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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BioMed Central
2004
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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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1611372951274258432 |