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Submitted on February 28, 2003
Accepted on July 9, 2003
1 Oncology and Molecular Endocrinology Research Center, Laval University Medical Center (CHUL) and Laval University, Québec, G1V 4G2, Canada
* To whom correspondence should be addressed. E-mail: fernand.labrie{at}crchul.ulaval.ca.
The Women's Health Initiative Study and other reports have created major uncertainty among postmenopausal women and physicians concerning hormone replacement therapy (HRT). We have thus investigated the possibility of replacing the progestin in HRT by a novel selective estrogen receptor modulator (SERM) having potent and pure antiestrogenic activity in the mammary gland and uterus. As measured by changes in histology and Cdc47 labeling in the rat model, the present study shows that the stimulatory effect of estradiol in the mammary gland and uterus is efficiently blocked by simultaneous administration of the novel SERM EM-652, while bone mineral density is preserved and serum cholesterol is decreased. Following the administration of 14C-labeled EM-652, we have observed that there is no detectable radioactivity in the brain. Moreover, ER
immunoreactivity remained constant in the hypothalamus after EM-652 treatment, while ER
became almost undetectable in the mammary gland and uterus. The present data show the poor or absent access of EM-652 to the brain while the effects of estrogens are efficiently neutralized in the mammary gland and uterus. Such data support the exciting possibility of a novel approach which could meet most of the needs of women's health at menopause, namely control of hot flushes and prevention of breast, uterine and ovarian cancer, as well as osteoporosis while potentially helping brain function and preventing Alzheimer's disease with no identifiable risk or negative effect.
-estradiol
hormone replacement therapy
women's health
breast cancer
uterine cancer
ovarian cancer
osteoporosis
card qiovascular disease
hot flushes
cognition
memory
Alzheimer's disease
tissue-specific hormone replacement therapy (TSHRT)
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