Dipartimento di Farmacia, Università di Pisa , Via Bonanno 6, 56126 Pisa , Italy +39 050 2219557 ; +39 050 2219605 ;
Expert Opin Ther Pat. 2013 Oct;23(10):1247-71. doi: 10.1517/13543776.2013.805206. Epub 2013 May 29.
The role of estrogens is mostly mediated by two nuclear receptors (ERα and ERβ) and a membrane-associated G-protein (GPR30 or GPER), and it is not limited to reproduction, but it extends to the skeletal, cardiovascular and central nervous systems. Various pathologies such as cancer, inflammatory, neurodegenerative and metabolic diseases are often associated with dysfunctions of the estrogenic system. Therapeutic interventions by agents that affect the estrogenic signaling pathway might be useful in the treatment of many dissimilar diseases.
The massive chemodiversity of ER ligands, limited to patented small molecules, is herein reviewed. The reported compounds are classified on the basis of their chemical structures. Non-steroidal derivatives, which mostly consist of diphenolic compounds, are further segregated into chemical classes based on their central scaffold.
Estrogens have been used for almost a century and their earlier applications have concerned interventions in the female reproductive functions, as well as the treatment of some estrogen-dependent cancers and osteoporosis. Since the discovery of ERβ in 1996, the patent literature has started to pay a progressively increasing attention to this newer receptor subtype, which holds promise as a target for new indications, most of which still need to be clinically validated.
雌激素的作用主要通过两种核受体(ERα 和 ERβ)和一种膜相关 G 蛋白(GPR30 或 GPER)介导,其作用不仅限于生殖,还扩展到骨骼、心血管和中枢神经系统。各种病理学,如癌症、炎症、神经退行性和代谢性疾病,通常与雌激素系统的功能障碍有关。通过影响雌激素信号通路的药物进行治疗干预可能对许多不同疾病的治疗有用。
本文综述了 ER 配体的大量化学多样性,仅限于已获得专利的小分子。所报道的化合物根据其化学结构进行分类。非甾体衍生物主要由二酚化合物组成,根据其中心支架进一步分为化学类别。
雌激素已经使用了近一个世纪,其早期应用涉及干预女性生殖功能,以及治疗一些雌激素依赖性癌症和骨质疏松症。自 1996 年 ERβ 被发现以来,专利文献开始越来越关注这种新型受体亚型,它有望成为新适应症的靶点,其中大部分仍需要临床验证。