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Effects of the novel orally active antiestrogen TZE-5323 on experimental endometriosis.

Abstract
Danazol and gonadotropin-releasing hormone agonists which are used as therapeutic drugs for endometriosis, develop adverse reactions in association with their long-term use. The efficacy of anti-estrogens for endometriosis, an estrogen-dependent disorder, has not been demonstrated. A novel, orally active anti-estrogen, TZE-5323 ((2-cyclohexy-6-hydroxybenzo[b]thien-3-yl)[4-[2-(1- piperidinyl)ethoxy]phenyl] methanone hydrochloride, CAS 150797-71-0; free salt formula) was developed. TZE-5323 showed strong affinity for human estrogen receptor alpha (hER alpha) and beta (hER beta), and dose-dependently inhibited estradiol-stimulated transcriptional activation via hER alpha and hER beta. Furthermore, TZE-5323 dose-dependently reduced estrogen-increased uterine weight in ovariectomized rats. Tamoxifen showed agonistic activity on hER alpha, while TZE-5323 did not show such activity. In the experimental endometriosis model in rats in which endometrial tissue is autotransplanted into the renal subcapsular space, TZE-5323 dose-dependently reduced the volume of the endometrial implant as did danazol and leuprorelin acetate. Furthermore, the long-term administration of TZE-5323 neither showed a decrease in bone mineral density nor did it affect serum estradiol concentrations in intact rats. Therefore, TZE-5323 suggested its potential as a novel therapeutic drug for endometriosis which is effective also in long-term use.
AuthorsTomoyuki Saito, Masayuki Yoshizawa, Yukinao Yamauchi, Setsuo Kinoshita, Tomohito Fujii, Mamoru Mieda, Hideyuki Sone, Yoshiko Yamamoto, Naoyuki Koizumi
JournalArzneimittel-Forschung (Arzneimittelforschung) Vol. 53 Issue 7 Pg. 507-14 ( 2003) ISSN: 0004-4172 [Print] Germany
PMID12918217 (Publication Type: Journal Article)
Chemical References
  • Estrogen Antagonists
  • Estrogen Receptor alpha
  • Estrogen Receptor beta
  • Ligands
  • Piperidines
  • Receptors, Estrogen
  • (2-cyclohexy-6-hydroxybenzo(b)thien-3-yl)(4-(2-(1- piperidinyl)ethoxy)phenyl) methanone hydrochloride
  • Estradiol
  • Cholesterol
  • Chloramphenicol O-Acetyltransferase
Topics
  • Animals
  • Bone Density (drug effects)
  • Chloramphenicol O-Acetyltransferase (metabolism)
  • Cholesterol (blood)
  • Endometriosis (drug therapy)
  • Endometrium (drug effects, pathology)
  • Estradiol (blood)
  • Estrogen Antagonists (metabolism, therapeutic use)
  • Estrogen Receptor alpha
  • Estrogen Receptor beta
  • Female
  • Ligands
  • Organ Size (drug effects)
  • Piperidines (metabolism, therapeutic use)
  • Plasmids (genetics)
  • Protein Biosynthesis
  • Rats
  • Rats, Wistar
  • Receptors, Estrogen (genetics, metabolism)
  • Transcription, Genetic
  • Transcriptional Activation (drug effects)
  • Uterus (drug effects)

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