Inoue Daisuke
Third Department of Medicine, Teikyo University Chiba Medical Center.
Clin Calcium. 2010 Mar;20(3):331-8.
Extra-skeletal targets of SERM include the mammary gland and the cardiovascular system. Although raloxifene is exclusively used to treat postmenopausal osteoporosis currently in Japan, large-scale clinical studies have demonstrated that raloxifene is also able to reduce the incidence of invasive breast cancer. As for the effect on cardiovascular events, overall, raloxifene is considered to be neutral. Some data however, indicate that it may increase fatal stroke. This review will summarize the extra-skeletal effects of raloxifene.
选择性雌激素受体调节剂(SERM)的骨骼外作用靶点包括乳腺和心血管系统。虽然在日本目前雷洛昔芬仅用于治疗绝经后骨质疏松症,但大规模临床研究表明,雷洛昔芬也能够降低浸润性乳腺癌的发病率。至于对心血管事件的影响,总体而言,雷洛昔芬被认为是中性的。然而,一些数据表明它可能会增加致命性中风的风险。本综述将总结雷洛昔芬的骨骼外作用。