Drugs with estrogen-like potency and brain activity : Potential therapeutic application for the CNS
Identifieur interne : 000304 ( France/Analysis ); précédent : 000303; suivant : 000305Drugs with estrogen-like potency and brain activity : Potential therapeutic application for the CNS
Auteurs : M. Cyr [Canada] ; F. Calon [Canada] ; M. Morissette [Canada] ; M. Grandbois [Canada] ; S. Callier [Canada, France] ; T. Di Paolo [Canada]Source :
- Current pharmaceutical design [ 1381-6128 ] ; 2000.
Descripteurs français
- Pascal (Inist)
- Oestrogène, Article synthèse, Animal, Parkinson maladie, Hormone stéroïde, Testostérone, Démence Alzheimer, Déhydroépiandrostérone, Activité biologique, Schizophrénie, Psychose, Etat dépressif, Trouble humeur, Neuroprotecteur, Neuromodulateur, Mécanisme action, Homme, Chimiothérapie, Traitement, In vitro, In vivo.
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Alzheimer Disease (drug therapy), Alzheimer disease, Animal, Animals, Biological activity, Brain (drug effects), Chemotherapy, Dehydroepiandrosterone, Dehydroepiandrosterone (therapeutic use), Depression, Depression (drug therapy), Estrogen, Estrogens (pharmacology), Estrogens (therapeutic use), Female, Human, Humans, In vitro, In vivo, Male, Mechanism of action, Mood disorder, Neuromodulator, Neuroprotective agent, Parkinson Disease (drug therapy), Parkinson disease, Prodrugs (therapeutic use), Psychosis, Review, Schizophrenia, Schizophrenia (drug therapy), Steroid hormone, Testosterone, Testosterone (therapeutic use), Treatment.
- MESH :
- chemical , pharmacology : Estrogens.
- chemical , therapeutic use : Dehydroepiandrosterone, Estrogens, Prodrugs, Testosterone.
- drug effects : Brain.
- drug therapy : Alzheimer Disease, Depression, Parkinson Disease, Schizophrenia.
- Animals, Female, Humans, Male.
Abstract
Numerous reports, ranging from molecular investigations to clinical studies, demonstrate the potency of estrogens to modulate brain function and their implications in schizophrenia and depression. Alterations of dopaminergic, cholinergic, GABAergic, glutamatergic and serotonergic neurotransmission through estrogen-mediated mechanisms have been consistently established. Moreover, studies using in vivo and in vitro models as well as epidemiological data suggest that estrogens provide neuroprotection of central nervous system (CNS) cells implicated in the etiology of neurodegenerative disorders such as Alzheimer's (AD) and Parkinson's (PD) diseases. Numerous genomic or non-genomic mechanisms of actions of estrogens in the brain have been documented implicating classical nuclear estrogen receptors as well as possible estrogen membrane receptors, antioxidant activity of steroids, their effect on fluidity as well as on antiapoptotic proteins and growth factors. Selective estrogen receptor modulators (SERMs) have estrogenic and/or antiestrogenic activity depending on the target tissue. Hence, SERMs have the same beneficial effect as estrogen in skeleton and cardiovascular systems but act as antagonists in breast and uterus. The finding of beneficial side effects of SERMs in the CNS might improve their risk-benefit ratio in traditional indications. In this review, we will survey schizophrenia and depression as examples of mental diseases and AD and PD as neurodegenerative diseases. We will review brain effects of estrogens, steroids possibly acting as pro-drugs of estrogens such as testosterone and dehydroepiandrosterone (DHEA) and present novel findings with SERMs. Drugs with estrogen activity in the brain may have therapeutic potential either by modulating brain neurotransmitter transmission or through neuroprotective activity.
Affiliations:
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<term>Biological activity</term>
<term>Brain (drug effects)</term>
<term>Chemotherapy</term>
<term>Dehydroepiandrosterone</term>
<term>Dehydroepiandrosterone (therapeutic use)</term>
<term>Depression</term>
<term>Depression (drug therapy)</term>
<term>Estrogen</term>
<term>Estrogens (pharmacology)</term>
<term>Estrogens (therapeutic use)</term>
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<term>Human</term>
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<term>In vitro</term>
<term>In vivo</term>
<term>Male</term>
<term>Mechanism of action</term>
<term>Mood disorder</term>
<term>Neuromodulator</term>
<term>Neuroprotective agent</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson disease</term>
<term>Prodrugs (therapeutic use)</term>
<term>Psychosis</term>
<term>Review</term>
<term>Schizophrenia</term>
<term>Schizophrenia (drug therapy)</term>
<term>Steroid hormone</term>
<term>Testosterone</term>
<term>Testosterone (therapeutic use)</term>
<term>Treatment</term>
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<front><div type="abstract" xml:lang="en">Numerous reports, ranging from molecular investigations to clinical studies, demonstrate the potency of estrogens to modulate brain function and their implications in schizophrenia and depression. Alterations of dopaminergic, cholinergic, GABAergic, glutamatergic and serotonergic neurotransmission through estrogen-mediated mechanisms have been consistently established. Moreover, studies using in vivo and in vitro models as well as epidemiological data suggest that estrogens provide neuroprotection of central nervous system (CNS) cells implicated in the etiology of neurodegenerative disorders such as Alzheimer's (AD) and Parkinson's (PD) diseases. Numerous genomic or non-genomic mechanisms of actions of estrogens in the brain have been documented implicating classical nuclear estrogen receptors as well as possible estrogen membrane receptors, antioxidant activity of steroids, their effect on fluidity as well as on antiapoptotic proteins and growth factors. Selective estrogen receptor modulators (SERMs) have estrogenic and/or antiestrogenic activity depending on the target tissue. Hence, SERMs have the same beneficial effect as estrogen in skeleton and cardiovascular systems but act as antagonists in breast and uterus. The finding of beneficial side effects of SERMs in the CNS might improve their risk-benefit ratio in traditional indications. In this review, we will survey schizophrenia and depression as examples of mental diseases and AD and PD as neurodegenerative diseases. We will review brain effects of estrogens, steroids possibly acting as pro-drugs of estrogens such as testosterone and dehydroepiandrosterone (DHEA) and present novel findings with SERMs. Drugs with estrogen activity in the brain may have therapeutic potential either by modulating brain neurotransmitter transmission or through neuroprotective activity.</div>
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