The discovery of a second
estrogen receptor (ER), called
ERbeta, in 1996 sparked intense interest within the scientific community to discover its role in mediating
estrogen action. However, despite more than 6 yr of research into the function of this receptor, its physiological role in mediating
estrogen action remains unclear and controversial. We have developed a series of highly selective agonists for
ERbeta and have characterized their activity in several clinically relevant rodent models of human disease. The activity of one such compound,
ERB-041, is reported here. We conclude from these studies that
ERbeta does not mediate the bone-sparing activity of
estrogen on the rat skeleton and that it does not affect ovulation or
ovariectomy-induced
weight gain. In addition, these compounds are nonuterotrophic and nonmammotrophic. However,
ERB-041 has a dramatic beneficial effect in the
HLA-B27 transgenic rat model of
inflammatory bowel disease and the Lewis rat adjuvant-induced
arthritis model. Daily oral doses as low as 1 mg/kg reverse the chronic
diarrhea of
HLA-B27 transgenic rats and dramatically improve histological disease scores in the colon. The same dosing regimen in the therapeutic adjuvant-induced
arthritis model reduces joint scores from 12 (maximal
inflammation) to 1 over a period of 10 d.
Synovitis and Mankin (articular cartilage) histological scores are also significantly lowered (50-75%). These data suggest that one function of
ERbeta may be to modulate the immune response, and that
ERbeta-selective
ligands may be therapeutically useful agents to treat chronic intestinal and joint
inflammation.