title: Bone protection by estrens occurs through non-tissue-selective activation of the androgen receptor.
abstract: The use of estrogens and androgens to prevent bone loss is limited by their unwanted side effects, especially in reproductive organs and breast. Selective estrogen receptor modulators (SERMs) partially avoid such unwanted effects, but their efficacy on bone is only moderate compared with that of estradiol or androgens. Estrens have been suggested to not only prevent bone loss but also exert anabolic effects on bone while avoiding unwanted effects on reproductive organs. In this study, we compared the effects of a SERM (PSK3471) and 2 estrens (estren-alpha and estren-beta) on bone and reproductive organs to determine whether estrens are safe and act via the estrogen receptors and/or the androgen receptor (AR). Estrens and PSK3471 prevented gonadectomy-induced bone loss in male and female mice, but none showed true anabolic effects. Unlike SERMs, the estrens induced reproductive organ hypertrophy in both male and female mice and enhanced MCF-7 cell proliferation in vitro. Estrens directly activated transcription in several cell lines, albeit at much higher concentrations than estradiol or the SERM, and acted for the most part through the AR. We conclude that the estrens act mostly through the AR and, in mice, do not fulfill the preclinical efficacy or safety criteria required for the treatment or prevention of osteoporosis.
authors.affiliation: Department of Orthopaedics, Yale University School of Medicine, New Haven, Connecticut 06520-8044, USA.
authors.forename: Sara H
authors.initials: SH
authors.lastname: Windahl
authors.forename: René
authors.initials: R
authors.lastname: Galien
authors.forename: Riccardo
authors.initials: R
authors.lastname: Chiusaroli
authors.forename: Philippe
authors.initials: P
authors.lastname: Clément-Lacroix
authors.forename: Frederic
authors.initials: F
authors.lastname: Morvan
authors.forename: Liên
authors.initials: L
authors.lastname: Lepescheux
authors.forename: François
authors.initials: F
authors.lastname: Nique
authors.forename: William C
authors.initials: WC
authors.lastname: Horne
authors.forename: Michèle
authors.initials: M
authors.lastname: Resche-Rigon
authors.forename: Roland
authors.initials: R
authors.lastname: Baron
mesh_terms: D000818:Animals; D001851:Bone Diseases, Metabolic / Q000517:prevention & control*; D001842:Bone and Bones / Q000187:drug effects / Q000502:physiology*; D001943:Breast Neoplasms; D002455:Cell Division / Q000187:drug effects; D045744:Cell Line, Tumor; D004963:Estrenes / Q000494:pharmacology*; D047628:Estrogen Receptor alpha / Q000172:deficiency; D005260:Female; D006801:Humans; D051379:Mice; D008810:Mice, Inbred C57BL; D018345:Mice, Knockout; D009919:Orchiectomy; D010052:Ovariectomy; D011944:Receptors, Androgen / Q000502:physiology*; D020845:Selective Estrogen Receptor Modulators / Q000494:pharmacology*
chemical_list: C468666:4-estren-3,17-diol; D004963:Estrenes; D047628:Estrogen Receptor alpha; D011944:Receptors, Androgen; D020845:Selective Estrogen Receptor Modulators