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Department of Pharmacology and Cancer Biology (A.L.W., S.C.N., J.D.N., D.P.M.), Duke University Medical Center, Durham, North Carolina 27710; and Novalon Pharmaceutical Corporation (L.A.P., D.J.C., D.M.F.), Durham, North Carolina 27703
Address all correspondence and requests for reprints to: Donald P. McDonnell, Department of Pharmacology and Cancer Biology, Box 3813 Duke University Medical Center, Durham, North Carolina 27710. E-mail: mcdon016{at}acpub.duke.edu
Antiestrogens such as tamoxifen are one of the most effective methods
of treating estrogen receptor (ER
) positive breast cancers; however,
the effectiveness of this therapy is limited by the almost universal
development of resistance to the drug. If antiestrogens are recognized
differently by the cell as it has been suggested, then in disease
conditions where tamoxifen fails to function effectively, a
mechanistically different antiestrogen might yield successful results.
Although many antiestrogens have been developed, a direct comparison of
their mechanisms of action is lacking, thus limiting their utility.
Therefore, to determine if there are mechanistic differences among
available antiestrogens, we have carried out a comprehensive analysis
of the molecular mechanisms of action of 4-hydroxy-tamoxifen (4OHT),
idoxifene, raloxifene, GW7604, and ICI 182,780. Using a novel set of
peptides that recognize different surfaces on ER
, we have found that
following binding to ER
, each ligand induces a distinct ER
-ligand
conformation. Furthermore, transcriptional assays indicate that each
ER
-ligand complex is recognized distinctly by the transcription
machinery, and consequently, antiestrogens vary in their ability to
inhibit estradiol- and 4OHT-mediated activities. Relative binding
assays have shown that the affinity of these ligands for ER
is not
always representative of their inhibitory activity. Using this assay,
we have also shown that the pharmacology of each antiestrogen is
influenced differently by hormone binding proteins. Furthermore,
GW7604, like ICI 182,780, but unlike the other antiestrogens evaluated,
decreases the stability of the receptor. Overall, our results indicate
that there are clear mechanistic distinctions among each of the
antiestrogens studied. However, GW7604 and ICI 182,780 differ more
significantly from tamoxifen than idoxifene and raloxifene. These data,
which reveal differences among antiestrogens, should assist in the
selection of compounds for the clinical regulation of ER
function.
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J. M. Schafer, E.-S. Lee, R. C. Dardes, D. Bentrem, R. M. O'Regan, A. De Los Reyes, and V. C. Jordan Analysis of Cross-Resistance of the Selective Estrogen Receptor Modulators Arzoxifene (LY353381) and LY117018 in Tamoxifen-stimulated Breast Cancer Xenografts Clin. Cancer Res., August 1, 2001; 7(8): 2505 - 2512. [Abstract] [Full Text] [PDF] |
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C. E. Connor, J. D. Norris, G. Broadwater, T. M. Willson, M. M. Gottardis, M. W. Dewhirst, and D. P. McDonnell Circumventing Tamoxifen Resistance in Breast Cancers Using Antiestrogens That Induce Unique Conformational Changes in the Estrogen Receptor Cancer Res., April 1, 2001; 61(7): 2917 - 2922. [Abstract] [Full Text] |
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J. M. Schafer, E. S. Lee, R. M. O'Regan, K. Yao, and V. C. Jordan Rapid Development of Tamoxifen-stimulated Mutant p53 Breast Tumors (T47D) in Athymic Mice Clin. Cancer Res., November 1, 2000; 6(11): 4373 - 4380. [Abstract] [Full Text] [PDF] |
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J. L. Bowers, V. V. Tyulmenkov, S. C. Jernigan, and C. M. Klinge Resveratrol Acts as a Mixed Agonist/Antagonist for Estrogen Receptors {alpha} and {beta} Endocrinology, October 1, 2000; 141(10): 3657 - 3667. [Abstract] [Full Text] [PDF] |
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I. Tcherepanova, P. Puigserver, J. D. Norris, B. M. Spiegelman, and D. P. McDonnell Modulation of Estrogen Receptor-alpha Transcriptional Activity by the Coactivator PGC-1 J. Biol. Chem., May 19, 2000; 275(21): 16302 - 16308. [Abstract] [Full Text] [PDF] |
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A. L. Wijayaratne and D. P. McDonnell The Human Estrogen Receptor-alpha Is a Ubiquitinated Protein Whose Stability Is Affected Differentially by Agonists, Antagonists, and Selective Estrogen Receptor Modulators J. Biol. Chem., September 14, 2001; 276(38): 35684 - 35692. [Abstract] [Full Text] [PDF] |
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