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Article ; Online: The immune activity of selective estrogen receptor modulators is gene and macrophage subtype-specific yet converges on Il1b downregulation.

Sfogliarini, Chiara / Pepe, Giovanna / Cesta, Candida Maria / Allegretti, Marcello / Locati, Massimo / Vegeto, Elisabetta

Biomedicine & pharmacotherapy = Biomedecine & pharmacotherapie

2023  Volume 165, Page(s) 115008

Abstract: Raloxifene belongs to the family of Selective Estrogen Receptor Modulators (SERMs), which are drugs widely prescribed for Estrogen Receptor alpha (ERα)-related pathologies. Recently, SERMs are being tested in repurposing strategies for ERα-independent ... ...

Abstract Raloxifene belongs to the family of Selective Estrogen Receptor Modulators (SERMs), which are drugs widely prescribed for Estrogen Receptor alpha (ERα)-related pathologies. Recently, SERMs are being tested in repurposing strategies for ERα-independent clinical indications, including a wide range of microbial infections. Macrophages are central in the fight against pathogen invasion. Despite estrogens have been shown to regulate macrophage phenotype, SERMs activity in these cells is still poorly defined. We investigated the activity of Raloxifene in comparison with another widely used SERM, Tamoxifen, on immune gene expression in macrophages obtained from mouse and human tissues, including mouse peritoneal macrophages, bone marrow-derived macrophages, microglia or human blood-derived macrophages, assaying for the involvement of the ERα, PI3K and NRF2 pathways also under inflammatory conditions. Our data demonstrate that Raloxifene acts by a dual mechanism, which entails ERα antagonism and off-target mediators. Moreover, micromolar concentrations of Raloxifene increase the expression of immune metabolic genes, such as Vegfa and Hmox1, through PI3K and NRF2 activation selectively in peritoneal macrophages. Conversely, Il1b mRNA down-regulation by SERMs is consistently observed in all macrophage subtypes and unrelated to the PI3K/NRF2 system. Importantly, the production of the inflammatory cytokine TNFα induced by the bacterial endotoxin, LPS, is potentiated by SERMs and paralleled by the cell subtype-specific increase in IL1β secretion. This work extends our knowledge on the biological and molecular mechanisms of SERMs immune activity and indicate macrophages as a pharmacological target for the exploitation of the antimicrobial potential of these drugs.
MeSH term(s) Mice ; Humans ; Animals ; Selective Estrogen Receptor Modulators/pharmacology ; Raloxifene Hydrochloride/pharmacology ; Estrogen Receptor alpha/genetics ; Estrogen Receptor alpha/metabolism ; Down-Regulation ; NF-E2-Related Factor 2/genetics ; NF-E2-Related Factor 2/metabolism ; Tamoxifen/pharmacology ; Macrophages/metabolism ; Phosphatidylinositol 3-Kinases/genetics ; Phosphatidylinositol 3-Kinases/metabolism
Chemical Substances Selective Estrogen Receptor Modulators ; Raloxifene Hydrochloride (4F86W47BR6) ; Estrogen Receptor alpha ; NF-E2-Related Factor 2 ; Tamoxifen (094ZI81Y45) ; Phosphatidylinositol 3-Kinases (EC 2.7.1.-)
Language English
Publishing date 2023-07-11
Publishing country France
Document type Journal Article
ZDB-ID 392415-4
ISSN 1950-6007 ; 0753-3322 ; 0300-0893
ISSN (online) 1950-6007
ISSN 0753-3322 ; 0300-0893
DOI 10.1016/j.biopha.2023.115008
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