Driák D, Sehnal B, Svandová I
Gynekologicko-porodnická Klinika 1. LF UK a Nemocnice Na Bulovce, Praha, Prednosta prof MUDr. M. Halaska, DrSc.
Ceska Gynekol. 2013 Apr;78(2):175-81.
Currently developed selective progesterone receptor modulators (SPRMs) are steroid derived compounds with a bulky radical substitution at carbon 11. They interact with progesterone receptor and exert antagonistic or/and agonistic effects. Mifepristone was approved for pregnancy termination and ulipristal acetate as emergency contraception and pharmacological therapy of uterine fibroids. SPRMs inhibit endometrial proliferation and myoma growth, this suggests a therapeutical effect in cases of endometriosis and other estrogen-dependent diseases.
目前研发的选择性孕激素受体调节剂(SPRMs)是在碳11位带有庞大自由基取代基的类固醇衍生化合物。它们与孕激素受体相互作用并发挥拮抗或/和激动作用。米非司酮被批准用于终止妊娠,醋酸乌利司他用于紧急避孕和子宫肌瘤的药物治疗。SPRMs可抑制子宫内膜增殖和肌瘤生长,这表明其在子宫内膜异位症和其他雌激素依赖性疾病中具有治疗作用。