Targeting the Estrogen Receptor for the Treatment of Breast Cancer: Recent Advances and Challenges

Estrogen receptor alpha (ERα) is a well-established therapeutic target for the treatment of ER-positive (ER+) breast cancers. Despite the tremendous successes achieved with tamoxifen, a selective ER modulator, and aromatase inhibitors (AIs), resistance to these therapies is a major clinical problem....

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Veröffentlicht in:Journal of medicinal chemistry 2023-07, Vol.66 (13), p.8339-8381
Hauptverfasser: Rej, Rohan Kalyan, Acharyya, Ranjan Kumar, Rae, James Michael, Wang, Shaomeng
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container_issue 13
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container_title Journal of medicinal chemistry
container_volume 66
creator Rej, Rohan Kalyan
Acharyya, Ranjan Kumar
Rae, James Michael
Wang, Shaomeng
description Estrogen receptor alpha (ERα) is a well-established therapeutic target for the treatment of ER-positive (ER+) breast cancers. Despite the tremendous successes achieved with tamoxifen, a selective ER modulator, and aromatase inhibitors (AIs), resistance to these therapies is a major clinical problem. Therefore, induced protein degradation and covalent inhibition have been pursued as new therapeutic approaches to target ERα. This Perspective summarizes recent progress in the discovery and development of oral selective ER degraders (SERDs), complete estrogen receptor antagonists (CERANs), selective estrogen receptor covalent antagonists (SERCAs), and proteolysis targeting chimera (PROTAC) ER degraders. We focus on those compounds which have been advanced into clinical development.
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subjects Aromatase Inhibitors - pharmacology
Aromatase Inhibitors - therapeutic use
Breast Neoplasms - drug therapy
Breast Neoplasms - metabolism
Estrogen Antagonists - therapeutic use
Estrogen Receptor alpha - metabolism
Female
Humans
Receptors, Estrogen - metabolism
Selective Estrogen Receptor Modulators - pharmacology
Selective Estrogen Receptor Modulators - therapeutic use
Tamoxifen - pharmacology
Tamoxifen - therapeutic use
title Targeting the Estrogen Receptor for the Treatment of Breast Cancer: Recent Advances and Challenges
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