Delivering oestrogen only to the brain could reduce breast cancer treatment side effects

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In a study in monkeys, US researchers suggest the use of a drug that can deliver oestrogen only to the brain could reduce the side effects of treatments for breast cancer. As most breast cancers are worsened by oestrogens, patients are frequently given a drug that inhibits the production of the hormone. However, many people don't stick to the inhibitors due to the side effects that come with them. This new treatment - called 10β,17β-dihydroxyestra-1,4-dien-3-one (DHED) - was given to marmosets that had been treated with an oestrogen inhibitor, and the researchers say the monkeys had improved memory and sleep, while the changes that the inhibitor had caused in their brains were reversed. The team notes that DHED had different effects on the body temperature of the monkeys depending on their sex, which they say should be the subject of future study.

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From: Society for Neuroscience

Reducing side effects from breast cancer treatment

Treating aged marmosets with 10β,17β-dihydroxyestra-1,4-dien-3-one (DHED) improves side effects elicited from a specific type of breast cancer treatment.

Most breast cancers are worsened by estrogens. To combat the recurrence of these cancers, clinicians treat patients with inhibitors for estrogen production, like letrozole. But many patients do not adhere to this treatment due to negative side effects. Preclinical work in rodents suggests that a drug called 10β,17β-dihydroxyestra-1,4-dien-3-one (DHED), which delivers estrogen only to the brain, may be an effective, safe way to reduce these side effects. In a new study, researchers led by Agnès Lacreuse, from the University of Massachusetts Amherst, explored how DHED works in a more advanced animal model than rodents: aged marmosets.

Following treatments with letrozole, the research team discovered that treating marmosets with DHED increased estrogen specifically in the brain and improved both memory and sleep. DHED also reversed neural changes from letrozole. DHED had different effects on body temperature regulation in males and females, pointing to the need for more research in this area.

Says Lacreuse, “Our work suggests that DHED is a promising new hormonal therapy for women with breast cancer and perhaps all menopausal women.” The researchers plan to explore the mechanisms DHED acts through in the brain and to assess whether different drug doses improve temperature regulation issues from treatment.

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Research Society for Neuroscience, Web page The URL will go live after the embargo ends
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JNeurosci
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Organisation/s: University of Massachusetts Amherst, USA
Funder: National Institutes of Health grant R01CA246929 (AL, IM, LP) UMass Institute for Applied Life Sciences Translational Graduate Student Fellowship (HC) UMass Institute for Applied Life Sciences Midi grant (AL, LRH) The Welch Foundation endowment BK-0031 (LP)
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