Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens

Endocrine therapies act by either blocking or downregulating the oestrogen receptor or by reducing oestrogen concentrations around and within the cancer cell. In postmenopausal women, oestrogen suppression is achieved by inhibition of the enzyme aromatase by aromatase inhibitors (AIs). Modern AIs (a...

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Main Authors: Howell, Anthony, Dowsett, Mitch
Format: Online
Language:English
Published: BioMed Central 2004
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1064088/
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spelling pubmed-10640882005-03-11 Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens Howell, Anthony Dowsett, Mitch Review Endocrine therapies act by either blocking or downregulating the oestrogen receptor or by reducing oestrogen concentrations around and within the cancer cell. In postmenopausal women, oestrogen suppression is achieved by inhibition of the enzyme aromatase by aromatase inhibitors (AIs). Modern AIs (anastrozole, letrozole and exemestane) are more potent than earlier ones and suppress oestradiol levels in plasma to virtually undetectable concentrations. Recent comparisons of AIs with the most widely used oestrogen receptor blocking drug tamoxifen indicate that, in general, AIs result in increased response rates and greater durations of response. Here, we summarize data supporting the difference between the two types of treatment and attempt to account for the underlying mechanisms that favour AIs. BioMed Central 2004 2004-10-06 /pmc/articles/PMC1064088/ /pubmed/15535858 http://dx.doi.org/10.1186/bcr945 Text en Copyright © 2004 BioMed Central Ltd
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Howell, Anthony
Dowsett, Mitch
spellingShingle Howell, Anthony
Dowsett, Mitch
Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens
author_facet Howell, Anthony
Dowsett, Mitch
author_sort Howell, Anthony
title Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens
title_short Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens
title_full Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens
title_fullStr Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens
title_full_unstemmed Endocrinology and hormone therapy in breast cancer: Aromatase inhibitors versus antioestrogens
title_sort endocrinology and hormone therapy in breast cancer: aromatase inhibitors versus antioestrogens
description Endocrine therapies act by either blocking or downregulating the oestrogen receptor or by reducing oestrogen concentrations around and within the cancer cell. In postmenopausal women, oestrogen suppression is achieved by inhibition of the enzyme aromatase by aromatase inhibitors (AIs). Modern AIs (anastrozole, letrozole and exemestane) are more potent than earlier ones and suppress oestradiol levels in plasma to virtually undetectable concentrations. Recent comparisons of AIs with the most widely used oestrogen receptor blocking drug tamoxifen indicate that, in general, AIs result in increased response rates and greater durations of response. Here, we summarize data supporting the difference between the two types of treatment and attempt to account for the underlying mechanisms that favour AIs.
publisher BioMed Central
publishDate 2004
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1064088/
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