN TO BONE-DENSITY AND BONE AREA IN NORMAL POSTMENOPAUSAL WOMEN [J].
CAULEY, JA ;
GUTAI, JP ;
SANDLER, RB ;
LAPORTE, RE ;
KULLER, LH ;
SASHIN, D .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1986, 124 (05) :752-761
[8]  
Clarke S, 2000, EUR HEART J, V21, P212
[9]   LIFETIME RISKS OF HIP, COLLES, OR VERTEBRAL FRACTURE AND CORONARY HEART-DISEASE AMONG WHITE POSTMENOPAUSAL WOMEN [J].
CUMMINGS, SR ;
BLACK, DM ;
RUBIN, SM .
ARCHIVES OF INTERNAL MEDICINE, 1989, 149 (11) :2445-2448
[10]   Effect of postmenopausal hormones on inflammation-sensitive proteins - The Postmenopausal Estrogen/Progestin Interventions (PEPI) Study [J].
Cushman, M ;
Legault, C ;
Barrett-Connor, E ;
Stefanick, ML ;
Kessler, C ;
Judd, HL ;
Sakkinen, PA ;
Tracy, RP .
CIRCULATION, 1999, 100 (07) :717-722