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Abstract
A detailed analysis of the differential effects of
estrogen (E) compared to raloxifene (Ral), a selective
estrogen receptor modulator (SERM), following estrogen
receptor binding in gynecological tissues was conducted
using gene microarrays, northern analysis and MMP2
activity studies. We profiled gene expression in the
uterus following acute (1 day) and prolonged daily
treatment (5 weeks) of E and Ral in ovariectomized rats.
E regulated twice as many genes as Ral, largely those
associated with catalysis and metabolism, whereas Ral
treatment induced genes associated with cell death and
negative cell regulation. Follow-up studies confirmed
that genes associated with matrix integrity were
differentially regulated by Ral and E at various
timepoints in uterine and vaginal tissues. Additional
experiments were conducted to determine the levels of MMP2
activity in uterus explants from ovariectomized rats
following 2 weeks of treatment with E, Ral, or one of two
additional SERMs: lasofoxifene, and levormeloxifene. E
and lasofoxifene stimulated uterine MMP2 activity to a
level twice that of Ral while levormeloxifene elevated
MMP2 activity to a level 12 times that of Ral. These data
show that one of the significant differences between E and
Ral signaling in the uterus is the regulation of genes and
proteins associated with matrix integrity. This may be a
potential key difference between the action of SERMs in
the uterus of postmenopausal women.
Key words:
Female Reproductive Tract
Mechanisms of Hormone Action
Estradiol receptor
Uterus
Vagina
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